An actuator for a pressurised metered dose inhaler, including: a tubular section (38) providing an outlet through which medicament is in use inhaled; and a nozzle block (42) including a tubular element (44) having a free end over which the valve stem (14) of a canister (2) is in use located and a spray orifice (50) in fluid communication with the tubular element (44) for directing a spray into the tubular section (38).