A spacer device can make using a metered dose inhaler much more effective and a lot easier. Spacers are recommended for everyone taking inhaled corticosteroids with a metered dose inhaler.

• A spacer is a hollow chamber that fits on the mouthpiece of the metered dose inhaler.
  
  
• The mouthpiece of the spacer is placed between your lips and the medicine is sprayed into the spacer instead of directly into your mouth.
  
  
• Then the medicine can be inhaled with a slow, deep breath. The medicine is inhaled into the breathing tubes where it goes to the lungs instead of settling on the tongue or inside the mouth, which makes it much more effective in treating your asthma.

Spacers also come with a mask attached for use with infants and young children.

• Once the medicine is sprayed (puffed) into the spacer chamber, the mask is placed over the child's nose and mouth.
  
  
• Hold the mask there until the child has taken at least six breaths.
  
  
• Even if the child cries it is OK. It takes a deep breath to cry.
  
  
• Next, remove the mask from the child's face.
  
  
• Wait at least one minute before giving a second puff if needed.

Clean the spacer at least once a week.

• Remove the mask (if removable) and the rubber end that holds the metered dose inhaler onto the spacer.
  
  
• Wash with mild soapy water and rinse thoroughly.
  
  
• Air dry the spacer, making sure it is dry before the next use.

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