Using a spacer with a puffer makes it easier to take the medicine, and also gets more of the medicine into the lungs so it works better. Generally, using a spacer with a puffer is much better than using a puffer alone.
– All children should use a spacer to take their medicine, for both reliever and preventer puffers. Children 4 years and under should use a mask with their spacer.
– Adults and adolescents are recommended to always use a spacer with their preventer puffer, though they can use their reliever puffer with or without a spacer.