Dr Liu... Thank you so much. You have literally saved my life. I am a 73 year old in New Delhi, India. About 12 years ago, I stopped smoking and started suffering with Vasomotor Rhinitis. Withiin half/one hour of lying down, my nostril will close making breathing almost impossible. For the last 12 years, I had been taking medicines like, oxymetazoline drops, fluticasone, mometasone, etc etc. A few days ago, I followed your advise about mixin budesonide .5 mg respule in my Neti solution. NASAL INFLAMMATION HAS REDUCED DRASTICALLY AND I AM ABLE TO HAVE A PEACEFUL SLEEP IN THE NIGHT. THANKS AGAIN.RISHI PRAKASH
I have to do this twice a day for the rest of my life due to sinusitis. I lost my taste and smell for years, my ENT performed sinus surgery for me last year and ever since this amazing Budesonide rinse and the surgery, I am able to breath, smell and taste so well now. But it is a pain to do it twice daily, but it helps so I can't complain, much better than before!
@@niografix1 It took me about 3ish months after surgery for it to start coming back. After my surgery I noticed floral scents were some what smellable but once I went on Budesonide rinse twice daily, it opened up big time. I am using 0.6 MG. I had a very bad case of it though, I really could not smell or taste anything in the end before I had my surgery. I really don't know what caused this for me, pretty depressing.. But I am glad I went through with the surgery, it's a huge life improvement for me. I do wonder why I have a never ending sinus infection symptom though, but it is what is, I read it's from chronic Sinusitis. Good luck man, I hope you do well as I did!
@@ChicagoTechGuy I am losing my sense of taste and smell because of chronic sinusitis. Did this work well for you? Did it restore your smell and taste to normal? What happens if you miss a dose does it wear off? Must one have nasal polyps to use this?
fallout man hey, I can miss dosages but the key is to stick with it. Like I said I need to take this for the rest of of my life as per my doctors said there is a 70% chance that polyps will come back if I don’t treat it. It has helped a ton, I wish you the best of luck, I know it sucks but it really does help! I also recommend to drink plenty of water and tea. Do you drink alcohol? If so, that’s one of the problems, as it is for me. I am not saying entirely give it up but definitely keep it moderate or drink plenty of water to keep yourself hydrated. That seems to be the biggest issue is hydration with sinusitis. Also take vitamins as well, like B12,D and a multivitamin daily. B12 helps. For the most part I can taste and smell very well, but I must follow all of what I told you. Also when you use the rinse make sure to tilt your head to the sides and let the water drain out, helps keep your sinuses clean.
This really did help, Thank you!!! I asked the nurse at my doctor's office if I was supposed to also use the salt packet and she said no. I would have burnt my sinuses if I didn't watch your video.
Thank you for doing this video! I administrate a support group for people with a very rare disease, relapsing polychondritis. My ENT had me start using Pulmicort in my nasal rinse and it has helped so much! I share your video in the support group frequently, it is a great introduction on how to do this, thank you again for doing the video!
Thanks for the video. My doc prescribed the budesonide but was out of town when it occurred to be to ask if this was in ADDITION TO or INSTEAD OF the NeilMed packet. Nice to know it is in ADDITION TO. Too bad you can't collect a TeleDoc fee for it!
@@auroraleanos28 mine was busy too and just said use that in a bottle instead of a nebulizer but she never said if i had to mix it or not. I just saw this guys video and i did lol. If you dont, it burns, so i think you have to
I have been using this rinse for three years and it has brought me so much relief. My ENT is the best. He said I will probably have to use this for the rest of my life which is a very small price to pay for the relief it has brought me. The only drawback is my prescription drug insurance does not cover this because it is being used as a traditional treatment for asthma and has not been approved as yet by the FDA to treatment of chronic sinusitis and allergy.
It was pretty much immediate. That being said, I had extensive sinus surgery prior to using to alleviate a 7 month sinus infection. So I imagine that helped with the quick efficacy.
@@denisejansma9286 thanks ! I just started taking so I was curious about other ppls experiences… i’ve been using it for a few days and I definitely notice a difference But I still find myself getting congested. I haven’t had any surgeries at all hopefully as time goes on it works even better.
Great video. Just one question. I have been using the Neilmed Sinugator, an electromechanical device that squirts pulsating water into my nasal passages. Can this be used with Budesonide rather than the squeeze bottle.
