NeilMed Sinus Rinse XL Bottle with 10 Hypertonic Packets -- 1 Set

Please read Warning before using. Our recommendation is to replace the bottle every three months.

Use only as directed. If symptoms persist see your doctor/healthcare professional. Always read the label.

It is very important to keep these devices clean and free from any contamination.

Step 1: Please wash your hands. Fill the clean bottle with the designated volume of distilled, microfiltered (through 0.2 micron filter), reverse osmosis filtered, commercially bottled, or previously boiled and cooled down water.
*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. Always rinse your nasal passages with NeilMed® Sinus Rinse® packets only.

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 fi nd 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.

• 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 that 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.

Tips to Avoid Ear Discomfort While Rinsing

• If you have had ear surgery, please contact your physician prior to irrigation.
• Do not use if you have an ear infection or blocked ears.
• Rinse with lukewarm distilled, filtered or previously boiled water.
• Keep your mouth open.
• Do not hold your breath while rinsing.
• While rinsing, make sure to tilt your head as shown in the photo below.
• Gently squeeze the bottle while rinsing; do not squeeze the bottle very forcefully.
• Stop the rinse if you feel a sensation of fluid near your ears.
• Most importantly, always blow your nose very gently.

To Avoid Unexpected Drainage After Rinsing: In rare situations, especially if you have had sinus surgery, the saline solution can pool in the sinus cavities and nasal passages and then drip from your nostrils hours after rinsing. To avoid this harmless but annoying inconvenience, take one extra step after rinsing: lean forward, tilt your head sideways and gently blow your nose. Then, tilt your head to the other side and blow again. You may need to repeat this several times. This will help rid your nasal passages of any excess mucus and remaining saline solution. If you find yourself experiencing delayed drainage often, do not rinse right before leaving your house or going to bed. 

Attention: Medical research recommends following the cleaning protocol fully described in the enclosed brochure for the Sinus Rinse™ bottle and NasaFlo® Neti Pot after every use and replacing the device after three months.