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.