Hello Dr. Liu, thank you so much for your information on Budesonide nasal rinse. I have been using it for a few years and I can breathe through my nose and my sense of smell is improved. My quality of life has greatly improved! My insurance seems to be monitoring my usage of this drug. What happens if they stop covering budesonide? I am worried!
Hi there, I'm just starting out on my journey and sprays aren't helping my sense of smell or nasal obstruction. About how long did it take for you to notice results in these areas?
For me, it took several weeks, I did it twice/day in the beginning, once it was working well I could go to once a day. If I miss a day, I have problems. I have a rare disease, relapsing polychondritis that affects the cartilage throughout the body, including the nose, airways, and eustachian tubes, this has helped me so much!
@@TheMinenow1 I’m on my third day using budesonide in my nasal rinse. My doctor said it may take a month. It took you 7 weeks to notice results ? And it’s still going well ?
I like to warm up the distilled water for about 15 seconds in my microwave. Is it better to warm up the water and then add the salt packet and budesonine?
Thank you so much for this extremely informative video. I had my nasal polyps removed about two years ago. They started returning so my doctor prescribed me the budesonide rinse. I noticed I started getting my sense of smell back but after a few weeks of using it I feel as if my sense of smell went away again. Is it possible that because I missed a dose (prescribed 2x a day) that maybe it caused the inflammation to return? If I continue the rinse as prescribed will it correct it again? Thank you so much for your time.
I was just prescribed this due to long time allegies/sinus problems, chronic cough, etc. My only concern is that I have had glaucoma for 20+ years and I see warnings on the box about this. Is it safe for me to use?
Please refer to the manufacturer's guidelines which include the wording "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"
not sure about table salt (it's really refined and normally has iodine).....the Ayr rinse packets are made of sodium chloride (salt) and sodium bicarbonate (baking soda). I mix my own "powder" because it's cheaper than buying packets...i use two parts sea salt (has no iodine) with one part baking soda... and use slightly less than 1/4 tsp at a time for each rinse.
I just tried the sinus rinse but I just can't handle the drowning sensation, it looks easy when other people doing it. Also I have separate budesonide spray and how can I mix it with the salt solution?
try saying the letter k while you are irrigating. that will raise your soft palate and close your throat off from your nasal cavity and keep the water from draining into your throat which might help with the drowning reflex. after a while youll get used to it. ive been at this for months now and i could probably drink water through my nose at this point its gotten so easy, but at first it made me gag and cough every time.
As I squeeze the bottle in one nasal opening that is sealed from the bottle, I just lightly blow through the nose. Just like swimming and blowing lightly our instead of sucking in . I have that bottle sold with kits but received a smaller one (I think 2 oz) from doctor. I first fill to line in big bottle, shake well with saline mix, fill to line in small bottle, refill to fill line in bigger bottle again, then add my budesonide to the small bottle. I will keep the small bottle in warm water in cup to help keep warm. With the large bottle I will rinse and blow out excess water/mix. Then tip my head way down towards the floor and blow out lad little bit from both sides. Then I squirt up a little on reach side back and fourth until solution is gone. I was told not to rinse out medicine at that point. I tried calling neilmed to order a stash of those small bottles but was told that they only give to the physicians and to have them order it.
Hello Dr. is this method safe? I tried to do it but it feels weird in the nose. The water did went out the opposite of my nose but it's not the same as the quantity from your video. Was I doing it wrong? Thank you for your future response.
Hi Dr. My ENT’s instructions say to gently irrigate each nostril without letting water come out through the other nostril. Is it actually going to help if it’s not coming out the other nostril? I have a chronic sore throat due to post nasal drip and my doctor prescribed this as a result. Thanks!
Lost my smell over a year and 4th sinus surgeon had me do rinse using budesonide 2x a day. Went in before surgery and polyps and crap were all gone plus 5 days in my smell came back.
Hi Dr I lost my taste and smell because of polyps .dr give me this medication. I'm using this medication for over year its really help me but this is steroid its really scared me.i tried stop it but my allergies comes back really badly .whats your suggestion ?
