DIRECTIONS FOR USE:

Step 1 Please wash your hands. Fill the clean bottle with the designated volume of either distilled, micro-filtered (through 0.2 micron filter), commercially bottled or previously boiled and cooled down water. Always rinse your nasal passages with NeilMed Sinus Rinse packets only. Our packets contain a mixture of USP grade sodium chloride and sodium bicarbonate. These ingredients are of the purest quality available to make the dry powder mixture. Rinsing your nasal passages with only plain water without our mixture will result in a severe burning sensation as the plain water is not physiologic for your nasal lining, even if it is appropriate for drinking. Additionally, for your safety, do not use tap or faucet water for dissolving the mixture unless it has been previously boiled for five minutes or more as boiling sterilizes the water. Other choices are distilled, micro-filtered (through 0.2 micron), commercially bottled or, as mentioned earlier, previously boiled water at lukewarm or body temperature. You can store boiled water in a clean container for seven days or more if refrigerated. Do not use non-chlorinated or non-ultra (0.2 micron) filtered well water unless it is boiled and then cooled to lukewarm or body temperature. *You may warm the water in a microwave in increments of 5 to 10 seconds to avoid overheating the water, damaging the device or scalding your nasal passage.

Step 2 Cut the Sinus Rinse mixture packet at the corner and pour its contents into the bottle. Tighten the cap and tube on the bottle securely. Place one finger over the tip of the cap and shake the bottle gently to dissolve the mixture.

Step 3 Standing in front of a sink, bend forward to your comfort level and tilt your head down. Keeping your mouth open, without holding your breath, place the cap snugly against your nasal passage. SQUEEZE BOTTLE GENTLY until the solution starts draining from the OPPOSITE nasal passage. Some may drain from your mouth. For a proper rinse, keep squeezing the bottle GENTLY until at least 1/4 to 1/2 (60 mL to 120 mL or 2 to 4 fl oz) of the bottle is used. Do not swallow the solution.

Step 4 Blow your nose very gently, without pinching nose completely to avoid pressure on eardrums. If tolerable, sniff in gently any residual solution remaining in the nasal passage once or twice, because this may clean out the posterior nasopharyngeal area, which is the area at the back of your nasal passage. At times, some solution will reach the back of your throat, so please spit it out. To help drain any residual solution, blow your nose gently while tilting your head forward and to the opposite side of the nasal passage you just rinsed.

Step 5 Now repeat steps 3 and 4 for your other nasal passage. Most users find that rinsing twice a day is beneficial, similar to brushing your teeth. Many doctors recommend rinsing 3-4 times daily or for special circumstances, even rinsing up to 6 times a day is safe. Please follow your physician's advice.

Step 6 Clean the bottle and cap. Air dry the Sinus Rinse bottle, cap, and tube on a clean paper towel, a lint free towel, or use NeilMed NasaDOCK or NasaDOCK plus (sold separately) to store the bottle, cap and tube.

It is very important to keep these devices clean and free from any contamination.Replace the bottle every 3 months.

• Dishwasher Cleaning: Do not use a dishwasher to clean the inside of a bottle. While our bottle is dishwasher safe, a dishwasher will not adequately clean the SINUS RINSE bottle. The water jets in dishwashers cannot enter the narrow neck of the bottle, and portions of the bottle's interior will not be cleaned thoroughly. Additional methods of cleaning the bottle include the use of concentrated white vinegar or isopropyl alcohol (70% concentration), followed by scrubbing and rinsing as described above.
• Microwave Disinfection: Clean the device with soap and water as mentioned above and shake off the excess water. Now place the bottle, cap and tube in the microwave for 40 seconds. This will disinfect the bottle, cap and tube. If the microwave has been used recently, please make sure that the inside of the microwave has cooled back down to room temperature before using it to disinfect the bottle.

WARNINGS:

USE ONLY AS DIRECTED, IF SYMPTOMS PERSIST SEE YOUR DOCTOR/HEALTHCARE PROFESSIONAL. ALWAYS READ THE LABEL.

