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@pacathy

One other issue with inhalers is that the user’s technique is very important in getting dose into lungs.
People have to remember exhale completely, time their breath to pressing inhaler, hold it and not exhale too quickly. Spacers have helped a lot, but getting the med in with inhaler is a little trickier than with nebulizer..

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Replies to "One other issue with inhalers is that the user’s technique is very important in getting dose..."

Yes my respiratory therapists were adamant that a spacer should always be used with an inhaler. I find the spacers very easy to use and of course much quicker than nebulizing. Though my latest PFT showed no bronchodilator response, I notice no effect from using albuterol with AC versus not using and am considering stopping the albuterol altogether.