My son also got popped ear in 2 months because of fluid behind eardrums..his ENT doctor prescribed Neilmed Sinus Rinse twice a day & Avamys spray 2x2 spray after rinse..it helped a lot..his ears become normal now..tx God
Hello doctor Liu, thank you very much for this video, it is very appreciated. I have a question if you don't mind. I am currently doing such a treatment with plumicort nebuamp vials. I wanted to know what you think about the dose I am using. I was prescribed to use a single 2mL vial per day (0.25 mg/mL concentration) in a single sinus rinse bottle. It kinda works (chronic year-long rhinitis because of heavy all-year long allergies) as I feel better but there's much work to be done. My doctor authorized me to take two vials per day (in two different sinus rinse bottles) but it doesn't seem to work any better, things stagnate. Now on my pulmicort box it states that the initial dose should be 1 to 2 mg 2 times per day. So I suppose it means 2 to 4 vials 2 times per day? This seems high compared to my initial dose and the one I am taking now. Is this normal? Is my doctor prescribing me abnormally low doses? (he is reluctlant to prescribe me higher doses) And a last related question: I might put more pressure on the bottle than necessary; is it possible that it makes the medication less effective?
You would have to go to your doctor about the dosing. We are always balancing the intended effects with the side effects of any treatment. I can't know for you where the sweet spot it. More pressure can squirt too far into the ears. Gentle, high volume, low flow is what you are going for.
Does it dry out anyone’s mouth or throat? It’s very irritating especially when I’m trying to get to sleep. I had nasal polyps removed in 2020 and have to do this regimen for rest of life to prevent them from growing back. My insurance does not cover any alternatives.
From the Neil Med site: 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 would have to look at the Smart Water details to find out if it fits these criteria.
My aunt had sinus surgery like 20 years ago, the complications of drying, irritating and paining are killing her. Will this help? or the neilmed gel will?
@@nfl_talent2482 She has consulted tons of doctor and lab testing but the results look fine but she could feel the pain and discomfort when she breathes especially fall & winter
@@zhengtracey2363 I think ENS stands for empty nose syndrome. With all the turbinates removed, sinuses drain more easily but there is no filtration or humidification of incoming air when you breathe and this can cause pain. I think a book called Breath mentions a doctor in California who does surgery to undo the original surgery. Or in other words - to reduce ENS. Hope this helps!
I was under the impression that we are to turn our heads to each side whilst squeezing the liquid into the higher nostril (so it drains out the bottom nostril). Is this necessary? The method you are demonstrating seems more straightforward and easier on the neck. Thank you very much 😀 Pam
Informative video! I've suffered from nasal polyps for the greater part of 23 years..I had endoscopic laser surgery 20 years ago only to have the polyps come back within a month... I've been recently doing doing saline irrigat daily so do you think adding budesonide to my rinse will help shrink polyps? Rhinocort or Flonase have never successfully worked in the normal otc mini sprays for me to cure polyps. Thanks!
@@jonbe9 how long did you use it for? It probably doesn't get rid of them completely and depending on how severe your polyps are, might make it take awhile to shrink. I'm just about to start using the wash. I had a difficult time getting the meds from the Walgreens pharmacists. They were confused about using it for a sinus rinse. Smh.
@@prettyyoungthingpyt5015 30 days..my Rx was to mix with saline/bakingsoda solution in a netipot (ayr rinse bottle) 1x daily...I feel less congested and can breathe somewhat thru my nose, but still when I blow my nose mucus is yellow from stagnation (cannot drain properly from polyp blockage) I guess I am used to Kenalog-40 shot that takes effect in a week (nasal polyps fully shrunk and 100% sense of smell) and lasts almost 2 months...that's cheaper and more effective than budesonide... i guess I would have to do budesonide for several months but I hate having to wait that long compared to kenalog.
@@jonbe9 ah ok. I'm just starting on this saline/budesonide journey myself. I'm wondering why my ent never mentioned the kenalog shot to me. He's pushing surgery. I guess surgery pays more! I'm using Prednisone like every month but as soon as the medication starts to wear off like within 2 weeks, I start getting the symptoms again. I suspect my a/c is blowing dust in my place. I see black things and dirt on the floor. I'm really going to talk to the ENT about the Kenalog shot to see if that would work along with the rinses. Thanks for the heads up.
