Good morning all - I was recently diagnosed with stage 1 COPD. My pulmonary doctor put me on a Flovent inhaler to be used twice a day - 2 puffs in the morning and 2 puffs 12 hours later. I went to the Flovent site on my computer and was surprised to learn that I was using my inhaler wrong the first week! I am now using it the right way, and I have to say it is much better. I suppose each company has their own way of using their product. Just make sure you are using these wonderful treatments in a way you will benefit the most! My inhaler only says to use 2 puffs twice a day, but that is very misleading until you go to the website.