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How to use flutiform with spacer

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Using your inhaler (puffer) properly is important when you have asthma. 

This short clip shows you how to use a flutiform inhaler with a spacer 

Medications taken with this inhaler 

A flutiform inhaler is a metered dose inhaler (pMDI), and contains fluticasone propionate and eformoterol.

Checklist of steps 

  1. Assemble spacer (if necessary)
  2. Check dose counter
  3. Remove cap
  4. Hold inhaler upright and shake well
  5. Insert inhaler upright into spacer
  6. Put mouthpiece between teeth without biting and close lips to form good seal
  7. Breathe out gently into the spacer
  8. Keep spacer horizontal and press down firmly on the canister once
  9. Breathe in slowly and deeply
  10. Hold breath for about 5 seconds or as long as comfortable*
  11. While holding breath, remove spacer from mouth
  12. Breathe out gently
  13. Remove inhaler from spacer
  14. For the second inhalation, repeat all steps starting from step 4
  15. Replace cap

* If you find it difficult to take one big breath, you can instead take 3–4 regular breaths in and out through the spacer

If the inhaler is brand new or you haven’t used it for a week or more, you will need to prime the inhaler before taking a dose. Check the package insert for instructions.

Potential problems  


Getting the most out of your inhaler 

Ask your doctor, pharmacist or asthma & respiratory educator to: 

Different brands of inhalers sometimes have slightly different instructions to each other for similar steps. The checklists in our How-To Video library have been simplified and standardised where possible to reduce confusion. 

Your inhaler will come with instructions in the package. Always check the package insert for any specific instructions. 

Other inhaler types 

See our complete How-to video library for other inhaler types and how to use them. 


Thanks to Ms Judi Wicking, asthma and respiratory educator, and the patient who participated in this film clip. 

Development of this How-to video was supported by an untied educational grant from Mundipharma. The National Asthma Council Australia retained editorial control. 


Although all care has been taken, this video is a general guide only, which is not a substitute for assessment of appropriate courses of treatment on a case-by-case basis. The National Asthma Council Australia expressly disclaims all responsibility (including for negligence) for any loss, damage or personal injury resulting from reliance on the information contained herein.

Note: flutiform is the registered trade mark of Jagotec AG used under licence by Mundipharma Pty Limited. Mundipharma Pty Limited ABN 87 081 322 509, 88 Phillip Street, Sydney, NSW 2000. Tel: 1800 188 009.