Puffers & Inhalers

Puffers & Inhalers

There are many inhaler devices, and each one is used differently. Find your device below for a clear, step-by-step guide to getting the medicine where it needs to go.1 Most people using an inhaler make at least one error, and most have never had their technique checked2,3 — errors that are linked to worse symptom control and more flare-ups.4

For patients & health professionals
Getting Your Inhaler Technique Right Managing Your Condition · 11 of 26 Metered-Dose Inhaler (pMDI / “Puffer”)
Authorship & review
Dr Sean James Ledger, BSc Physio (Hons) MSc PhD FHEA
Director and Principal Physiotherapist
Ahpra registration PHY0002298174
Version
1.0
Last updated
12 August 2026
Next review
12 August 2027
Every guide on this site is reviewed at least once a year, and sooner when the evidence changes.
How these guides are written and reviewed →
In plain language

Inhalers fall into a few families: puffers (pressurised sprays, best used slowly and with a spacer), a soft-mist inhaler, and dry-powder inhalers (which you breathe in forcefully). The device matters as much as the medicine — using it correctly is often the difference between a treatment working and not. Tap your device for step-by-step instructions.

Start here
New to this, or not sure yours is working?

Read Getting Your Inhaler Technique Right first — the steps every inhaler shares, the slow-vs-fast breath, and the common mistakes — then find your device below.

Technique guide

Puffers (pressurised metered-dose inhalers)

Press-and-breathe aerosols. A slow, gentle breath in — and a spacer — get the most medicine into your lungs.

Soft Mist Inhaler

Releases a slow, fine mist that is easy to breathe in deeply.

Dry-powder inhalers — reservoir

You draw the powder out yourself, so breathe in forcefully and deeply. Load a dose, then keep the device dry.

Dry-powder inhalers — blister

Doses are sealed in foil until you load them. One steady, deep breath in.

Dry-powder inhalers — capsule

You load and pierce one capsule at a time, then breathe in quickly enough to hear it rattle. Capsules are for inhaling only.

Related
Nebulised therapy & the eChamber nebuliser

If you use nebulised medicines at home, see the Managing your condition at home section.

Your home plan

References & evidence base

Sources & further reading

These sources informed this page and were current at the time of writing. Always follow the leaflet for your specific device and your prescriber's instructions.

How we treat this at the clinic

Everything starts with an assessment — your symptoms, breathing, exercise tolerance and daily function measured properly, so what follows is built on your lungs rather than an average.

Physiotherapy Assessment →
Important: This page is general information on inhaler technique, not a prescription or medical advice. Always follow the instructions from your prescriber and pharmacist, and the leaflet inside your specific medicine. If you are unsure your inhaler is working, or your breathing worsens, contact your care team — or in an emergency call 000. For a technique check, contact Inspire Clinic.

Corrections: If something on this page is wrong, out of date or unclear, we want to know. Email reception@inspireclinic.au with the page name and what you believe is incorrect. Substantive corrections are made promptly, and the guide’s version and last-updated date are changed to reflect it.