How to Use a Metered-Dose Inhaler

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  • เผยแพร่เมื่อ 9 มี.ค. 2022
  • To download this animation and many more, employees of hospitals, universities and libraries can sign up for a FREE trial to the Nucleus Medical Art Library: nmal.nucleusmedicalmedia.com/f...
    #MeteredDoseInhaler #inhaler #lung
    MEDICAL ANIMATION TRANSCRIPT: People who have lung conditions like asthma or COPD often take their medications using a handheld device called a metered-dose inhaler or MDI. A metered-dose inhaler sprays medicine through your mouth so that it can reach your airways. If you're inhaler is not used the right way, some medicine may not enter your mouth or some may remain in the back of your mouth, either way it may not reach your airways where it is needed. This video will show you the general steps for using an inhaler correctly. It's important to follow the instructions that came with your metered-dose inhaler. A metered-dose inhaler has three main parts, the mouthpiece cover, the plastic sleeve with the mouthpiece, and the medicine container. Before using your metered-dose inhaler, remove the mouthpiece cap and shake the inhaler. If this is the first time you are using your inhaler or if you haven't used it in a while, you may need to prime it. Check the instructions for how and when to do this with your inhaler as they can differ depending on the type of inhaler and medicine. When you are ready to use your inhaler, stand or sit up straight. Breathe in deeply and breathe out completely to empty your lungs. After shaking the inhaler, put the mouthpiece in your mouth and close your lips around it to form a tight seal. As you breathe in through your mouth, press down firmly on the top of your inhaler to release one puff of medicine. Keep breathing in slowly through your mouth for three to five seconds until your lungs are completely full. It is recommended to hold your breath for approximately 10 counts. Finally, breathe out slowly through your mouth. If your medicine dose requires two puffs, you may need to wait before taking the second puff. Follow the instructions that came with your inhaler to know how long to wait between puffs. After using a steroid inhaler, rinse out your mouth with water and spit it out. It's important to keep your inhaler clean so that it works properly. Check your inhaler's instructions for the right way to clean it. Proper use of your metered-dose inhaler may help you control the symptoms of your lung condition. If you have questions about the use of your inhaler, talk to your healthcare provider or pharmacist. Ask them to watch you use your inhaler to see if you are using it properly.
    ANH17194

ความคิดเห็น • 307

  • @nusratanj7196
    @nusratanj7196 หลายเดือนก่อน +7

    Anyone here to give me courage who have same ashtema problem🥺😔

    • @Txtally_Ren
      @Txtally_Ren 28 วันที่ผ่านมา

      I was just prescribed an inhaler today! I'm not really surprised about the situation, but I'm sure we'll get used to it. I'm rooting for you!

  • @TheTechCguy
    @TheTechCguy 2 ปีที่แล้ว +584

    I used quite a lot of those, back when I was a kid, for my asthma. Now it's gone, and I feel great! 😇

    • @shamma5518
      @shamma5518 2 ปีที่แล้ว +19

      How ur asthma goes away??

    • @TheTechCguy
      @TheTechCguy 2 ปีที่แล้ว +67

      @@shamma5518 I just grew out of it when I matured. That combined with natural remedies and vaccinations overtime helped me grow out of it.

    • @Supriya100kar
      @Supriya100kar 2 ปีที่แล้ว +31

      @@shamma5518 mine was too bad in childhood but now it's very much under control because of exercise.

    • @shamma5518
      @shamma5518 2 ปีที่แล้ว +13

      @@Supriya100kar which exercise helped you??

    • @Kamal_AL-Hinai
      @Kamal_AL-Hinai 2 ปีที่แล้ว +10

      What do you feel when attacked by athsma?

  • @aer0sm1thAOK
    @aer0sm1thAOK 5 หลายเดือนก่อน +13

    Newbie here. The instructions are great and much appreciated in this new 'adventure' of asthma.

  • @healthcoach1007
    @healthcoach1007 2 ปีที่แล้ว +25

    Thanks for your grateful advice. These video tips help me a lot. I think there is much another thing to know about this topic like Health Coach

  • @SeraphicSorcerer1
    @SeraphicSorcerer1 ปีที่แล้ว +39

    I love medical videos like these, I don’t need an inhaler but it helps me keep my anxiety down about getting into situations! Thank you!

