Inhaler Users' Biggest Mistakes
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- Опубліковано 7 сер 2024
- Many people who take medicine for asthma and other lung disease patients are using inhalers incorrectly, new studies show. WSJ's Sumathi Reddy explains on Lunch Break with Tanya Rivero. Photo: iStock
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The worst part is when you are coughing so bad and have to hold your breathe for some seconds after using it : )
plz tell me
How to take this inhaler before a meal or after a meal??
I have gotten blisters in my throat because of the asthma cough. I have a few now. It's yucky and painful. The weather causes me asthma. It's been raining lately. Also, I wake up with a sore back because of the coughing at night it causes muscle strain.
I’ve had severe asthma attacks (Up to 10 days of constant spasms) since childhood, there is 100% no issue finding time between coughs to use your inhaler correctly.
I dab cannabis and man. Sometimes I think I'm dying. Gotta hit and hold it in
Can relate!!!
"Not taking a deep enough breath" haha no shit! If I need to use my inhaler in the first place how can I take a deep enough breath? Comical.
Point was people are not even making an effort to take as deep a breath as possible. Some just spray and that's it. Your suppose to hold your breath for a bit after spraying as well which people don't do.
Me: **chokes** *IM DYING! I CANT BREATHE!!*
Them: yea just take a deep breathe.
Using a spacer helps tremendously
ua-cam.com/video/rzLouvXGmqU/v-deo.html
r/holdup
Look into Buteyko Breathing also if you eat any junk food it renders the medication useless
This upsets me. I was hospitalized with asthma, was given a spacer to attach to the inhaler....for several years using the spacer made my symptoms 90% better. Recently lost the spacer and now using the inhaler without my asthma is awful. Doctors should give EVERYONE a SPACER!!!!
I introduced you to I introduced you to DOCTOR OSEIWE on UA-cam who cured me from #Asthma' with his herbal medicine and be cured completely from #Asthma.
Just ask for a prescription for the spaces
I have a spare spacer
Yes please have your doctor to give you a prescription for a spacer. It’s crazy you have to get a script for a spacer. It should be something given automatically.
What is a spacer?
I should mention one important thing: People use inhalers a lot in movies. I've never once seen them use one correctly. Do not assume you know how to use an inhaler because you've seen them used in the movies.
A doctor prescribed me an inhaler, I never used one before. I asked her how to use it and she didn’t know, she said ask the pharmacist. And this was an MD in the US.
Seriously
Yes. Sometimes, MDs mean well, but just don't know the small things.
Yeah MD as in Me got a D in med school
It’s kind of hard to have precise coordination when someone is struggling to breathe.
ong mid panic attack nd they want me to have precise coordination
ong mid panic attack nd they want me to have precise coordination
@@PlutooKapone just breathe 5head
we vape our inhalers thats why
I dont
I used to blow O’s with mine
Dread i do
I dont do that
MARISSA HALIM I do it too
How in God's great name, can you POSSIBLY have an entire piece on "Inhaler users biggest mistakes" and never illustrate a mistake, and spend NO time showing us how to properly use the meter! Just literally yada yada yada, two women chatting or something, on and on, no meaning whatever, never gets to the point.
I know, I was waiting for a demonstration myself, what a waste of time!
Yep, wasted time we will NEVER get back!
Fkn Yanks mate!
I was told by a doctor - the inhaler itself gives you 40% success, using the spacer with it and its 95% success. Just breath the inhaler gas in through the spacer slooowly, and breath out slowly for 10 times, and that should last you about 3 hours.
Thanks! These comments save my time!
Been using my inhaler but I'm not thrilled with the resoults, maybe I should take the cap off before using it
Wait you have to take off the cap???
Oops... 👀
If you don't take the cap off the inhaler, it lasts a really long time!
Same. I've been putting it in my nose and it hasn't been doing much.
If you leave it on and don't squeeze it'll last longer.
That'll do it!
I would add rinsing your mouth and gargling with water after exhaling the medication. Drink a sip of water after your mouth is clear and this protects the vocal cords from powder and or steroids.
