Well said, caroly. I have lots of patients with inhalers and no spacer. So, it does seem that many doctors forget to prescribe those. It's good to be an advocate for yourself and ask for one. Like you, I'm guilty of my inhaler running out. I'm guilty of this even with inhalers with a counter. Sometimes (oftentimes) the best advice comes from personal experience. In such cases, it's always good to have a spare (and hopefully it's not hidden in the couch). John. Site Moderator.