Budesonide Nasal / Sinus Rinse Tutorial - how to make it and use it and why.
You'll need a Neil Med Sinus Rinse Kit and the Budesonide from the pharmacy.
Budesonide comes from the pharmacy in a vial or capsule with powder. It is typically used in inhalers for asthma, but will be used in a sinus rinse for our purposes.
Mix the water, Budesonide, and the salt packet in the Neil Med bottle.
High volume, low pressure rinse in both nostrils until the bottle is empty.
If you feel pressure or pain in your ears while rinsing, you might be squeezing the bottle too hard. Try barely squeezing the bottle to generate the low pressure rinse that is desired.
Our providers prefer the squeeze bottle rinse over the teapot because it is easier to use.
The bottle should be cleaned every day with a drop of dish soap and warm water. It can also be sterilized in the microwave. The bottle, cap and tube can be placed in the microwave for 60 seconds if using a microwave with a power of 800 watts or less. If wattage is higher than 800 watts, please reduce the time to 40 seconds. This will disinfect the bottle, cap and tube as recommended by NeilMed® as well as published in medical research journals.
For specific details re: the Neil Med:
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"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.
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.
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."
Medical Disclaimer: All comments are generalizations and intended to be for educational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
