Asthma Inhaler: How They Work, Types, and What to Know Before Using One

When you have asthma, an asthma inhaler, a handheld device that delivers medicine directly to the lungs. Also known as a puffer, it’s often the first and most effective tool for stopping symptoms before they turn into a full attack. Unlike pills or shots, inhalers put the medicine right where it’s needed—inside your airways—so it works faster and with fewer side effects. If you’ve ever felt tightness in your chest or struggled to breathe after climbing stairs, an asthma inhaler might be the difference between getting through the day and needing emergency care.

There are two main kinds: rescue inhalers, quick-acting bronchodilators that open airways during an attack, and corticosteroid inhalers, daily preventers that reduce swelling and mucus over time. Rescue inhalers, like albuterol, give relief in minutes—they’re your go-to when you’re wheezing or gasping. Corticosteroid inhalers, like fluticasone or budesonide, don’t help right away. You need to use them every day, even when you feel fine, to keep inflammation under control. Skipping them because you feel okay is like turning off your car’s brake lights because you’re not braking right now—you’re setting yourself up for trouble later.

Many people mix them up. They use their rescue inhaler daily because it makes them feel better, then wonder why their asthma keeps getting worse. Others use their preventive inhaler only when they’re coughing, not realizing it’s meant to be taken consistently. The right mix depends on your asthma severity, triggers, and how often you use your rescue inhaler. If you’re using it more than twice a week (not counting exercise), your asthma isn’t well controlled—and you probably need a daily preventive inhaler.

Using the inhaler right matters just as much as choosing the right one. Most people don’t use them correctly. Holding it wrong, not breathing in deep enough, or not holding your breath after puffing means up to 80% of the medicine never reaches your lungs. A spacer—a tube that attaches to the inhaler—makes a huge difference. It holds the medicine so you can breathe it in slowly, even if you’re struggling. Kids, older adults, and anyone with shaky hands benefit the most. Ask your doctor for one. They’re cheap, reusable, and often covered by insurance.

Side effects are usually mild. A rescue inhaler might make your heart race or your hands shake for a few minutes. A corticosteroid inhaler can cause a sore throat or thrush—but rinsing your mouth after each use cuts that risk almost to zero. Don’t stop using your inhaler because of side effects unless your doctor says so. The risks of uncontrolled asthma—missed work, hospital visits, long-term lung damage—far outweigh the small, temporary discomforts.

What you’ll find below are real, practical guides on how to use these devices, how to tell if yours is working, when to switch types, and how to avoid the most common mistakes people make. You’ll also see comparisons between brands, tips for traveling with inhalers, and what to do if you run out. No fluff. No jargon. Just what you need to manage your asthma with confidence—and breathe easier every day.