That's the question facing thousands of asthma sufferers today. Traditionally, asthma sufferers have had difficulty coordinating MDI technique with their breathing. With the development of spacers, however, the coordinating problem has been virtually eliminated.
Puffers offer several advantages.
While it can take up to 10 minutes to receive the medication from a nebulizer, a puffer takes only a couple of minutes to use. Puffers are also more portable than nebulizers, which may require a power source. A greater percentage of the medication goes to benefit the patient when a puffer is used. If you give the medication through nebulization, only. Usually there is no hard and dry rule as to when to use one or the other, but under one year of age I tend to use nebulization, especially for children under six months.