OMG I’m late. I just used it without the salt. I was like WTF is that why it’s burning like Hellllll. Because when I only use the salt nothing happens but why this one is like Burning and my jar felt like fall off and burning nose. Next time I will use it with the Salt. Thanks
Hello doctor Liu, i'm thinking to add some iodine povidone 10% ( iso betadine in my country used to clean infected wounds and used alot in hospitals by surgeons) to a seline mix since it's pretty cheap and good vs fungus so i've read. I'm not really sure if this is a good idea so I would like to hear your professional opinion about this. Thx anyway
You instructed people to fill it with warm water but you did not say that it had to be distilled or previously boiled that is extremely important not to use just regular tap water
My ent doctor was useless he didn’t even tell me to mix these two together so this whole time I’m thinking I need a nebulizer or set another appointment to see him which take months so he can explain, and the clueless pharmacist would just tell me to get the nebulizer just like the instruction the box say. And I’m like yeah I can read the box but my ent didn’t mention anything about nebulizer. And my ENT discharge paper didn’t even mention about mixing either. Talk about negligent and wasting time and money
Dr Liu... Thank you so much. You have literally saved my life. I am a 73 year old in New Delhi, India. About 12 years ago, I stopped smoking and started suffering with Vasomotor Rhinitis. Withiin half/one hour of lying down, my nostril will close making breathing almost impossible. For the last 12 years, I had been taking medicines like, oxymetazoline drops, fluticasone, mometasone, etc etc. A few days ago, I followed your advise about mixin budesonide .5 mg respule in my Neti solution. NASAL INFLAMMATION HAS REDUCED DRASTICALLY AND I AM ABLE TO HAVE A PEACEFUL SLEEP IN THE NIGHT. THANKS AGAIN.RISHI PRAKASH
Vidian Neurectomy is useful for treating vasomotor rhinitis, I had this surgery in Taiwan last year and my nasal mucus stopped immediately after
Extremely helpful!! It was burning my nose but I wasn't aware to put the salt packet in!! Thanks for taking the time to make this video!
I had no idea that I was supposed to use the salt too!!! It has been burning SOOO badly. This is awesome information.
I rinse daily, i breathe better, sleep better and it has improved my overall health and comfort considerably.
I have to do this twice a day for the rest of my life due to sinusitis. I lost my taste and smell for years, my ENT performed sinus surgery for me last year and ever since this amazing Budesonide rinse and the surgery, I am able to breath, smell and taste so well now. But it is a pain to do it twice daily, but it helps so I can't complain, much better than before!
Sorry to hear about your medical issues, but glad that you've found something that helps.
How long did you use before you tasted and smelled again? What dosage of budesonide? .25 or .50
@@niografix1 It took me about 3ish months after surgery for it to start coming back. After my surgery I noticed floral scents were some what smellable but once I went on Budesonide rinse twice daily, it opened up big time. I am using 0.6 MG. I had a very bad case of it though, I really could not smell or taste anything in the end before I had my surgery. I really don't know what caused this for me, pretty depressing.. But I am glad I went through with the surgery, it's a huge life improvement for me. I do wonder why I have a never ending sinus infection symptom though, but it is what is, I read it's from chronic Sinusitis. Good luck man, I hope you do well as I did!
@@ChicagoTechGuy I am losing my sense of taste and smell because of chronic sinusitis. Did this work well for you? Did it restore your smell and taste to normal? What happens if you miss a dose does it wear off? Must one have nasal polyps to use this?
fallout man hey, I can miss dosages but the key is to stick with it. Like I said I need to take this for the rest of of my life as per my doctors said there is a 70% chance that polyps will come back if I don’t treat it. It has helped a ton, I wish you the best of luck, I know it sucks but it really does help! I also recommend to drink plenty of water and tea. Do you drink alcohol? If so, that’s one of the problems, as it is for me. I am not saying entirely give it up but definitely keep it moderate or drink plenty of water to keep yourself hydrated. That seems to be the biggest issue is hydration with sinusitis. Also take vitamins as well, like B12,D and a multivitamin daily. B12 helps. For the most part I can taste and smell very well, but I must follow all of what I told you. Also when you use the rinse make sure to tilt your head to the sides and let the water drain out, helps keep your sinuses clean.
This really did help, Thank you!!! I asked the nurse at my doctor's office if I was supposed to also use the salt packet and she said no. I would have burnt my sinuses if I didn't watch your video.
This works like magic for my dust allergy ! I took 10 budosonide and it saved my life!
This was so helpful. I wasn’t adding the salt packet and yes it burned like 🔥
Thank you for doing this video! I administrate a support group for people with a very rare disease, relapsing polychondritis. My ENT had me start using Pulmicort in my nasal rinse and it has helped so much! I share your video in the support group frequently, it is a great introduction on how to do this, thank you again for doing the video!
Thank you so much. I used it twice without salt. Burned like hell!
I did that once, because I forgot the salt packet. Oooops, and yeah, never again.
Me too…. Glad I’m not the only one. Thanks for sharing
I just did it without salt and it burned like hell. My face turned red and my chest turned red. It was awful.
