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Carefully examine the product for damage, missing parts, or foreign objects. Remove any foreign objects prior to use. The product should be replaced IMMEDIATELY if there are any damaged or missing parts. If necessary, use the Metered Dose Inhaler (MDI) alone until a replacement is obtained. If the patient's symptoms worsen, please seek immediate medical attention.
Remove cap from the MDI.
Shake the MDI immediately before each use as per the instructions supplied with the MDI.
Insert the MDI into the backpiece of the chamber.
Apply mask to face and ensure an effective seal. The Flow-Vu® Inspiratory Flow Indicator (IFI) only moves if a good seal is created.
Press the MDI at the beginning of a slow inhalation as the Flow-Vu® Inspiratory Flow Indicator moves toward the patient. Use the Flow-Vu® Inspiratory Flow Indicator to count breaths. Maintain seal for 5-6 breaths after the MDI is pressed. Administer one (1) puff at a time.

Follow instructions supplied with the MDI on how long to wait before repeating steps 3-6 as prescribed.