inhalers with spacers using a mask an inhaler is the most common way to take asthma medicine in order to get the medicine all the way to the lungs you need to use a spacer if you don't use a spacer only about one third of the medicine gets to the lungs the rest just sits in your mouth throat or stomach now we will demonstrate how to properly use an inhaler with a spacer younger children will use a spacer with a mask step 1 prime the inhaler before use according to the manufacturer's instructions step 2 stand or sit up straight step 3 take off cap and shake the inhaler step 4 insert the inhaler into the end of the spacer use of spacer and holding chamber with the inhaler is the best way it helps the medicine reach the lungs where it is needed step 5 breathe out all the way step 6 place mask firmly on face covering nose and mouth press down on the inhaler and breathe in and out slowly 6 times step 7 shake the inhaler before taking each pump if more than one puff is ordered allow 30 seconds to one minute between each puff step 8 wipe face after using any inhaled steroid medicine you should clean your spacer once a week pull the pieces apart and soak them in warm soapy water for 15 minutes rinse the pieces with clean water and allow them to air dry before putting them back together never wipe the inside of the spacer there's a special lining that helps the medicine get to the lungs if you have any questions please ask your health care provider to learn more visit choa.org/asthma