How To Use Riteflo™

These instructions apply to the RiteFlo™, but may be applicable to other similar devices.

  1. Remove the mouthpiece cap from the MDI (metered-dose inhaler). Place the MDI mouthpiece into the end of the spacer that accepts inhalers.
  2. Shake both the inhaler and RiteFlo™ connected devices together.
  3. Press the inhaler to allow it to deliver medicine into the spacer.
  4. 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.
  5. 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.
  6. If another puff of medication is required, wait 60 seconds before repeating the process over.
  7. The RiteFlo™ was specifically designed for correct inhaled flow rate so there are no whistle warnings about incorrect inspiratory flow rate.
  8. 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

  1. 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.
  2. Remove the cap from the MDI and shake well (HFA inhalers do not require shaking).
  3. Exhale until you have no breath left.
  4. 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.
  5. 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.
  6. Next after that 2 second delay, fully, but very slowly (like hot chicken soup) inhale fully as far as you can.
  7. Finally, attempt a breath hold. This means holding your breath with the medication in your lungs at least 6-10 seconds.