A medical aerosol delivery device comprises a housing having a first opening and a second opening and defining a fluid passage between the first and second openings. The housing comprising a pressurized medical aerosol canister actuator having a canister receptacle disposed within the fluid passage and having a valve chamber comprising a fine bore nozzle positioned to direct atomized medicament toward the first opening. The fluid passage includes an annular portion bypassing the canister receptacle and the housing comprises a movable closure member for selectively obstructing the fluid passage.
