Shake the inhaler as directed, and remove the cap.

Hold the inhaler upright with the mouthpiece at the bottom.

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

There are two ways to position the inhaler when using it without a spacer. You can hold the inhaler 1 inch (2.5 cm) to 2 inches (5 cm) in front of your open mouth, without closing your lips over it. This method might be hard for some people. Or you can place the inhaler in your mouth. This is the least efficient way to use the inhaler.

Start to breathe in slowly, evenly, and deeply; press down on the inhaler one time (start to breathe in, then press); and continue to breathe in slowly.

Hold your breath for 10 seconds. This will let the medicine settle in your lungs.

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