Table 1 Steps of correct pMDI inhalation technique

Step 1. Remove the pMDI protective cap

Step 2. Shake the pMDI before use

Step 3. Exhale smoothly as far as comfortable

Step 4. Put the mouthpiece of the pMDI between your teeth and cover it with lips

Step 5. Ensure that your tongue does not block the pMDI mouthpiece

Step 6. Press the inhaler at the start of inhalation to emit the dose

Step 7. Maintain a slow inhalation rate until your lungs are filled

Step 8. Remove the pMDI from your mouth and hold your breath for

5–10 s

Step 9. Wait for 30 s before taking another aerosol dose, if more than a single dose is needed

Step 10. Rinse your mouth and brush your teeth

Step 11. Replace the cap on the pMDI