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     · Take off cap. Shake the inhaler. Prime (spray or pump) the inhaler as If you use a spacer or valved holding chamber (VHC), remove the cap Stand up or sit up straight. Take a deep breath in. Tilt head back slightly and blow out completely Place the mouthpiece of the inhaler or spacer/VHC in your mouth and As you start to breathe in, press down irmly on the top of the medicine

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    To take the cap off the mouthpiece, squeeze the sides of the cap and pull out. See Figure B. Shake the inhaler well. Spray the inhaler 1 time into the air away from your face. Avoid spraying in eyes. See Figure C. Shake and spray the inhaler like this 3 more times to finish priming it.

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     · • remove the cap of the MDI • shake the inhaler • spray it in the air away from you The number of sprays needed to prime your MDI will depend on the type of medication. The instructions that come with your inhaler tell you when and how many times the MDI must be primed. Read the instruction for each inhaler carefully because

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