Think your inhaler isn’t working? That might not be the drug — it’s often technique, timing, or device choice. Many people use inhalers incorrectly and blame the medicine. Fixing a few simple things can make an inhaler work much better.
First, know the type you have. Metered-dose inhalers (MDIs) deliver a spray and need slow, steady inhalation. Dry powder inhalers (DPIs) release a powder that you must inhale quickly and deeply. Breath-actuated devices and soft-mist inhalers are easier for some people. Using the wrong breathing pattern for your device cuts effectiveness fast.
Use a spacer with an MDI if you struggle to coordinate pressing and breathing. A spacer reduces drug lost to the mouth and throat and improves lung delivery. For DPIs, inhale hard from the start. Don’t exhale into the device — moisture can clump the powder.
Here’s a quick checklist: shake and prime an MDI if needed, exhale fully, start inhaling slowly then press the canister once, keep breathing in slowly for 3–5 seconds, hold your breath for 5–10 seconds, and then breathe out. For DPIs, exhale away from the mouthpiece, seal lips around it, inhale quickly and deeply, hold, then breathe out. Simple repetition of the right steps changes outcomes.
Track symptoms and use a peak flow meter if you have asthma. If your peak flow improves after using a reliever inhaler, it’s reaching your lungs. Also watch for less wheeze, easier breathing, and fewer nighttime awakenings. If you use a preventer and still need rescue inhaler frequently, talk to your clinician — you may need a dose change or a different device.
Other factors matter too. Low inhaler dose from an empty canister, blocked mouthpiece, poor storage, or expired medication will reduce effect. Cleaning the mouthpiece once a week helps. Store at room temperature, avoid freezing or high heat, and check dose counters if available.
Side effects like thrush from steroid inhalers can signal technique problems. Rinse your mouth after inhaled steroids and consider a spacer to cut mouth deposition. If the taste is bitter or you cough after use, that doesn’t always mean failure — sometimes the drug did reach the lungs but caused irritation.
Don’t be shy about asking for a device demonstration. Pharmacists and nurses can watch you use the inhaler and correct mistakes in minutes. If coordination is a persistent issue, ask about breath-actuated options or nebulizers.
Finally, keep a written plan. Note which inhaler is for relief and which is for control, how many puffs to take, and when to seek help. Small changes in technique, device choice, or timing often turn a “not working” story into stable control.
Check technique at every clinic visit and whenever symptoms change. Keep a spare inhaler at work or school and record batch and expiry dates. For children, ask for age-appropriate devices and training. Small steps keep breathing steady.
Wondering how Breo Ellipta and Symbicort stack up for long-term asthma and COPD? Get the breakdown on full retail prices, coupon savings, and how each inhaler performs in real-world use. This guide digs into cost comparisons, long-term financial impact, and insights into effectiveness you won’t find on the pharmacy shelf. Real talk, helpful stats, and practical tips for anyone figuring out their next step in respiratory care.
Health and Wellness