Directions For Use & Warnings

Always read the label. Use only as directed. If symptoms persist, see your doctor or healthcare professional. Recent medical research recommends following the cleaning protocol for the Neti Flo® bottle & neti pot™ after every use and replacing the device after 3 months. General warning for: Himalayan Chandra® Neti Flo®, neti pot™ , and Neti Spray™.

• Always rinse your nasal passages with Himalayan Chandra® Neti Salt™ or Neti Salt Plus™ sachets only. Our sachets 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 down. 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.
• We recommend that you use the rinse ONE HOUR PRIOR to bedtime in order to avoid any residual solution dripping down the throat.
• Patients who are unable to stand up or bend near the sink SHOULD NOT use this product.
• We strongly advise against the use of our kit on children or adults who are bed bound or have physical limitations or mental disabilities due to developmental or acquired disorders. Adults should read the directions first before using it on their 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.
• Store in a cool and dry place.

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 while rinsing.
• Do not hold your breath while rinsing.
• While rinsing, make sure to tilt your head down.
• Gently squeeze the bottle while rinsing; do not squeeze the bottle 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.

Caution: do not use homemade salt mixtures for nasal irrigation
Homemade solutions may have incorrect concentrations, leading to inadequate relief or even nasal congestion. Additionally, store-bought table salt and baking soda are not pharmaceutical grade compounds for medical use and may contain impurities not desirable for the nose. The Himalayan Chandra® Neti Flo® system is a large volume nasal rinse that will deliver 120 mL (4 fl oz) to 240 mL (8 fl oz) of saline solution into the nasal passages. Adding one sachet of Himalayan Chandra® Neti Salt Plus™ to 240 mL (8 fl oz) of water will make an isotonic saline solution (hypertonic with 2 or more sachets) that is pH balanced and preservative free.

After the Nasal Wash
Do one or more exercises to expel any saline solution remaining in your nose. Always do exercise 1 after the nasal wash.
1. Exhalations:
Exhale through both nostrils while holding your head over the sink. Quickly drawing the abdomen toward the spine with each exhalation will make your exhalations more effective. If you exhale into a tissue, be careful not to pinch the nostrils closed while exhaling.

2. Forward Bending:
Bend forward from the waist far enough so that the top of the head is pointing toward the floor. Hold this position for a few seconds, then return to standing. Follow this movement with a few exhalations.

3. Alternate Toe Touching:
Place your feet two to three feet apart. Raise the arms out to the side at shoulder height. Slowly bend from the waist and bring the left hand to the right knee, shin, or foot (whichever you can reach without straining). Reach up toward the ceiling with the right hand; turn the head gently and look toward the raised hand. Hold this position for a few seconds. Come back to standing and repeat the movement to the left. Exhale through the nose.

When you’ve practiced this routine a few times, you’ll find it takes less time than brushing and flossing your teeth.
Remember, the nasal wash is not a substitute for medical treatment. Anyone with chronic inflammation of the nasal passages or other ear, nose, or throat disorders should seek medical attention.