A device for dispensing medication in an aerosol form from an MDI which is activated by a source of compressed air which is pressurized by a compression piston (38) in association with a cooking lever (56) which also acts as a mouthpiece cover (18) wherein the device automatically discharges the medication upon inhalation on the mouthpiece. The device also has a detachable component (14) for alternative use as a press and breathe type inhaler.