Man you def right I had got Trust smh
Step 1: Shake inhaler (If you can flick it like a tin of chew, even better)
Step 2: Exhale as far as possible
Step 3: At the bottom of your exhale, push the med canister down and simultaneously inhale as deeply as possible
Step 4: Hold breath for 20 seconds
Step 5: Slowly exhale with a final deep inhale after the exhale
Step 6: Enjoy your new lungs
Also, that new attachment for inhalers may seem all fine and dandy but for the price you’re better off getting a nebulizer and paying a 6th of the cost for an on the go inhaler.
Actually my friend Step One is take a deep breath inhale and exhale all the way two times on your third inhale and exhale exhaling all the breath out of your lungs after you shaking your device then you squirt it as you inhale and take it in a can and hold it as long as you can then you exhale completely a couple of times getting all the gas and whatnot out and like I read earlier the fella said you know to rinse your mouth take a drink of water it sounds like a good idea food for thought thought you should know the first step breathe in breathe out breathe in breathe out reason with your device
@@albundy5064 Sorry, I couldn't understand that. Are you using speech recognition without editing?
you just saved my entire life, thank you so much, i’ve been trying to clear my lungs this whole day.
@@bubbles2868 Just hold it as long as you can, 20 seconds is overkill otherwise these instructions are great
I just hold my breath after 10sec😅.
what this tells me is that someone needs to come up with a better medicine delivery mechanism...
mynameisawesomeman i was thinking the same thing
Yes indeed !
There are. In the 80s I had 2 alternative inhalers that just required you to breath in no timing or canister to press
@@AlexOjideagu2 Breo and Trelegy are like this, but they are superfine powders, not aerosols.
Don't give the drug makers any ideas. They will do so and charge $1000 a month. (The medicine itself is no longer under patent, meaning generics should be far cheaper, but they just change how it's delivered and continue ripping us all off.)
LOL. Not a single description of how to do it properly. Kudos!!!!!!
Put the inhaler in your mouth, blow air out, start breathing in through mouth only, and as soon as you start breathing click the inhaler and hold it in your lungs for 5-10 seconds and then slowly breathe it out through nose.
Put it in your mouth which way and do what? I have a device thta it's hardly that straightforward. Thought maybe I'd actually LEARN SOMETHING if I came to You Tube. You'd think something as important as an asthma inhaler there'd be videos of how to do it correctly - instead of STUPID stuff like this!
Dora Smith Inhalers come with instruction booklets and you can also ask your doctor to help you. But you put the inhaler with the canister facing up and the mouthpiece on your mouth.
Maybe so, maybe not - BUT THIS ARTICLE CONTAINS NOTHING BUT IRRELEVANT CHAT BETWEEN A REPORTER AND ANOTHER FEMALE. And, you aren't the idiot reporter!
AND, I didn't write this comment, Craig Gordon did, so why don't you be rude to him.
im always asking at my Dr.'s office if im doing it right they could care less if your doing it right so i go on youtube and learn for myself...lol
I do hope there's more information anywhere on You Tube than this idiotic piece!
I had a sore throat and mouth, I had to insist on a prescription for a spacer. No doctor recommended it until I asked, very frustrating. I kept telling them it feels like all the medication stays in my mouth. Most doctors now, you have to be your own advocate.
@@jessicah3450 I have asthma since i was 10 and the best way to get full potential from your inhaler is to
1st. Shake the inhaler
2nd. Exhale/Breathe out as much air as you can
3rd. Inhale/Breathe in as hard as you can while activating the inhaler
4th. Wait at least 5 seconds if possible 10
5th. Breathe out THROUGH THE NOSE while keeping your mouth closed (most youtube doctors and general doctors get this part wrong)
@@johnnydark3260 3rd step - I have better results breathing in slowly.
Doctors need to do a better job of teaching the right technique to asthma patients.
I introduced you to I introduced you to DOCTOR OSEIWE on UA-cam who cured me from #Asthma' with his herbal medicine and be cured completely from #Asthma.
Watching this video because I haven't used an inhaler in ages but my asthma relapsed😐
Well, I've been doing it wrong for years. No wonder it hasn't always felt effective.
I feel silly, but I'm so glad to know this.
Thanks for telling us we’re doing it wrong but not telling us how to do it right
You can’t hold your breath when you’re gasping for air!
I deep throat my inhaler and it doesent work
LOL
no no, thats the right way to do it m8
The biggest problem is it seems like every year they charge more for the same dose, same amount, and same product. Been using Flovent and just paid over twice the copay I did last year. Same insurance too.