Thanks for the video. My doc prescribed the budesonide but was out of town when it occurred to be to ask if this was in ADDITION TO or INSTEAD OF the NeilMed packet. Nice to know it is in ADDITION TO. Too bad you can't collect a TeleDoc fee for it!
Omg and I’ve been using it without the salts! Thought my nose and eyes would burn and fall off 😳. Thank you!
Me too. I just started thank god
Girl same! My dang doctor told me to not mix it with the salt packet but replace it. Now I’m doubtful
@@auroraleanos28 really? Hmm, i just mix it. It burns. My didnt mention anything
I think my doctor was honestly not doing her job she was texting when I was in there for a consult
@@auroraleanos28 mine was busy too and just said use that in a bottle instead of a nebulizer but she never said if i had to mix it or not. I just saw this guys video and i did lol. If you dont, it burns, so i think you have to
thanks for the tip with the salt packet
I rinsed without salt and it burned really really bad and my face and chest turned red
I thought this was still under R&D and this was
is written off label which should be shared with patient, if R&D.
Excellent and very clear instructions. Thank you very much.
Shouldn't this be used with distilled water? Not tap water?
I have been using this rinse for three years and it has brought me so much relief. My ENT is the best. He said I will probably have to use this for the rest of my life which is a very small price to pay for the relief it has brought me. The only drawback is my prescription drug insurance does not cover this because it is being used as a traditional treatment for asthma and has not been approved as yet by the FDA to treatment of chronic sinusitis and allergy.
How long did it take before you noticed the budesonide worked ?
How long did it take before you noticed that the budesonide worked ?
It was pretty much immediate. That being said, I had extensive sinus surgery prior to using to alleviate a 7 month sinus infection. So I imagine that helped with the quick efficacy.
@@denisejansma9286 thanks ! I just started taking so I was curious about other ppls experiences… i’ve been using it for a few days and I definitely notice a difference But I still find myself getting congested. I haven’t had any surgeries at all hopefully as time goes on it works even better.
Thank you! Nowhere in my instructions does it says to break the capsule. I was just going to dump it thinking it was going to dissolve...ufff
Thank you for the video , should I keep my head down for 4 minutes after the rinse?
Thank you?
Dr, Thank you for the instructions
Should I blow my nose after using the nasal rinse with budesonide??
Exactly what I needed to know. Thank you!
Great video. Just one question. I have been using the Neilmed Sinugator, an electromechanical device that squirts pulsating water into my nasal passages. Can this be used with Budesonide rather than the squeeze bottle.
Thank you for this video. It's very helpful!
Where do you get it? Why is it not available?
Very informal! Thank you doctor!
Hello Dr. Liu, thank you so much for your information on Budesonide nasal rinse. I have been using it for a few years and I can breathe through my nose and my sense of smell is improved. My quality of life has greatly improved! My insurance seems to be monitoring my usage of this drug. What happens if they stop covering budesonide? I am worried!
Hi there, I'm just starting out on my journey and sprays aren't helping my sense of smell or nasal obstruction. About how long did it take for you to notice results in these areas?
How long until I start to see results?
For me, it took several weeks, I did it twice/day in the beginning, once it was working well I could go to once a day. If I miss a day, I have problems. I have a rare disease, relapsing polychondritis that affects the cartilage throughout the body, including the nose, airways, and eustachian tubes, this has helped me so much!
@@TheMinenow1 I’m on my third day using budesonide in my nasal rinse. My doctor said it may take a month. It took you 7 weeks to notice results ? And it’s still going well ?
I like to warm up the distilled water for about 15 seconds in my microwave. Is it better to warm up the water and then add the salt packet and budesonine?
Thank you so much for this extremely informative video. I had my nasal polyps removed about two years ago. They started returning so my doctor prescribed me the budesonide rinse. I noticed I started getting my sense of smell back but after a few weeks of using it I feel as if my sense of smell went away again. Is it possible that because I missed a dose (prescribed 2x a day) that maybe it caused the inflammation to return? If I continue the rinse as prescribed will it correct it again?
Thank you so much for your time.
My doctor prescribed budesonide, but did not say anything about using the salt packets. Yes, it burned! I'll use the packet also from now on.
Thank you. How long after the best before date can I use Budesonide intended for nasal rinse?
If the individual is taking azelastine, fluticasone and saline, what order is best? Budesonide rinse after or before azelastine and fluticasone?
thanks a lot, Dr. Wu.
does the small amount of medicine compared to the 8 ounces of water still work correctly? I just started using budesonide washes.
