Shake the inhaler, remove the inhaler cap, and place the mouthpiece of the inhaler into the spacer.

Remove the cap from the spacer.

Hold the inhaler upright with the mouthpiece at the bottom.

Tilt your head back slightly and breathe out slowly and completely.

Place the spacer's mouthpiece in your mouth.

Press down on the inhaler to spray one puff of medicine into the spacer and then start breathing in slowly (press first, then breathe in). Then hold your breath for 10 seconds, to give the medicine time to settle in your lungs.

If you need to take a second dose, wait 30 to 60 seconds to allow the inhaler valve to refill.