  • @bhimashajamadar3961
    @bhimashajamadar3961 2 ปีที่แล้ว +15

    Good Animation And Proper Understanding 😁

  • @dailydoseofmedicinee
    @dailydoseofmedicinee 2 ปีที่แล้ว +16

    Such an important video 👍

  • @ganeshbugatha2278
    @ganeshbugatha2278 ปีที่แล้ว +5

    It's very useful and great visual effects 👍

  • @tunchap
    @tunchap 9 หลายเดือนก่อน +1

    Thanks for helping out.
    Keep up the good work.😊

  • @lornayamasa2681
    @lornayamasa2681 ปีที่แล้ว +1

    Thank you so much for the demo

  • @nitendra5766
    @nitendra5766 2 ปีที่แล้ว +121

    You made my medical life easier than I expected
    Thanks nucleus medical media 😀

  • @seko-q2175
    @seko-q2175 2 ปีที่แล้ว +4

    Best animation

  • @svinxpichu3469
    @svinxpichu3469 ปีที่แล้ว

    Thanks, that helped me out a lot!

  • @ControllerCritic
    @ControllerCritic 5 หลายเดือนก่อน +7

    My asthma recently came back and it was pretty severe. I was using my rescue inhaler 3-4 times a day. After going to the doctor and trying a couple different medications, I eventually starting taking my rescue inhaler right before a morning run. Then right after, I take my pulmicort inhaler. Then I take Zyrtec a couple of hours before bed. Feeling much better now and I’m not waking up in the middle of the night struggling to breath

  • @eMedSchool
    @eMedSchool ปีที่แล้ว +5

    Thank you for great animation.

  • @pkgamma
    @pkgamma 5 หลายเดือนก่อน +2

    helped me in my emergency today, thanks

  • @michioriginal6924
    @michioriginal6924 2 ปีที่แล้ว +3

    Thanks!

  • @uahmed1867
    @uahmed1867 ปีที่แล้ว

    Thank you so much 🥰

  • @funmirilewa537
    @funmirilewa537 2 ปีที่แล้ว

    thanks for the info❤

  • @syedsyed-eb8ru
    @syedsyed-eb8ru 8 หลายเดือนก่อน

    Thanks for information ❤

  • @amanraj_99
    @amanraj_99 2 ปีที่แล้ว +3

    The content is very usefull..

  • @sanjanapaswan8449
    @sanjanapaswan8449 2 ปีที่แล้ว +1

    I like this content ! thank you very much for you very undersand information's ! Barakalloh. !

    • @ramdaza9979
      @ramdaza9979 2 ปีที่แล้ว +1

      Yes,,i live you 🌹

  • @helloo1885
    @helloo1885 ปีที่แล้ว

    Thanks so much

  • @androidgamerz9955
    @androidgamerz9955 2 ปีที่แล้ว +3

    Man my grandpa use it thx for it!! I love it

  • @NANFR-thatdude
    @NANFR-thatdude 2 ปีที่แล้ว +15

    I don't have an asthma but I still watched in the end for some unknown reason

    • @savvannah9177
      @savvannah9177 4 หลายเดือนก่อน

      I dont have it either but was given one

  • @norainisalmeeji801ihp3
    @norainisalmeeji801ihp3 2 ปีที่แล้ว +1

    Thanks 👍🏻

  • @zahraaalialhares6086
    @zahraaalialhares6086 5 หลายเดือนก่อน

    Thank you.❤❤

  • @kartikdancepower
    @kartikdancepower ปีที่แล้ว

    Very nice information

  • @zahronr8374
    @zahronr8374 ปีที่แล้ว

    Thank you

  • @upvyintactpramod9870
    @upvyintactpramod9870 4 หลายเดือนก่อน

    This video is very useful to me

  • @anniehyams587
    @anniehyams587 2 ปีที่แล้ว +3

    Thank you so much for the very interesting beautiful animated very useful interesting video 👍👍😀😀🌹🌹❤️❤️

  • @MrNapaAxtra
    @MrNapaAxtra 2 ปีที่แล้ว +1

    nice videos

  • @rustamkumar3210
    @rustamkumar3210 2 ปีที่แล้ว +1

    Good 👍

  • @OzodFayziy
    @OzodFayziy 2 ปีที่แล้ว +39

    I like this content! Thank you very much for your very understandly informations! Barakalloh!

