A respiratory drug delivery apparatus that includes a housing for holding a source of a medication, wherein the housing has a patient interface portion for delivering one or more doses of the medication to an airway of a patient, and a sound generator coupled to the housing. The sound generator is adapted to generate one or more audible instructions in response to an actuation signal. The actuation signal may generated in response to a manual actuation performed by the patient, or in response to the detection of an event relating to operation of the apparatus.