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Spacer - AeroChamber Plus(tm) VHC 
Instructions without mask
inhaler/spacer Remove cap from the inhaler and the spacer
spacer Look in the spacer and check for foreign objects
inhaler/spacer Insert inhaler into the opening of the soft rubber-like end of the spacer.
inhaler/spacer Holding the spacer and the inhaler firmly, shake up and down 3 or 4 times
inhaler/spacer Breathe out normally. Place mouthpiece of spacer in the mouth and close lips.
inhaler/spacer Spray only one puff from inhaler into the spacer and immediately begin to breathe slowly.
inhaler/spacer Breathe in slowly and deeply through mouth until a full breath has been taken. Do not make the spacer whistle. Hold your breathe for ten seconds. Wait 1 Minute, shake inhaler and repeat steps for the next puff.

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