I have been using the new inhalers for the past year. The quality of my life and the degree of activity I’m able to enjoy has been much reduced. I used to be able to run for two miles! Now I can barely jog half a block.
It’s the same medication, albuterol, but it’s driven out by a different propellant. Just doesn’t go as deeply into the lungs. VERY frustrating.
The only alternative is to get a nebulizer machine and some liquid albuterol and saline solution. This is what your doctor would do for you if you came into his office with a bronchospasm. The trouble is, of course, that you can’t take the nebulizer with you if you’re going on a hike or a camping trip, and it’s awkward to drag around even if you’re just going to the office. But when push comes to shove, it does work. No propellants, just drug + saline + air.
And take your inhaled steroids so you don’t need much in the way of bronchodilators.
Well I’d assume you suck in a deep breath as you press the cylinder. That should take care of it getting into your lungs.