Fill bottle w/ lukewarm pre-boiled water (37°C) to the top line (180 mL); use distilled or bottled water in case of recent nasal surgery. Pour contents of 1 packet into the bottle & shake until powd has dissolved, then immediately use mixt. Bend over sink, tilt head down, open mouth & snugly place nostril fitting into 1 nostril, then gently squeeze & repeatedly release bottle until soln drains from opposite nostril or mouth. Gently blow nose to clear excess fluid & mucus before irrigating other nostril; caution in case of recent nasal or sinus surgery. Remove residual water by bending over & pointing nose towards knees, then gently breathing in the mouth & out the nose; repeat 5-10 times. Use any time of the day except in the last hr before bed.
Patient w/ recent nasal surgery Rinse nose bd-tds.
Patient w/ nasal problems Rinse nose bd.
Patient w/o nasal problems Rinse nose twice wkly.