These instructions apply to the RiteFlo™, but may be applicable to other similar devices.
- Remove the mouthpiece cap from the MDI (metered-dose inhaler). Place the MDI mouthpiece into the end of the spacer that accepts inhalers.
- Shake both the inhaler and RiteFlo™ connected devices together.
- Press the inhaler to allow it to deliver medicine into the spacer.
- Breathe in slowly for at least 8-10 seconds and hold your breath if possible. This will allow for all the medicine in the spacer to enter your lungs.
- Repeat step 4 as many times as your doctor or health care provider has prescribed for you. Do not take more or less medication than recommended by your doctor.
- If another puff of medication is required, wait 60 seconds before repeating the process over.
- The RiteFlo™ was specifically designed for correct inhaled flow rate so there are no whistle warnings about incorrect inspiratory flow rate.
- If another different class of medication inhaler is prescribed for you, wait at least several minutes before starting the second inhaler. Many times, a quick reliever (albuterol) is prescribed with a steroid inhaler. It is generally accepted that the quick reliever is used first.
How To Use An Inhaler
- Using a inhaled corticosteroid metered-dose inhaler (MDI) without a spacer/holding chamber is rarely ever recommended by most health care providers. However, if you find yourself in the position without a RiteFlo™, the below method has been shown to be effective.
- Remove the cap from the MDI and shake well (HFA inhalers do not require shaking).
- Exhale until you have no breath left.
- Place the MDI approximately 2-3 finger distance from your mouth. If you put the MDI in your mouth, most of the medication will either be deposited on your tongue or throat.
- Inhale for about a second or two first before actuating the MDI. (This part of the maneuver is where most patients have difficulty in the coordination of the MDI.
- Next after that 2 second delay, fully, but very slowly (like hot chicken soup) inhale fully as far as you can.
- Finally, attempt a breath hold. This means holding your breath with the medication in your lungs at least 6-10 seconds.