Dr. Liu Burning sensations in nose. As per your instructions you need to mixed with salt. No one TOLD me. Thank you
Is this medication safe to use if you have nasopharyngeal cancer?
Sometimes I get a bit of a sore throat when I use the pulmicort. Is that a side effect?
Can I use my navage with my budesonide prescription?
I used it without the salt and it didn't burn. I will use the salt packet from now on, as salt is a cleaning agent.
I don't have a salt packet, can I use home salt or where can I buy the salt packet?
I am using Budesonide in a capsule twice daily. Can I use bottle purified drinking water or must I use distilled water?
Thank you.
What is the salt package, is it just sodium chloride? Thank you
I was just prescribed this due to long time allegies/sinus problems, chronic cough, etc. My only concern is that I have had glaucoma for 20+ years and I see warnings on the box about this. Is it safe for me to use?
Do we have to buy budesonide respule from pharmacy..do we need to dilute it
Do you fill the neilmed sinus rinse bottle first to 240 ml or doesn't it matter
Would it still be necessary to boil the water if it is coming from a Britta filter?
Please refer to the manufacturer's guidelines which include the wording
"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"
Thank you sir!!
Is there any withdrawal symptoms if you stop taking budesonide ?
So the budesonide which is very very expensive is flushed through the sinuses how is this treating anything being flushed out
what if i had nose pack, am i still allow to rinse with saline water above? TIA
when the product mix is 1mg/2 ml of distilled water. the filled neilmed bottle is 240 ml question shouldd the mix be 1mg for the entire bottle.?
Can you use 2 sinus satches together with 1 bottle
Hello and thank you for these instructions. I only got one packet of the salt but my doctor said table salt will do. How much table salt should I use?
not sure about table salt (it's really refined and normally has iodine).....the Ayr rinse packets are made of sodium chloride (salt) and sodium bicarbonate (baking soda). I mix my own "powder" because it's cheaper than buying packets...i use two parts sea salt (has no iodine) with one part baking soda... and use slightly less than 1/4 tsp at a time for each rinse.
Table salt …really?
What kind of water should i use
I don't have salt package in the Budesonide Box, is the salt same as regular hydrasense sachet? It really burn
I just tried the sinus rinse but I just can't handle the drowning sensation, it looks easy when other people doing it. Also I have separate budesonide spray and how can I mix it with the salt solution?
try saying the letter k while you are irrigating. that will raise your soft palate and close your throat off from your nasal cavity and keep the water from draining into your throat which might help with the drowning reflex. after a while youll get used to it. ive been at this for months now and i could probably drink water through my nose at this point its gotten so easy, but at first it made me gag and cough every time.
Saying Ka, ka Ka Ka while doing the rinse helped me so much!
As I squeeze the bottle in one nasal opening that is sealed from the bottle, I just lightly blow through the nose. Just like swimming and blowing lightly our instead of sucking in . I have that bottle sold with kits but received a smaller one (I think 2 oz) from doctor. I first fill to line in big bottle, shake well with saline mix, fill to line in small bottle, refill to fill line in bigger bottle again, then add my budesonide to the small bottle. I will keep the small bottle in warm water in cup to help keep warm. With the large bottle I will rinse and blow out excess water/mix. Then tip my head way down towards the floor and blow out lad little bit from both sides. Then I squirt up a little on reach side back and fourth until solution is gone. I was told not to rinse out medicine at that point. I tried calling neilmed to order a stash of those small bottles but was told that they only give to the physicians and to have them order it.
How do you guys buy Budesonide? Can a family doctor prescribe it or do I need to go to a specialist?
My ENT prescribed it. It is a special order compound.
My ENT prescribed it for me.
@@JOY-ld3jc As far as I am aware it is not a special compound.
I don't a sinus bottle and I don't get any salt budesonide what must do please me
Can you just use the liquid capsule and squeeze it in you your nose without the rinse?
Hello Dr. is this method safe? I tried to do it but it feels weird in the nose. The water did went out the opposite of my nose but it's not the same as the quantity from your video. Was I doing it wrong? Thank you for your future response.
Can I use the budesonide inhalant nebules
Hi Dr. My ENT’s instructions say to gently irrigate each nostril without letting water come out through the other nostril. Is it actually going to help if it’s not coming out the other nostril? I have a chronic sore throat due to post nasal drip and my doctor prescribed this as a result. Thanks!
Did you resolve your question? I am also wondering.