    • @maysar4h
      @maysar4h 2 ปีที่แล้ว +2

      what does barakalloh means?

    • @OzodFayziy
      @OzodFayziy 2 ปีที่แล้ว +3

      @@maysar4h It means that God bless you!

    • @minlan90
      @minlan90 2 ปีที่แล้ว +2

      Lailahaillallah

    • @OzodFayziy
      @OzodFayziy 2 ปีที่แล้ว +1

      @@minlan90 Muhammadur Rasulullah!

  • @pokii1531
    @pokii1531 2 ปีที่แล้ว +3

    thx :3

  • @fazalhabib2389
    @fazalhabib2389 2 ปีที่แล้ว +28

    hi. how much is the spacer necessary with the inhaler while using it?

    • @fatimahyen6669
      @fatimahyen6669 2 ปีที่แล้ว +3

      Spacer is uesd to decrese side effect of corticosteroids on mouth (to avoid oral candidasis)

  • @ShineStar-xd3wn
    @ShineStar-xd3wn 9 หลายเดือนก่อน

    Nice 🎉

  • @devKumar-uf2ok
    @devKumar-uf2ok 11 หลายเดือนก่อน

    Thanks a lot your video is very helpful 😊

  • @RajeshKumar-lf3vo
    @RajeshKumar-lf3vo ปีที่แล้ว

    Thank

  • @willywanker449
    @willywanker449 2 ปีที่แล้ว +2

    I think i will need this after all the joey world tour videos i watched today

  • @Aqua_Blox
    @Aqua_Blox 2 ปีที่แล้ว

    my fav medicine :)

  • @shreedevis5425
    @shreedevis5425 ปีที่แล้ว +1

    Thank u🙂🙂Our pediatrician recommended inhaler for my 12yr old daughter for acute cough...Tiz tutorial wz really helpful🙏🙏She doesn't hav asthma

    • @oumaymen6773
      @oumaymen6773 8 หลายเดือนก่อน

      I have a very excellent and 100% successful natural remedy for chronic cough

  • @paulysmallz8095
    @paulysmallz8095 5 หลายเดือนก่อน +1

    I just got diagnosed with small airway disease and stage 2 copd and now this is my life 2 inhalers and constant coughing

    • @anthonyle3941
      @anthonyle3941 2 หลายเดือนก่อน

      Hope things are going well for you man 🙏

  • @subhajitgarai6257
    @subhajitgarai6257 2 ปีที่แล้ว +2

    Radhe Radhe...🚩

  • @alexblue6991
    @alexblue6991 ปีที่แล้ว +1

    I didn't know this it's all new to me I have been using it wrong

  • @santubanik633
    @santubanik633 2 ปีที่แล้ว +8

    U could have made a more detailed video about using inhaler through pacer and all its niceties...hoping it soon...

  • @MasterBaker01
    @MasterBaker01 ปีที่แล้ว +6

    My Asthma returned after getting covid.. Last time I needed a puffer was 20 years ago.

    • @yeddyuligappa2261
      @yeddyuligappa2261 ปีที่แล้ว +2

      Even my asthma returned after getting COVID

    • @oumaymen6773
      @oumaymen6773 8 หลายเดือนก่อน

      I have a definitive treatment for asthma

  • @felish_ious
    @felish_ious 7 หลายเดือนก่อน +1

    I got my diagnosis today and unfortunately I am overseas, yes I am fluent in the language here, but just not with medi stuff yet. I can now confidently use my inhaler. Thank you!!

  • @fariyapreya4652
    @fariyapreya4652 หลายเดือนก่อน

    How long to wait between two puffs if it's a corticosteroid type drug?

  • @Ticci_Toby_official_
    @Ticci_Toby_official_ 2 ปีที่แล้ว +9

    Thanks for the help I have used an inhaler since I was 7 now as an 18 year old with covid I needed an inhaler again I just got over my asma I don't want covid to bring it back even if the odds are against me the fact is that I have all the shots and still got covid this is my first time all I can say I will need a long time recovering from the scars that now in my throat and possibly my lungs

    • @arianjahani2952
      @arianjahani2952 8 หลายเดือนก่อน

      Hello, I am from Iran, I used pneumococcal vaccine 23, do you use this vaccine for asthma in your country and was it useful?

