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people who have lung conditions like asthma or copd often take their medications using a handheld device called a metered dose inhaler or mdi with a spacer a metered dose inhaler sprays medicine through your mouth so that it can docHub your airways if your inhaler is not used the right way some medicine may remain in the back of your mouth and not docHub your airways where it is needed this video will show you the general steps for correctly using an inhaler with a spacer its important to follow the instructions that came with your metered dose inhaler and spacer a metered dose inhaler has three main parts the mouthpiece cover the mouthpiece and the medicine container a spacer helps get more medicine into your airways the spacer attaches to your inhalers mouthpiece it also has a mouthpiece and cap before using your metered dose inhaler remove the mouthpiece cap and shake the inhaler next remove the cap from the spacer and make sure its clean inside if this is the first time you are u