Well, both my Albuterol & Combivent have no counters, so I use the Counterstrips with both. I don't use spacers. But I don't do any sticking. I carry the inhaler in its box. It isn't very big. The Counterstrip card fits in the box perfectly. When I'm done using the inhaler, I scratch off the Counterstrip, put them both in the box and throw it in my purse. :)