  • @darlysonsantos5329
    @darlysonsantos5329 ปีที่แล้ว +1

    Só eu que não consigo dormir sem tomar a bombinha de asma? tenho asma dificilmente consigo dormir sem tomar a bombinha de asma e também faço o uso dele quando prático exercícios físicos.

  • @nurulabsar8129
    @nurulabsar8129 ปีที่แล้ว

    Recently who has been Hernia operation will he take inhelar?

  • @atharjamal8324
    @atharjamal8324 ปีที่แล้ว

    How can check that inhaler still useful or empty

  • @archnamurthy5561
    @archnamurthy5561 2 ปีที่แล้ว +1

    Just now I rated this video .. why I'm getting 😮

  • @sourovghosh7111
    @sourovghosh7111 2 ปีที่แล้ว

    ❤️from Bangladesh

  • @thecasheggleader5998
    @thecasheggleader5998 ปีที่แล้ว +6

    I do have asthma and I hope this helps it's from wheezing where my chest is blocked

    • @oumaymen6773
      @oumaymen6773 8 หลายเดือนก่อน

      I have a definitive treatment for asthma

  • @yourenglishteacher6592
    @yourenglishteacher6592 4 หลายเดือนก่อน

    Some smoke ejects out from the top . How can i avoid it?

  • @enigma7395
    @enigma7395 2 ปีที่แล้ว +4

    👍🏻👍🏻👍🏻

  • @Zoy12503
    @Zoy12503 27 วันที่ผ่านมา

    Muge dr n MDI ODIHALE G 2 puff ODHS likha hai please reply

  • @TaylorGleeson7543
    @TaylorGleeson7543 ปีที่แล้ว

    Bro I’ve been using the inhaler for my asmatic for about 5 years the right way and I still have to take appointments for my breathing difficulties

    • @arianjahani2952
      @arianjahani2952 8 หลายเดือนก่อน

      Hello, I am from Iran, I used pneumococcal vaccine 23, do you use this vaccine for asthma in your country and was it useful?

  • @user-js1nf9st5p
    @user-js1nf9st5p หลายเดือนก่อน

    How we rule out hyper air way disease to other respiratory diseases

  • @satish9344
    @satish9344 ปีที่แล้ว

    mere asthma ka problem tonek baid g k dwa se thik hua tha nahi to mai phle omnacortil ya fir levocitrizine khata tha r pump mujhe hamesha apne sath carry karna padta tha

  • @aldjodjoal1429
    @aldjodjoal1429 2 ปีที่แล้ว

    Why does the inharator give sleep?

  • @nyxv33
    @nyxv33 2 ปีที่แล้ว +11

    why was the medicine so good tho

    • @DJeimaXe
      @DJeimaXe 2 ปีที่แล้ว +9

      Yeah! Better than vape!!!

  • @yassgurlyy
    @yassgurlyy 2 ปีที่แล้ว

    Wow my mom the same in doctor!!!!! 😀😀😀

  • @aldjodjoal1429
    @aldjodjoal1429 2 ปีที่แล้ว

    Why does the inhaler give sleep?

  • @hannamaryrivera715
    @hannamaryrivera715 ปีที่แล้ว +1

    Hi can anyone tell me what brand of the medicine do i have to take?

    • @JoeyTheMonkey
      @JoeyTheMonkey ปีที่แล้ว +1

      The inahller comes with medicine

  • @clarkkent4872
    @clarkkent4872 2 ปีที่แล้ว +4

    What is the best way to clean the mouthpiece

    • @neonsussybaka1235
      @neonsussybaka1235 2 ปีที่แล้ว

      Windex

    • @darlysonsantos5329
      @darlysonsantos5329 ปีที่แล้ว

      Com água quente numa leiteira ou panela porém vai tirar a parte de alumínio (onde está o remédio)

  • @Sharifamir12
    @Sharifamir12 2 ปีที่แล้ว +1

    I used it when I was 6 years old I have asthma and now my age is 11 I feel good

    • @darlysonsantos5329
      @darlysonsantos5329 ปีที่แล้ว

      Eu utiliza o aparelho aerosol com berotec porém estava fazendo pra o meu coração, então o médico passou a bombinha de asma ,estou usando a bombinha de asma faz 5 anos atualmente tenho 21 anos .

