Dry-Powder Inhaler:

Metered-Dose Inhaler:

MDIs are also used to deliver some long-term control medications, including anti-inflammatories and long-acting bronchodilators, which are taken routinely to manage asthma symptoms. An MDI is especially recommended for use with inhaled steroids because it reduces the amount of drug dispersed into the mouth, which reduces the risk of side effects.
Metered-dose inhalers are designed to release a pre-measured amount of medication into the lungs. There are several different types, but in general, they all have a chamber that holds the medication and a propellant that turns the medication into a fine mist. A button is pushed to force the medication out through the mouthpiece.
Medication that is inhaled acts more quickly than medication taken by mouth. It also causes few adverse effects because the medication goes directly to the lungs and not to other parts of the body.
If an MDI is not used correctly, symptoms may persist or worsen. Individuals who have trouble using the device correctly may use a spacer to help them get the medication they need. Spacers are attached to the mouthpiece, and they hold the discharged, pre-measured medication in a chamber until the patient breathes in. Spacers are recommended for young children and older adults who have trouble coordinating breathing and activating the MDI.
Nebulizer:

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