Table I.

Inhalation checklist.

Inhaler	Inhaler with spacer	Ingelheim inhaler
Shake inhaler well and remove protective capHold inhaler with opening underneath Breathe out Place mouthpiece between teeth and seal lips around it Push down top of inhaler and breath in slowly and deeply at the same timeTake inhaler out of the mouth and hold breath to count of 5–10 Rinse mouth after using corticosteroidsClean inhaler 1×a week	Shake inhaler well and remove protective cap Put inhaler in spacer opening Put mask over nose and mouth Place mouthpiece between teeth and seal lips around it Press inhaler Breath in and out gently, adults 3–5 times, children and very breathless patients 5–10 times, depending on the volume of the spacer Clean inhaler 1×a week	Open mouthpiece Put capsule in the opening and shut mouthpiece Hold inhaler with mouthpiece at the top and press white release button with thumb x1 Inhale
Turbuhaler	Discus	Diskhaler
Remove white protective cap Hold Turbuhaler upright and twist blue or brown base to the right Turn back until click Inhale	Put thumb on thumbgrip and push your thumb away from you until Discus clicks Slide lever away from you until Discus clicks (just before use!) Inhale Close Discus by turning thumbgrip back (click)The window indicates the remaining number of inhalations	Remove coverPull the cartridge out using both handsPush cartridge back in Raise lid as far as it will go to pierce both sidesClose lid again InhaleTo replace medication disk press the ridges on both sides and remove cartridge. Replace medication disc and slide cartridge back in

• = essential in evaluation.