Abstract: A unique carrying case for oral inhalers, nasal inhalers, other medications, or similar items that protects such devices from damage while providing a counting mechanism for the user to track the number of doses dispensed from an inhaler, other medication, or similar item. The preferred embodiment described in the drawings includes a case constructed of lightweight, impact-resistant, molded plastic that is opened and closed by a hinged lid. The counting mechanism shown in the preferred embodiment depicts a three-digit, manual, mechanical device with digits from zero to 999. The user operates each digit independently by pressing a "+" button to advance or a "-" button to retract the digits. A polyurethane foam pad surrounds the counting mechanism. The foam protects the counting mechanism and inhaler from damage and reduces noise that may result when an inhaler is allowed to move freely within the case. The case may be carried in a pocket, purse, or bag or may be carried with an optional wrist strap or clip.