Open mouth technique
If you are very well coordinated, you may want to use the open mouth technique in which you place the MDI approximately 2 inches from your mouth. The medication is sprayed directly into the open mouth during deep slow inhalation. Although many experts claim this is the best technique, The Asthma Center specialists do not usually advise using this method because the inhaler spray may be inadvertently misdirected away from your mouth when the technique is not perfectly executed.