I'm not sure it's going to be possible to answer this question in words as it probably needs a demonstration, but any ideas/reassurance would be good, and next time I'm at the surgery I'll ask then, just to be sure.
I've been using inhalers for what seems like forever, I've repeatedly had my inhaler technique checked by asthma nurses, pharmacists, GP and consultant and they've all said it's very good. In fact, even if it weren't perfect, it probably wouldn't be too much of a problem as I take all my regular inhalers through a spacer, so this only applies to my ventolin (which when my asthma's really bad I'll also take through a spacer).
Today when I went to the pharmacy to collect my giant bag of repeats (!!!) they asked to do a medicines review, which is fine, always good to check on these. During this, the pharmacist checked my inhaler technique with something I can only describe as a reverse peak flow meter - I don't know what it's called and I've never seen one before. Anyway, using this, she said I was breathing in far too deeply and so the medicine would be hitting the back of my throat and not going to my lungs. She used the meter to show me how hard to breath in, and what was required according to this was a much slower shallower breath than even normal breathing - something that I found very difficult to do and difficult to control.
My question is this - if she and her meter are correct, how does the medicine get into the lungs? Also, I've checked all the leaflets with my inhalers and they say to breath in steadily and deeply (which is what I have always done and what consultant, GP etc have always said is good) which is definitely not what I was being told to do by the pharmacist.
So... do I change my technique or just ignore her, and do I need to bother my asthma nurse about this. I can't understand how if I've been doing it so wrong for so long no one has said anything and the treatment has helped my asthma - if I'd been doing it wrong, surely it wouldn't help???