Does this have a positive effect on nasal obstruction and the sense of smell, doctor? I am 2 months into being diagnosed and both are quite weak.
I over smell everything he says polyps pressing on my olfactory nerve cause it and even phantom smells.
Lost my smell over a year and 4th sinus surgeon had me do rinse using budesonide 2x a day. Went in before surgery and polyps and crap were all gone plus 5 days in my smell came back.
Drying my eyes out after 3weeks usage
Does this really cause sores in the nose that wont go away?
how long before one can see results from using Budesonide Nasal / Sinus Rinse?
My ent doctor recommended this to me. But when I do it water doesn't come out the other nostril
Can you make the video in Cantonse
Can I use my netti pot if I don't have a squeeze bottle?
Yes you can. That's what my doctor told me to do.
Hello Dr Liu. I am also using Budesonide in my Nasal wash. Is it ok to blow my nose in between Rinsing?
I would like to know this too
How has the budesonide been going for you? Noticed any improvement?
Is the budesonide a prescription or can you just get it at the pharmacy?
Prescription only. You also have to be sure to tell the doctor you want the Budesonide suspension, not the nose spray. I've made that mistake before.
@@christine4224 whats the actual name?? So i can tell my doctor!
Hi Dr I lost my taste and smell because of polyps .dr give me this medication. I'm using this medication for over year its really help me but this is steroid its really scared me.i tried stop it but my allergies comes back really badly .whats your suggestion ?
Hey Dr , would this help with Eustachian tube dysfunction? I haven’t popped my right ear completely in a while now , thanks
My son also got popped ear in 2 months because of fluid behind eardrums..his ENT doctor prescribed Neilmed Sinus Rinse twice a day & Avamys spray 2x2 spray after rinse..it helped a lot..his ears become normal now..tx God
Hello doctor Liu,
thank you very much for this video, it is very appreciated. I have a question if you don't mind. I am currently doing such a treatment with plumicort nebuamp vials. I wanted to know what you think about the dose I am using. I was prescribed to use a single 2mL vial per day (0.25 mg/mL concentration) in a single sinus rinse bottle. It kinda works (chronic year-long rhinitis because of heavy all-year long allergies) as I feel better but there's much work to be done. My doctor authorized me to take two vials per day (in two different sinus rinse bottles) but it doesn't seem to work any better, things stagnate. Now on my pulmicort box it states that the initial dose should be 1 to 2 mg 2 times per day. So I suppose it means 2 to 4 vials 2 times per day? This seems high compared to my initial dose and the one I am taking now. Is this normal? Is my doctor prescribing me abnormally low doses? (he is reluctlant to prescribe me higher doses)
And a last related question: I might put more pressure on the bottle than necessary; is it possible that it makes the medication less effective?
You would have to go to your doctor about the dosing. We are always balancing the intended effects with the side effects of any treatment. I can't know for you where the sweet spot it.
More pressure can squirt too far into the ears. Gentle, high volume, low flow is what you are going for.
Does it dry out anyone’s mouth or throat? It’s very irritating especially when I’m trying to get to sleep. I had nasal polyps removed in 2020 and have to do this regimen for rest of life to prevent them from growing back. My insurance does not cover any alternatives.
Can I use smart water it’s vapor distilled with electrolytes for the nasal rinse is that safe?
From the Neil Med site: 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 would have to look at the Smart Water details to find out if it fits these criteria.
My aunt had sinus surgery like 20 years ago, the complications of drying, irritating and paining are killing her. Will this help? or the neilmed gel will?
What type of sinus surgery did she have
@@nfl_talent2482 She had Sinusitis and had surgery when she was little. Now she has ENS. I'm not sure what type. but the ENS is quite killing her.
@@nfl_talent2482 Any type of help would help cuz it's really jeopardizing her normal life cuz of pain.
@@nfl_talent2482 She has consulted tons of doctor and lab testing but the results look fine but she could feel the pain and discomfort when she breathes especially fall & winter
@@zhengtracey2363 I think ENS stands for empty nose syndrome. With all the turbinates removed, sinuses drain more easily but there is no filtration or humidification of incoming air when you breathe and this can cause pain. I think a book called Breath mentions a doctor in California who does surgery to undo the original surgery. Or in other words - to reduce ENS. Hope this helps!
I was under the impression that we are to turn our heads to each side whilst squeezing the liquid into the higher nostril (so it drains out the bottom nostril). Is this necessary? The method you are demonstrating seems more straightforward and easier on the neck.
