 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  inhaler if you are using it for the first time, or if you have not used it for more than 3 days, or for more than 21 days. When priming the inhaler, make sure to spray toward the ground (away from your face) so that you do not get the medication in your eyes. Inhale this medication by mouth as directed by your doctor, usually 2 puffs once daily. Wait at least 1 minute between each inhalation. If you are using other inhalers at the same time, wait at least one minute between the use of each medication. Use this medication regularly to get the most benefit from it. Use it at the same time each day. Do not use it more than one time each day. Do not increase your dose, use this medication more often, or stop using it without first consulting your doctor. Your condition will not improve any faster, and your risk of side effects will increase. Learn which of your inhalers you should use every day and which you should use if your breathing suddenly worsens (quick-relief drugs). Ask your doctor ahead of time what you should do if you have new or worsening cough or shortness of breath, wheezing, increased sputum, waking up at night with trouble </s>