  • @ayabou5290
    @ayabou5290 2 ปีที่แล้ว

    سبحان الله
    في خلقك للرءتين

  • @jennifer082255
    @jennifer082255 ปีที่แล้ว +2

    How long does it take to work? I just used one for the first time,and I'm not sure if I used it correctly.

    • @baileymarie215
      @baileymarie215 ปีที่แล้ว +2

      An emergency inhaler (an inhaler you use when you’re having an asthma attack like ProAir) should work within 15 minutes. If you’re talking about a preventative inhaler (an inhaler you use everyday like qvar) it can take 1-4 weeks to build in your system.

    • @jennifer082255
      @jennifer082255 ปีที่แล้ว +2

      @Bailey Marie Thank you. I had covid and pneumonia last December and January, so this is new to me.

    • @oumaymen6773
      @oumaymen6773 8 หลายเดือนก่อน

      Shall I give you a prescription that treats shortness of breath permanently and irreversibly?

    • @BehindTheGreenEyes
      @BehindTheGreenEyes 5 หลายเดือนก่อน +1

      ​@jennifer082255 Heeeyyy same here. Just got diagnosed with asthma and have only been using my inhaler for a very short time and never sure if it's working or not.

  • @jiminsjams8978
    @jiminsjams8978 ปีที่แล้ว

    So i gave my doc a bunch of symptoms of cold , weakness, lightheadedness and shortness of breathe in the morning when I wake up and she prescribed me some cold , allergies medication and an mdi but idk if i wanna use the mdi cuz im kinda scared

    • @arianjahani2952
      @arianjahani2952 8 หลายเดือนก่อน

      Hello, I hope you get well, I am from Iran, I have exactly the same symptoms, the problem of body cold and a little shivering, I think it is an allergy, I took blood tests several times, but there was no problem, what is this condition? Thank

  • @creativevideos8739
    @creativevideos8739 6 หลายเดือนก่อน

    Can we take it without doctor's consultation

  • @Cansujk1903
    @Cansujk1903 2 ปีที่แล้ว +1

    Türkçe altyazı istiyoruz

  • @user-sr2id7py5p
    @user-sr2id7py5p 2 ปีที่แล้ว +2

    Хороший видео

  • @muradfatima1231
    @muradfatima1231 ปีที่แล้ว

    I never used this and I’m still a kid, I wonder how does it fell like?

  • @BanTheCrookedBlueLine
    @BanTheCrookedBlueLine 11 หลายเดือนก่อน +6

    I see so many people just spray 2 puffs into their mouth and then inhale real hard 🤦🏽‍♂️

  • @studentinternationalcourty7187
    @studentinternationalcourty7187 ปีที่แล้ว

    Caution is important as inhaler device but which type of disease belongs to us to use it as patient

  • @darkangelprincess101
    @darkangelprincess101 4 หลายเดือนก่อน

    I am 35 amd im using an inhaler for the first time. Im a paranoid person so I'm here to make sure I'm actually using it correctly

  • @curioussandy
    @curioussandy ปีที่แล้ว

    Get a spacer at the pharmacy!

  • @chlochlo8207
    @chlochlo8207 ปีที่แล้ว

    Scared to use one ughhhhh

  • @Sagar_Lalvani
    @Sagar_Lalvani 2 ปีที่แล้ว +4

    🖖❤️

  • @ridwaanmohamed3897
    @ridwaanmohamed3897 ปีที่แล้ว

    Ah I feel great

  • @xiulingapang6556
    @xiulingapang6556 ปีที่แล้ว +1

    I think I might need one cause lately I've been having shortness of breath for no reason (ik weird , right.)

    • @oumaymen6773
      @oumaymen6773 8 หลายเดือนก่อน

      I have an effective and definitive treatment for shortness of breath

  • @nukex1989
    @nukex1989 ปีที่แล้ว

    Where can i buy these?

  • @kuttydianamo2029
    @kuttydianamo2029 2 ปีที่แล้ว +1

    Can refill it ?

    • @MaddieSchnitzel
      @MaddieSchnitzel 2 ปีที่แล้ว +1

      No. You have to buy a new inhaler once it is empty. Just for the sake of big pharma business.

  • @ShivneilPratap-ManUtd
    @ShivneilPratap-ManUtd ปีที่แล้ว +1

    Start 1:47

  • @iamaman717
    @iamaman717 ปีที่แล้ว +1

    Why do patients need to rinse their mouth after the use of metered dose inhaler?