I remember when a Primatine Mist was like $5 OTC 😑 maybe 5 years ago. My current prescription is over $400, thank goodness for insurance.
THank OBAMA for that!
@@screamtoasigh9984 Obama is at fault for this because how?
I just got my Albuterol rescue inhaler for my COPD. It’s always by my side but hoping I never have to use it🤞
I guess Obama is blamed for everything 🤦♀️
NOT TAKING THE CAP OFF?
Is he okay?
Ikr! Like, What!? Hahah
I have sensonal asthma. (When the air gets cold I do not breath deep enough causing asmatic problems and even fluid build up) At first I cannot breath deep enough to get all the meds. Here is what I do. First puff breath in and out three times and then take the medicine......wait five minutes. During the five minutes I concentrate on breathing deeply. Then I take the second puff in which I am able to breath deeply and hold my breath. When I exhale no medicine is lost. When you exhale there should be no material leaving the mouth.
You have common asthma that's aggravated by cold air, and probably by exercise as well. Who told you you have something with a fancy name? And how you breathe makes no difference - though tying a scarf over your face would!
Dora Smith
What? How you breathe during medicine delivery matters a lot in using an inhaler properly.
Hating that sensonal asthma
Exactly my dad is a chest lung breathing and sleep doctor and taught me this. U could say I'm very lucky to be asthmatic with a dad doctor who works on these things
Hey. Beside the scarf and inhaler is there any way to prevent attacks. I go to the doctor every winter but they give me shots to make sure I don't die and meds but other advice.
this video is listed in the comedy section because not once did I see an example of improper inhaler usage.
NEITHER DID I.
Very helpful thanks
I think the most common mistake I make is breathing out, activating it, then breathing in. Tbh I was always told to do it like that so after watching this at least I know it’s wrong
That's what I was taught, too. I guess you start breathing in, use the inhaler while you're inhaling... Seems simple, but for so many years I didn't know this.
The way I use it is simply breathing in, take the inhaler and breathe out
Wait what this isn't how you're meant to do it??
I have an inhaler, and I have learned to use it by breathing out, and on next inhale, puff. I do that as a four by four by four, and it has not yet been any hassle. The only trouble is holding breath after if you coughing badly.
Crazy how vaping nicotine can teach you how to properly hit an inhaler😂
I’ve had asthma for my entire life and you tryna say I’m using my inhaler wrong, hell nah I use it how I want, it works for me
Swaggy TV I’ve had asthma for a long time too. But I had to change and the spacer really helps. Breathing in before the puff means no icky taste on the tongue.
Swaggy, they don't say if YOU use your inhaler wrong, and from this piece, you wouldn't know if you did!
You’re not getting all of the day that’s the saying on your tongue and it’s not helping anyway. This is exactly how my doctor told me to use mine and they work 100% better
You're either sarcastic or incredibly ignorant (I'm being polite...)
Thank goodness they explained how to use the inhaler properly in this video. Great job guys !
They didn't
Are you joking
Seriously. Why th didn't she get asked how to use it properly since the whole segment was on the problem of people not knowing how to do it properly? Bad journalism segment.
Right! They always seem pressed for time. And the guest spoke very quickly which means she could’ve given more info on the subject or had time to demonstrate how to use the devices correctly if given the opportunity. Also, the journalist asked questions which the guest had already answered. Terrible journalism.
I love that this info is out there
my SABA inhaler is causing me significant throat pain and absolutely horrendous headache stomach pain and I feel generally ill although my breathing has become a little bit better I can now manage to walk up a flight of stairs something I couldn't do a month ago but I cannot tolerate the throat soreness much longer, my pharmacist observed me using the inhaler and told me I was doing everything correctly so I can only presume I'm allergic to the salbutamol
Why didnt i find this video 19 years ago when I was diagnosed with it😩
Cuz it was made in 2017 not 2001
Seems like this video should include brief instructions on how to use it, she mentions that it might be as many as 12 steps to use one of these inhalers and she doesn't mention any of them ???
Kids like me be smoking it dawg
ReactiBird me too 😂
Ha I only smoke 2 puffs when needed
I think the vaping has gotten to your brain.
