l. Shake the MDI inhaler hard 10 to 15 times before each use, attach the spacer to the inhaler.
2. Open the protective cover, install the mask (the scallop valve piece face upward), tighten the mask to the mouthand nose (or put the spacer between vour teeth and close vour lips tightly around it), and then breathe out gently to empty your lungs.Try to push out as much air as you can.
3. Keep your chin up.
4. Spray one puff into the spacer by pressing down on the inhaler as slowly breathing in.

5. Keep breathing in slowly, Breathe as deeply as you can. (Try to avoid the buzzer alarm caused by excessive intake air flow during inhalation)
6. Hold your breath for 5-10 seconds, this lets the medicine reach deep into your lungs.
7. Don't remove the spacer off when exhaling. Continue to inhale slowly and deeply for the next time, each spray should be inhaled for 20-30 seconds
8. According to doctor's request about the amount of spray, wait for more than 30 seconds before repeating the above 3-7 inhalation steps.