Metered dose inhaler with mouthpiece extension

A metered dose inhaler comprising:

• a ring body open at both ends, the ring body adapted to house a pressurized canister of medicine;
• an actuator ring fitting over the ring body in concentric fashion partially housing the ring body, the actuator ring having an actuator form fixed to an inside surface thereof to actuate a canister stem installed on the pressurized canister;
• at least two annular spring housings fixed to an outside surface of the actuator ring, the at least two spring housings extending longitudinally thereon, in parallel, and equally spaced apart around a three hundred and sixty degree perimeter;
• at least two industrial springs inserted one each into the at least two annular spring housings housing the at least two industrial springs anchored thereto;
• a thumb hold ring disposed concentrically about the distal end of the actuator ring, the thumb hold ring including a concentric raised ring feature formed on a wall surface thereof;
• a collapsible and extendable spacer cone installed over the raised ring feature;
• a first cap for enclosing the ring body to cover the canister, the first cap including at least two spring seats for seating the at least two industrial springs;
• and
• a second cap for capping the spacer cone in a collapsed state.