I been using an inhaler since I was 5 years old so I already know how to use them properly it isn't hard at all but remember to listen to ur doctor as they will teach u how to use one if its ur first time having one.
the problem is that i can’t breath AT ALL whenever i need to use it.For example when i finished doing like 40 laps i need to use it but i can’t breath it or breath out when i use it
My doctor told me to use it 20-30 minutes BEFORE exercise. Don't worry, it's effect lasts 4-6 hours.
Do 39 laps instead.
you underestimate the size or pockets. ive been using a rescue inhaler for nearly 20 years. my chamber never comes off my inhaler. even in my pocket.
Our kids asthma specialist had us put a humidifier inside their room which we later learned contributed to mold and dust mite growth, making their asthma chronic. He also prescribed FLOVENT, a steroid inhaler at a dose 4x what it should be for our tiny daughter and it shut down her adrenal system, she nearly died in ICU before an endocrinologist figured out the cause and treatment (cortisone helped her recover over 6 months until she was ok again). This doctor should be behind bars, but he's out doing it to thousands of other kids with the full support and profit of pharma. This system is not helping us. We got our kids off of the inhalers, removed the humidifier and they've been fine since.
I'm not diagnosing other's conditions or situations but I'm a parent who nearly lost my child due to gross misuse of these drugs on my daughter.
I used a rescue inhaler so much that my skin started thinning causing blood bruises from just a scratch or pulling sleeves up. As soon as you activate the inhaler, breathe in deep and hold breath for 10 seconds. Only use when having an attack. ❤️
Honestly, you shouldn't have to only use it during an attack. You should also use it when your asthma is bad but not an attack
Use before and after u do physical activities athletes with asthma do that
Are you sure you haven't mixed up your rescue and maintenance inhalers? The symptoms you describe sound like steroid overdose. That's the active ingredient in most maintenance medications. Your rescue inhaler's active ingredient is an amphetamine, probably abuterol sulfate. It's more likely to make you jittery than do what you describe.
Yes, I have asthma, diagnosed sometime around 1985, so I know a little bit about the subject. Personally, controlling my allergies has made the biggest difference for improving my symptoms.
I'm using a spacer - and have it always in my bag (thats no problem because i always have my bag with me)! My debut was 15 years ago where iI was hospitalized. Then 15 years with nothing, no medication............... - then in March 2023 i was hospitalized, and then the doctor insisted, that i would have to use a spacer. And since then i have had ZERO asthma attacks! SO now i´m told from my doctor to use the spacer for life! (Mornings and Evenings). Result: not a single asthma attack!
For me the right treatment is Innovair/Foster in a spacer!
Do you push and hold the trigger down while inhaling or do you push and release it while inhaling? Or does it even matter?
No useful info as to how to use properly!
Thought she did explain it...
i have C O P D..my inhaler just gos to my throat and it burns. and gives me a dry mouth..ive tried all ways to take it..but it just does not go into the lungs.
Let me guess. You have to use a spacer.
How is this hard 😂😂
1. Shake the device
2. Take slow deep breathes
3. Breath in before pressing it down
4. Hold your breath
Wrong.: 2. Take a deep breath in, then breath OUT as much as you can before putting the device in your mouth. 3. Put the device around your lips with the canister facing up and simultaneously breath in while pushing down the canister all the way; breath in slowly and as deeply as you can (using your mouth only, not your nose). 3. Remove the device from your mouth, close your lips again and hold your breath for at least 10 seconds if possible. 4. Breath out SLOWLY and FULLY until you can't breath out any further. (Re the cap, I'll just say that any cognitive, functioning adult who doesn't remove the cap beforehand probably doesn't really want to feel better).
@@richardherdman2121 thanks
@@mahadev..7149 I have asthma since i was 10 and the best way to get full potential from your inhaler is to
1st. Shake the inhaler
2nd. Exhale/Breathe out as much air as you can
3rd. Inhale/Breathe in as hard as you can while activating the inhaler
4th. Wait at least 5 seconds if possible 10
5th. Breathe out THROUGH THE NOSE while keeping your mouth closed (most youtube doctors and general doctors get this part wrong)
Thanks for showing us how to properly use it. Waste of words!!
What an absolutely useless video. They spent every moment talking about the problem, without ever addressing the solution 🤔
നന്നായിട്ടുണ്ട് അവതാരണം
Where did it tell the 8 steps in the video or a step by step on how to maximize? What's the point of saying people do it wrong if you won't say how to do it right
I have an inhaler
thank you for that advice I use a inhaler every now and than.
