take the cap from the mouthpiece. shake the autohaler well. hold upright and push the lever up until it clicks into place. breathout completely away from the inhaler. keep the autohaler in your mouth. place the autohaler in your mouth & breath in slowly and deeply. you'll hear a click when the medication is released. keep breathing in until you take a full breath. remove the mouthpiece and hold your breath for 10 seconds as long as you are comfortable and breath out through your mouth or nose . press the lever down. repeat 2 to 7 steps after 30 seconds, if another dose is required. replace the cap.