• For your safety, do not use tap or faucet water for dissolving the mixture unless it has been previously boiled for five minutes or more as boiling sterilizes the water. Other choices are distilled, micro-filtered (through 0.2 micron), commercially bottled or, as mentioned earlier, previously boiled water cooled to lukewarm or body temperature.
• Each device must be used only by one user; do not share this product with others
• Follow the cleaning protocol after each use of the product
• Replace this device within three months of your first use
• Rinse your nose gently
• Always rinse your nasal passages with NeilMed SINUS RINSE packets only. Our packets contain a mixture of USP grade sodium chloride and sodium bicarbonate. These ingredients are of the purest quality available to make the dry powder mixture. Rinsing your nasal passages with only plain water without our mixture will result in a severe burning sensation as the plain water is not physiologic for your nasal lining, even if it is appropriate for drinking. Additionally, for your safety, do not use tap or faucet water for dissolving the mixture unless it has been previously boiled for five minutes or more as boiling sterilizes the water. Other choices are distilled, micro-filtered (through 0.2 micron), commercially bottled or, as mentioned earlier, previously boiled water at lukewarm or body temperature. You can store boiled water in a clean container for seven days or more if refrigerated. Do not use non-chlorinated or non-ultra (0.2 micron) filtered well water unless it is boiled and then cooled to lukewarm or body temperature. Do not rinse if your nasal passages are completely blocked or if you have an ear infection or blocked ears. If you have had recent ear or sinus surgery, contact your physician prior to irrigation. If you experience any pressure in the ears or burning in the nasal passages, stop irrigation and get further directions from your physician. Keep out of reach of children. Read and retain this enclosed brochure for instructions and other important information.
• Always Use Distilled or Micro-Filtered (through 0.2 micron) or Commercially Bottled or Previously Boiled & Cooled Down Water at Lukewarm or Body Temperature. Please do not use tap or faucet water when using NeilMed's nasal wash devices unless it has been previously boiled and cooled down.
• Before using the SINUS RINSE Kit for the first time, please inspect the cap, tube and bottle carefully for wear and tear. If any of the components appear discolored or cracked, please contact NeilMed to obtain a replacement. You must follow the cleaning instructions provided in this brochure or cleaning instruction card or on our website prior to each use.
• The SINUS RINSE bottle and mixture are to be used only for nasal irrigation. Do not use for any other purposes.
• Rinse your nasal passages only with NeilMed SINUS RINSE packets. Our packets contain a mixture of USP grade sodium chloride and sodium bicarbonate. These ingredients are the purest quality available to make the dry powder mixture. Rinsing your nasal passages with only plain water will result in a severe burning sensation. Use distilled, micro-filtered (through 0.2 micron), commercially bottled or previously boiled & cooled down water at lukewarm or body temperature, properly mixed with NeilMed SINUS RINSE packets. Do not use tap or faucet water for dissolving the mixture unless it has been previously boiled and cooled down. Do not rinse if nasal passages are completely blocked or if you have an ear infection or blocked ears. If you have had recent ear or sinus surgery, contact your physician prior to irrigation. If you experience any pressure in the ears or burning in the nasal passages, stop irrigation and get further directions from your physician. Keep out of reach of children. Read and retain this enclosed brochure, if provided, for instructions and other important information.
• We recommend th t you use the rinse ONE HOUR PRIOR to bedtime in order to avoid any residual solution dripping down the throat.
• We strongly advise against the use of our kit on children or adults who have physical limitations or mental disabilities due to developmental or acquired disorders. Adults should read the directions first before using it on their children. Keep out of reach of children. Do not swallow the solution; however, if you do so accidentally, there is no harm as the amount of sodium ingested in one swallow is insignificant.
• Patients who are unable to stand up or bend near the sink SHOULD NOT use this product. We advise you NOT to use this kit on patients who are bed bound or severely debilitated.