What specific advice did you hear that got past the rest of us?
Why are they so darn expensive here in the states? Overseas they are much cheaper.
They are free here in the uk well we do pay our taxes but it comes out of that
@@Michelle-qd9gm That's all well and good, but we working Americans pay taxes too.
Because US does not regulate drug prices, the drug companies make all their profits on Americans.
I got one when I forgot mine on a trip to Japan. it was $80 for a two month supply with no insurance. Here in US, same one is like $500 until I hit my annual deductible (which is not until September every year), then still $50 a month.
@@ModMINI I feel your pain. I am on Trelegy and our out of pocket is insane.
Hey- chronic brittle asthmatic here, it’s the worst asthma you can get and I have been hospitalised for 3 years.. the reason why people don’t use an inhaler properly is because we can’t breathe properly in the first place.. we take the inhaler because we cannot breathe properly… you cant expect us to take a massive breathe when wheezy, especially people like me, I only have one working lung and it’s very hard to take a deep breathe, I recommend a spacer because it is so much easier to use and it’s way more efficient, I always use the spacer and you should too
I can get a DON'Ts part. But where is a DOs part?
I’ve had asthma since I was 5. I’m now 46. I’ve just found out via a routine chest X-ray I have a slight scolitoic thoracic spine - which will cause issues with being able to take deep breaths. Of If I had known this as a kid I could have had corrective treatment to assist with correcting my spine. I may have had asthma because of my physiology.
Slow determined sniffs deal with asthma by acupressure. Steer clear of spray which weakens lungs.
I've had different inhalers, some deliver better than others. Practice helps, too.
So umm witch one works better
@@kathyakut277 IDK, I use the meter.
@@kathyakut277 Ventolin is good Berodual is even better I have asthma since i was 10 and the best way to get full potential from your inhaler is to
1st. Shake the inhaler
2nd. Exhale/Breathe out as much air as you can
3rd. Inhale/Breathe in as hard as you can while activating the inhaler
4th. Wait at least 5 seconds if possible 10
5th. Breathe out THROUGH THE NOSE while keeping your mouth closed (most youtube doctors and general doctors get this part wrong)
Uhm
So what's the right way?
It is not easy to be holding your breath if you are already can't breathe
my inhaler sprays a spray not a mist. and it hit my tongue and now i can't feel my tongue. help
I think action speaks louder than words! She could have showed us how to do it properly!
i’ve used it too much and now my head and my hands are shaking nonstop wth
Does anyone know if steroid inhalers lower your immune system i get sick eveyr other month since I started the steroid inhaler my doctors say it wont do that but i dont believe them also feel like the inhaler is to strong like i dont need it everyday
Is it bad to drink water after using it
I wish she would slow down a bit and articulate more. The part where she talks about how you should breath in: I can not even tell if she says you are supposed to breath slowly or if it the opposite.
First shake the inhaler second take a deep breath then exhale make sure that there's nothing in the inhaler so you don't breath a foreign object put the inhaler in your mouth and press it then take a deep breath slowly hold it for 10 seconds then exhale slowly and don't use it more than 8 times a days if not needed that's all.
What did they find that woman in a bar??
I have been using it for the past 6 hours. Still nothing is happening. I get random attacks that are not that severe but sure do last for hours.
Hi! Sad to hear this. My "episodes" get so dramatic, my neighbors check on me!!!😒Have things gotten better for you? I hope so - take care and be safe🙂
@@Tekknowgerl You sound lovely and kind 🐝 ❤
Would have been great if the doc actually had the opportunity to speak.
What about cleaning ? I know people who don’t even clean it xD I do it every week :) didn’t know ppl forgot to shake doe . Gg on video that wasn’t really anything . God bless everyone
Just remove the canister from the mouthpiece and rinse the mouthpiece with warm water. Run water through the part that the canister sits in to remove dried crusted medication, and the part that your mouth touches well. Then lay it to dry instead of towel drying it, so the lint from the towel doesn't get on it. You can use some mild soap on the part you put on your mouth too, just be sure to rinse well! Yeah I can't believe people don't wash them. Do they want the device clogged and to give them a lung infection 🤷🏼♀️
Is there a way we can cure it without using inhaler??
yaa me too want cure i am fed up of this asthma
me
I just saw my Dr yesterday for a checkup and had to be reminded to empty my lungs first before i used it. So I just did it correctly for the first time today
Ah . We have a 2.5 year old who needs this and we have no way of knowing whether he gets this right
My sister has a respertory infectin and im not from the us ca uk
im swedish
I have been using inhalers all my life. TEVA inhaler the worst! Have to be cleaned every time you take a puff and it still doesn't work.
well it's difficult to push down on the bump common sense to th strength of children and elder. So like as i inhale i expect it to push down when i do it but then its not as easy as expected missing most the dose.
