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A woman using an asthma inhaler at a CityMD urgent care clinic

Asthma inhalers explained: how they work and when to use them.

Ever had that moment when your chest tightens, your breath shortens and every inhale feels like a struggle? If you have asthma, you know the feeling all too well. Whether it’s triggered by exercise, allergies, or cold air, an asthma flare-up can turn a typical day into a frustrating battle for breath. Asthma is incredibly common in the U.S., affecting nearly 25–28 million Americans (roughly 1 in 12 people)

That’s where asthma inhalers come in. These small but powerful devices deliver medication directly to your lungs, helping to relax your airways, reduce inflammation and restore normal breathing—sometimes within minutes. But not all inhalers work the same way. Some provide fast relief during an asthma attack, while others help keep symptoms under control long-term.

Knowing which inhaler to use and when can make a huge difference in managing your asthma and avoiding unnecessary flare-ups.

Let’s break down how inhalers work, when to use them and the best ways to keep your symptoms in check.

 

Asthma inhalers: how they help you breathe better.

Asthma inhalers are designed to open up the airways and reduce lung inflammation. When asthma symptoms flare up, the airways become tight, swollen and filled with mucus, making it harder to breathe. 

Inhalers deliver medication directly to the lungs to ease symptoms quickly or prevent attacks before they start.

There are two main types of asthma inhalers:

  • Rescue inhalers. Also called quick-relief inhalers, these work fast to relax tightened airway muscles during an asthma attack. Common examples include albuterol (ProAir, Ventolin).
  • Maintenance inhaler. Also called controller inhalers, these are used daily to reduce airway inflammation and prevent future flare-ups. They contain steroids or other medications that keep asthma under control over time.

Because they deliver medication right where it’s needed, inhalers are the fastest and most effective way to manage asthma symptoms. That’s why they’re so widely prescribed—inhalers aren’t just a treatment, they’re a necessity for millions across the country.


 

When to use an asthma inhaler: rescue vs. maintenance.

Using the right inhaler at the right time can help keep asthma symptoms from getting worse. 

Here’s how to use each type:
 

Type of InhalerWhen to Use ItHow It Helps
Rescue inhaler (Albuterol, Levalbuterol)During an asthma attack or when experiencing shortness of breath, wheezing, or chest tightnessWorks within minutes to relax airway muscles and improve breathing
Maintenance inhaler (Steroid or combination inhalers)Taken daily to control inflammation and prevent symptomsReduces airway swelling and lowers the risk of future attacks

If you’re relying on your rescue inhaler too often, it may be a sign that your asthma isn’t well-controlled. In that case, talk to a doctor about adjusting your treatment plan.

 


Tips for managing asthma symptoms with inhalers.

Using your inhaler correctly can make a big difference in how well it works. 

Here are some key tips to get the most out of your asthma treatment:

  • Use a spacer. A spacer (a tube attached to the inhaler) helps deliver more medication to your lungs instead of getting stuck in your mouth or throat.
  • Shake the inhaler before use. This ensures the medication is properly mixed for maximum effectiveness.
  • Inhale slowly and deeply. This helps the medicine reach deep into the lungs where it’s needed.
  • Wait between puffs. If your inhaler requires two doses, wait 30-60 seconds between puffs to allow the first dose to take effect.
  • Rinse your mouth after using a steroid inhaler. This helps prevent irritation or infections, like oral thrush.
  • Keep track of inhaler use. If you use your rescue inhaler more than twice a week, it might be time to reassess your asthma management plan with a doctor.

Asthma can be unpredictable, but with the right inhaler and proper use, you can breathe easier and keep symptoms under control.

 

Need asthma care? CityMD is here to help.

If you're struggling to control your asthma, CityMD’s urgent care providers are here to support you. Whether you need a new prescription, a refill on an existing prescription, referral to a pulmonologist or urgent treatment, we’re here to help.

Walk into your nearest CityMD today—no appointment needed. Get the care you need and start breathing easier!
 

 

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