A metered dose inhaler comprises a piston (3) which is mounted in a cavity (2) within a body (1), and is urged by a pre-loaded spring (6) into a reduced cross-section pressure chamber (4). The piston (3) may be loaded by means of an actuating rod (31) having a handle (32), and may be latched in a loaded position by a latching means (33). A liquid drug (e.g. in aqueous solution) is contained in a collapsible bag (10). Metered quantities of the drug are successively presented in the pressure chamber (4), and then subjected to a sudden and great increase in pressure, to eject the liquid drug through an atomising head (22), to reduce it to a fine atomised spray of small mean particle size - for example, less than 30 micrometres. Non-return valves (13 and 23) control the flow of liquid through the device. The sudden pressure pulse is caused by releasing the spring loaded piston (3), upon depressing an actuating button (35) connected to the latching means (33). IMAGE
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