Instructions for use: valved holding chamber

A valved holding chamber (also known as a spacer) is a device designed to simplify and improve the use of a metered-dose inhaler.

Remove the cap from the metered-dose inhaler then shake the inhaler. Insert the metered-dose inhaler into the back of the spacer device.

Place the mouthpiece of the spacer into your mouth and create a tight seal with your lips. Do not block the mouthpiece with your tongue or teeth. Breathe out to empty the air from the lungs.

At the beginning of a slow breath in, press the metered-dose inhaler to release a dose of the medication. Breathe in slowly and deeply, remove the mouthpiece from your mouth and hold your breath for 5 to 10 seconds, then breathe out gently. OR

Press the metered-dose inhaler to release a dose of the medication. Breathe in and out through the spacer (3-4 times for adults, 4-6 times for children) while keeping a tight seal between your lips and the mouthpiece.

Do not breathe too fast: some devices emit a whistling sound to let you know if you are breathing too quickly.

If you must take more than one inhalation (of the same medication or another medication), wait 1 to 2 minutes between doses.

Clean the device once a week, as recommended by the manufacturer. Replace the spacer after 12 months of use.