How to use your inhaler correctly? Let's find out!

You too may have been told by your doctor to use an inhaler for asthma, hay fever, or other respiratory problems. But do you have a little problem with how to use it exactly, when, and why there are two or three types? Some people think that they will become addicted to an inhaler. That is all wrong. Don't worry, we will talk about everything very simply today.

There are two types of inhalers - let's understand the difference

Simply put, there are two main types of inhalers that your doctor will give you. One is for daily use to control your asthma, and the other is for use when you have a sudden attack. Mixing the two can be dangerous.

1. Daily 'Control' Inhaler

This inhaler contains medicine that reduces swelling and sensitivity in your airways. Just like you take medicine every day for diabetes or blood pressure, you need to use this every day for the number of times your doctor prescribes it.

• You should use this even if you have no problems .
• You should use this as soon as you feel better.
• If you are told to use it twice a day, keep a 12-hour gap between each dose if possible (e.g. 7 am and 7 pm).

2. Rescue Inhaler (used in emergencies)

This is your "lifesaver." This inhaler provides instant relief when you suddenly have difficulty breathing, feel like your chest is constricted, cough, or hear a "soo-soo" sound coming from your chest.

• Always keep this inhaler with you. Never leave it at home when you go on a trip.
• Use it when you are tired .
• Use before you are exposed to things you are allergic to, such as dust and animal fur.

Inhaler to make exercise and activities easier

Some people get wheezing when they exercise. This is called `` Exercise-induced Asthma ''. Don't stop exercising just because you're doing it. Exercise strengthens your lungs, helps you control your weight, and boosts your immune system.

• Take a puff of your 'rescue' (blue) inhaler 15-30 minutes before exercising.
• Keep your inhaler with you even while exercising.
• If it's too hard for you, switch to light exercises like swimming or walking.

The correct way to use an inhaler (MDI and DPI)

There are several types of inhalers. Let's look at how to use the most common ones, the ``Metered Dose Inhaler - MDI'' and the ``Dry Powder Inhaler - DPI''.

How to use a metered dose inhaler (MDI)

This is the kind that comes as a spray when you press it.

1. First prepare the inhaler (Priming):

This is a must-do if you have just bought an inhaler or one that hasn't been used for more than two weeks.

• Shake the inhaler well.
• Turn away from your mouth and press once on top (spray).
• Do this three more times. The inhaler is now ready to use.

2. How to use without a spacer:

A 'spacer' is a plastic tube-like device that connects to the inhaler. If you use it without it, here's how.

• Remove the cap from the inhaler. Shake well for 5 seconds.
• Hold the inhaler firmly with your index finger on top and your thumb on the bottom.
• Exhale all the breath in your lungs.
• Place the mouthpiece of the inhaler between your teeth and close it tightly with your lips. Do not let your tongue cover the hole.
• As soon as you press the inhaler, take a slow, deep breath in (about 4-6 seconds).
• Hold your breath for as long as you can (5-10 seconds is good). Then slowly exhale.
• If you want to take a second puff, wait about 30 seconds, shake the inhaler again, and do it in the same way.

3. How to use with a spacer:

Using it with a spacer is the most effective method, especially for children and the elderly.

• Attach the inhaler to the spacer. Shake well.
• Let all the breath out.
• Place the mouthpiece of the spacer in your mouth and close it with your lips.
• Press the inhaler once. The medicine will collect inside the spacer.
• Now take a slow, deep breath in through the spacer.
• Hold your breath for 5-10 seconds and exhale slowly.

How to use a Dry Powder Inhaler (DPI)

This type of medicine is a powder. The way it is used is a little different.

• Remove the cap (some require a capsule to be inserted).
• Breathe out all the air , but do not breathe into the inhaler.
• Place the mouthpiece in your mouth and breathe in quickly and deeply .
• Remove the inhaler from your mouth, hold your breath for about 10 seconds, and then exhale slowly.

It is essential to keep the inhaler clean!

If you don't clean your inhaler, the powder can get clogged and the medicine won't be delivered properly. So clean it at least once a week.

• MDI inhaler: Remove the canister and set it aside. Wash only the plastic cover (mouthpiece) thoroughly with lukewarm water. Rinse with water and let it dry thoroughly. Never put the canister in water.
• DPI inhaler: Do not wash these with water. Wipe only the mouthpiece with a dry cloth.