@beckett - yes, I agree with you that the Breyna inhaler is difficult to operate. It’s harder to push down the canister than my other inhalers. I’ve been diligent about storing it with the mouthpiece down and thus far, I’ve been able to use it down to the last activation. When I first had the problem, I wrote to the manufacturer and received a reply consisting of a questionnaire and request to send the product back. If I continue to have problems, I will do that. I wish I could get the Symbicort instead of the generic Breyna but my insurance wouldn’t cover it. Good luck to you.