1. Shake the inhaler.
2. Remove the cap.
3. Breathe out normally.
4. Open your mouth wide and place your lips firmly around the inhaler. Keep your tongue relaxed and down. Another technique is to hold the inhaler 1-2 inches in front of your open mouth.
5. Begin to take a slow, deep breath through your mouth as you squeeze (activate) the inhaler as you continue to breathe in.
6. Continue to breathe in until your lungs are full, and then hold your breath for 10 seconds, if possible.
7. Breathe out normally.
8. Wait one minute then take a second puff in the same manner.
9. Be sure to re-cap the mouthpiece when finished.
10. If the medicine you took was steroid-based, be sure to rinse your mouth out and gargle after use.