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- Take off the cap and hold inhaler upright
- Shake the inhaler
- Tilt the head back slightly and slowly breathe out completely for 3-5 seconds
- Use the device in 1 of the 3 positions in the picture below; positions A and B are best, but position C can be used if the patient has trouble with A or B
- Simultaneously breathe in slowly through the mouth and press down on the inhaler 1 time to release the medication; if using a holding chamber, first press down on the inhaler and then begin to breathe in slowly within 5 seconds
- Keep breathing in slowly, as deeply and evenly as possible
- If possible, hold the breath while counting to 10 slowly; this allows the medicine to reach deep into the lungs.
- Repeat the above process if more than 1 puff (actuation) is prescribed
- Wait 1 minute between actuations; this may improve penetration of the second actuation into lung airways
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