Asthma Inhalers: Essential Guide to Types, Usage & Tips
If you or someone you know lives with asthma, an inhaler is probably a daily companion. Knowing what each device does and how to use it correctly can mean the difference between a quick fix and a full‑blown attack.
Quick rundown of the main inhaler types
Rescue (or reliever) inhalers contain fast‑acting bronchodilators like albuterol. You reach for them when symptoms flare up – wheezing, shortness of breath, or chest tightness. They open the airways within minutes and are meant for occasional use.
Maintenance (or controller) inhalers deliver steroids or long‑acting bronchodilators. These aren’t for immediate relief; they keep inflammation down so attacks happen less often. Doctors usually prescribe one or two of these to be taken every day, even when you feel fine.
Combination inhalers pack both a steroid and a long‑acting bronchodilator in one device. They simplify regimens for people who need both actions but want fewer pens in the bathroom cabinet.
How to get the most out of every puff
1. Shake it up. Most inhalers need a good shake before each use so the medication mixes evenly.
2. Prime if needed. New pens or ones that haven’t been used in a while often require a few test sprays into the air to prime the system.
3. Breathe out fully, then close your mouth around the mouthpiece. Inhale slowly and deeply – aim for about 3‑4 seconds. For dry‑powder inhalers, a quick, sharp breath works better.
4. Hold it. After inhaling, press the button (if it’s a metered‑dose inhaler) and hold your breath for about 10 seconds. This gives the medication time to settle in the lungs.
5. Rinse your mouth. If you’re using a steroid inhaler, spit out any residue and rinse with water. It cuts down on oral thrush and hoarseness.
6. Track doses. Many modern inhalers have dose counters, but if yours doesn’t, write the date each time you use it. Running out mid‑attack is never fun.
7. Keep a backup. Accidents happen – a broken mouthpiece or an empty canister shouldn’t leave you stranded. Store a spare in your bag or car.
8. Check the expiry date. Meds lose potency over time, so replace inhalers before they hit the “use by” line.
Getting comfortable with your inhaler takes practice, but once you’ve nailed the steps, using it becomes second nature. If anything feels off – a strange taste, persistent cough, or reduced relief – call your doctor. Sometimes a dosage tweak or a different device solves the problem.
Remember, an inhaler is only one piece of asthma management. Regular check‑ups, trigger avoidance, and a personalized action plan keep you in control year‑round.
- By Percival Harrington
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- 23 May 2025
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