It's true. I have asthma and my GP told me this. To hey the vast majority of it to your lungs you must use a spacer. I've had 3/4 asthma attacks now and I know that the reason behind it is because I didn't use it properly. Me and my parents wearnt told yo use a spacer with my blue which is my secondary one. That is what it was.
that's right, you must use a spacer.otherwise you get only a few percentage of the medication into your lungs and the rest sticks into your mouth.everyone take this advice from an asthma nurse.
My doctor never told me to use a spacer, But I do and it works a lot better.
Please. What is a spacer that everyone keeps mentioning?
I lowkey be using my inhaler more than my doctor be telling me to 🧍🏽♀️
i use it like 9 times lol
@@okbud4105 do u get high then?
@@okbud4105 I have once used it 7+ times and it caused an increase in heart rate so I recommend that you dont please
@Sasotona Entertainment TV you should go to your nearest pulmonary clinic or hospital asap, they should take care of you, they may give you a more effective inhaler depending on your situation
@Sasotona Entertainment TV You should also only use it when in need but instead of two pumps do one rn until you visit a doctor , and try to train your breathing.. take deep breaths and try to keep calm
I use pro air
I prefer the Ventolin & generic of the Proair which is exactly like the Ventolin.
Can’t inhale the spray, keep coughing it out too fast. Just can’t get a good inhale.
Ask doctor or pharmacist for a spacer
They are too hard to hold! They need a thumb notch so your thumb doesn’t slip off when you try to squeeze it!
Hello my name is sammir and I have asthma from small time please help me
It’s because no one is using THE DAMM TUBE
There’s a very specific reason I looked up if I could overdose on an inhaler
I always tell people that you hit your inhaler like a blunt. You gotta spray it in your mouth. Inhale, then hold it for about 5 to 8 seconds. Now I don't smoke pot anymore bc I'm asthmatic and it's not good for asthmatics. Tho it gives people the best idea on how to get the most out of the medicine. Remember when having an asthma attack. Your lungs don't work as well as they do when not having a asthma attack. So you gotta hold that breath and give your lungs time to absorb that medicine.
‘One patient wasn’t taking the cap off the inhaler.’ 🤦♂️🙎♂️
You can get high if you take a whole Bunch in a short time frame but it’s not a good high it’s where you get severe anxiety and you might ask how do you know? I got high off one on accident most scary moment in my life
Bro I feel like I am spinning and feel being pulled to the ground after taking 2 hits of the inhaler at school and it’s been 10 hours
If at best only 50% is getting in then why not just tell people to pump it more?
Is it me or r people dumbing down?
taking inhaler should ALWAYS be with a holding chamber taking away coordination aspect.
Does anyone notice they keep walking in circles about how this is a problem without actually not showing how it should be taken properly?
I remember in high school so I told me that oh you don't have to hold your breath when you take those. You don't see people doing that in football games and I'm thinking like the doctor literally told me I had to hold my breath when I take it. But okay
If you’re an adult and not using an inhaler properly then there’s something wrong with you. The instructions are clear on the box and your doctor tells you exactly how to use it..
My doctor told me that you shouldn't fell the medicine on you tongue
My mom has asthma and she has a red rescue inhaler cuz she had breathing problema.
She is so beautiful!!
honestly yeah an inhaler is good but tbh it’s better if you don’t use it even if u need breath because ur body counts on that inhaler so bassically relying for it and is not good for ur body
If we don’t use it when we can’t breathe then well we will be dead.
@@danielledewitt1 yeah but we should limit it and find out wat triggers it to limit it but fair point u have
@@ssnowyxz3408 Ok so next time I can’t breathe I won’t take it then I’ll die and you’ll be happy. I rarely need my blue inhaler. Having a cold triggers mine.