Thank you very much 😀
Pam
My Pharmacy did not give me a nasal bottle.. I only have nasal saline solution. Can I use that?
You would buy the bottle and pre- mixed salt packets over the counter. Pharmacist will not provide that.
how long does it take to see results from this?
Personally for me I noticed a difference after 2 uses. I noticed a change pretty soon.
Dr. Well no mention of type water or if cold or warm. Go figure
Thank you! My doctor forgot the put the salt in part 🙄
Can I use Budesonide that reads expired in 2017?
No, don't use it. It's about your health and you have to be extremely careful
Informative video! I've suffered from nasal polyps for the greater part of 23 years..I had endoscopic laser surgery 20 years ago only to have the polyps come back within a month... I've been recently doing doing saline irrigat daily so do you think adding budesonide to my rinse will help shrink polyps? Rhinocort or Flonase have never successfully worked in the normal otc mini sprays for me to cure polyps. Thanks!
It has just been prescribed to me as an alternative to polyp removal, so hopefully working for you?
@@theponykid unfortunately after using budesonide rinse, I still have polyps... expensive too..30 days of budesonide cost me $80 (with insurance)
@@jonbe9 how long did you use it for? It probably doesn't get rid of them completely and depending on how severe your polyps are, might make it take awhile to shrink. I'm just about to start using the wash. I had a difficult time getting the meds from the Walgreens pharmacists. They were confused about using it for a sinus rinse. Smh.
@@prettyyoungthingpyt5015 30 days..my Rx was to mix with saline/bakingsoda solution in a netipot (ayr rinse bottle) 1x daily...I feel less congested and can breathe somewhat thru my nose, but still when I blow my nose mucus is yellow from stagnation (cannot drain properly from polyp blockage) I guess I am used to Kenalog-40 shot that takes effect in a week (nasal polyps fully shrunk and 100% sense of smell) and lasts almost 2 months...that's cheaper and more effective than budesonide... i guess I would have to do budesonide for several months but I hate having to wait that long compared to kenalog.
@@jonbe9 ah ok. I'm just starting on this saline/budesonide journey myself. I'm wondering why my ent never mentioned the kenalog shot to me. He's pushing surgery. I guess surgery pays more! I'm using Prednisone like every month but as soon as the medication starts to wear off like within 2 weeks, I start getting the symptoms again. I suspect my a/c is blowing dust in my place. I see black things and dirt on the floor. I'm really going to talk to the ENT about the Kenalog shot to see if that would work along with the rinses. Thanks for the heads up.
OMG I’m late. I just used it without the salt. I was like WTF is that why it’s burning like Hellllll. Because when I only use the salt nothing happens but why this one is like Burning and my jar felt like fall off and burning nose. Next time I will use it with the Salt. Thanks
no mucus came out of my nose, only the water and most of the time the water would filter through the back of my throat
Hello doctor Liu, i'm thinking to add some iodine povidone 10% ( iso
betadine in my country used to clean infected wounds and used alot in
hospitals by surgeons) to a seline mix since it's pretty cheap and good vs fungus so i've read. I'm not really sure if this is a good idea so I would like to hear your professional opinion about this. Thx anyway
Iodine can be an irritant in the sinonasal cavity and would not be recommended.
Hello Doctor Liu, is it normal if the water comes out of my mouth?
Absolutely. The water should come out the nose, the mouth, or both.
You instructed people to fill it with warm water but you did not say that it had to be distilled or previously boiled that is extremely important not to use just regular tap water
My ent doctor was useless he didn’t even tell me to mix these two together so this whole time I’m thinking I need a nebulizer or set another appointment to see him which take months so he can explain, and the clueless pharmacist would just tell me to get the nebulizer just like the instruction the box say. And I’m like yeah I can read the box but my ent didn’t mention anything about nebulizer. And my ENT discharge paper didn’t even mention about mixing either. Talk about negligent and wasting time and money
CAN YOU ADD BUDESONIDE INHALATION SUSPENSION 0.5 MG IN YOUR NEILMED NASAL SALINE NASAL RINSE?
Why does the what come out of my mouth
I used saline it burned like hell for an hour. Isn't saline salted!!!!
i think you forgot to tell them not to use tap water
Shouldn’t you be advising that you must use DISTILLED WATER in your nasal rinse. I thought that was a must!!!
that's why it burns.used purified water instead of distilled.use only distilled water.
Barely warm PRE-BOILED water.
Please Read Dr 's Instructions!!!
this drug didnt do shit for me