... suspension that penetrates right into the respiratory tract. Use of the spacer is recommended by national and international ... small, medium, and large one for different people use. How to Use the Metered Dose Inhaler with a Spacer - INSTRUCTIONAL ... inhalers (such as bronchodilators, anticholinergics, corticosteroids). Typically, FIRST use your bronchodilator (such as albuterol or xopenex) to open ...