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Hi Lesley,   The reason for using a spacer is to give the user time to inhale the medicine correctly. Although the HFA inhalers may not be propelled as forcerfully as the old CFC versions, a spacer can still be useful, especially for children or anyone else who has trouble initiating correct technique of the inhaler. So, I would say it's up to you whether to use a spacer or not.   To your health, Kathi
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