    • @samjasek1755
      @samjasek1755 ปีที่แล้ว +4

      A corticosteroid can lower the bodies immune function and cause bacteria or fungi to grow

    • @iamaman717
      @iamaman717 ปีที่แล้ว

      @@samjasek1755 thank you!

  • @awesomeassam1464
    @awesomeassam1464 2 ปีที่แล้ว +2

    Sir please make a video on exzima. I have been suffering from it almost five years and i can't get rid off it. Please help me

  • @PaNDa14KiiTTy
    @PaNDa14KiiTTy ปีที่แล้ว

    I feel pain and frustrated my son who is 3yrs of age hates nebulizing or even inhaler it's always a battle with him when we do these thing thankgod for the pediatrics attachments 😭😭😭

    • @arianjahani2952
      @arianjahani2952 8 หลายเดือนก่อน

      Hello, I am from Iran, I used pneumococcal vaccine 23, do you use this vaccine for asthma in your country and was it useful?

    • @PaNDa14KiiTTy
      @PaNDa14KiiTTy 8 หลายเดือนก่อน

      @@arianjahani2952 yes we do have it here and its beneficial esp for babies

  • @nwabuezeozuzu6370
    @nwabuezeozuzu6370 2 ปีที่แล้ว +8

    Won't breathing through the mouth result in swallowing air?

    • @shreyattry8623
      @shreyattry8623 2 ปีที่แล้ว +2

      Nope

    • @twinedmouse7821
      @twinedmouse7821 2 ปีที่แล้ว +6

      You are breathing from the mouth you know not eating big difference

    • @digitalgamingctcc4110
      @digitalgamingctcc4110 2 ปีที่แล้ว +5

      Ok first time seeing a comment like this

  • @BANERAZ
    @BANERAZ ปีที่แล้ว +1

    Today I got severe asthma attack I was faint now I m home i m so sad 😢

  • @messaoudabrahmi8150
    @messaoudabrahmi8150 ปีที่แล้ว

    Nouveau

  • @25ajitmishra
    @25ajitmishra 2 ปีที่แล้ว +1

    Why it is required to rinse Mouth after use of inhaler?

    • @RiverFoxx
      @RiverFoxx 2 ปีที่แล้ว

      One of my inhalers requires to rinse my mouth out after because it can cause thrush. (Yeast infection in the mouth) I can’t swallow or anything until I rinse.

    • @UnAnonKnown
      @UnAnonKnown ปีที่แล้ว +1

      You only need to do this with inhalers that have steroids in them because if the steroids sit in your lungs you can get oral yeast/candida infections

  • @kpopshort469
    @kpopshort469 2 ปีที่แล้ว +1

    Please subtittle indonesian

  • @pancho.quezada92
    @pancho.quezada92 2 ปีที่แล้ว

    And aerocamera?????

  • @rahulbaishya5974
    @rahulbaishya5974 หลายเดือนก่อน

    I don't have asthma... But i use it because of anxiety

  • @dinidmd2858
    @dinidmd2858 ปีที่แล้ว

    Im having these breathing problem after my delivery. Will it reach my 6 months baby🥺🥺how to prevent that. If anyone know plz tell me 🙏

    • @Ccrobloxx
      @Ccrobloxx 10 หลายเดือนก่อน

      Genetics can cause an increased chance in your child having asthma, it’s very possible but as long as you can your child the right treatment then it’s okay!

    • @arianjahani2952
      @arianjahani2952 8 หลายเดือนก่อน

      I hope you find health, unfortunately I also have this painful disease and the worst thing about this disease is that it has no definite cure.😔

  • @Sidimacoepysoewine760li
    @Sidimacoepysoewine760li 21 วันที่ผ่านมา

    One thing about asthma it may dissappear for many many years and come back again in your life 💔 😢.

  • @inflateopassion
    @inflateopassion 2 ปีที่แล้ว +1

    Confusing NOT CLEAR. Can you breathe through the inhaler with, "your lips around the inhaler '?Not clear in the graphics.

    • @jayartist_
      @jayartist_ 2 ปีที่แล้ว +1

      Yes, you SHOULD breathe while pushing the medicine down during 3-4 seconds and then hold your breath about ten seconds. Then exhale slowly.