Everything You Need to Know About COPD Inhalers

If you’ve been told you have COPD, an inhaler will quickly become a part of your daily routine. It’s not just a gadget you spray and forget; the right inhaler, used the right way, can make the difference between struggling for air and feeling in control. In this guide we’ll break down the main inhaler types, show you how to use them correctly, and share practical tricks to get the most out of every puff.

Common COPD Inhaler Types and When They’re Used

There are three families of inhalers you’ll see most often:

  • Metered‑Dose Inhalers (MDI) – Small canisters that release a mist when you press down. They’re great for quick relief (short‑acting bronchodilators) but need a spacer if you have coordination issues.
  • Dry‑Powder Inhalers (DPI) – You inhale a powdered medication by breathing in sharply. No propellant, just the powder. They work best when you can take a fast, deep breath.
  • Soft‑Mist Inhalers (SMI) – A newer design that creates a slow‑moving mist, making it easier to reach deep into the lungs. They’re often used for long‑acting bronchodilators.

Doctors pick an inhaler based on the drug, your lung function, and how easy it is for you to handle. If you’re unsure which one you have, check the label – it will say MDI, DPI, or SMI.

Step‑by‑Step: Using Your Inhaler the Right Way

Regardless of the type, the basics stay the same: preparation, inhalation, and cleaning. Here’s a quick run‑through that works for most devices.

  1. Prep the device. For MDIs, shake it for 5 seconds. For DPIs, load a dose (often a click or turn). SMIs usually have a ready‑to‑use button.
  2. Exhale fully. Breathe out completely away from the inhaler. This clears your lungs so the medication can go in deep.
  3. Inhale correctly. For MDIs, place the mouthpiece between your teeth, close your lips, and press the canister while starting a slow, steady breath. For DPIs, take a quick, deep breath through the mouthpiece. For SMIs, press the button and inhale slowly.
  4. Hold your breath. Pause for about 10 seconds (or as long as comfortable) to let the drug settle.
  5. Repeat if needed. Some prescriptions call for two puffs back‑to‑back. Wait about 30 seconds between puffs.
  6. Rinse your mouth (if steroid). If your inhaler contains a corticosteroid, rinse with water to avoid throat irritation.

A common mistake is inhaling too fast with a DPI. If you feel the powder hitting the back of your throat, you probably need a slower breath. Practice in front of a mirror until it feels natural.

Don’t forget to clean your device weekly – a quick wipe of the mouthpiece with a dry cloth prevents mold and ensures a clear spray.

Finally, keep track of your doses. Most inhalers have a dose counter; when it hits low, order a refill before you run out. Running out mid‑attack can be scary, so set a reminder a week before the counter hits zero.

Using a COPD inhaler isn’t rocket science, but it does need a little routine. With the right type, correct technique, and regular maintenance, you’ll notice fewer flare‑ups and an easier time breathing through the day.

25 June 2025 0 Comments Maya Tillingford

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