Abstract: An inhalation device in the nature of a metered dose inhaler with a counter is disclosed. The device is designed to work with existing respiratory drugs. The device is comprised of a L-shaped medication dispenser in which a counter is attached. A downward force applied to the top portion of the canister protruding from the top of the L-shaped medication dispenser releases a single dose of the aerosol medication and increments the counter. The device contains a visual display of the current count and thus an indication of the metered doses remaining in the aerosol canister. The counter can be electronic, mechanical or electro-mechanical in nature. Counting devices for other shaped dispensers such as cylindrical dispensers are also described. Other options such as a warning alarm, automatic power conservation shutdown of the display, and full computer monitoring functions are also disclosed.