How to Properly Use Nasal Spray: A Step-by-Step Guide

Nasal sprays have gained significant popularity over traditional nasal drops. To ensure safe and effective use, it’s important to understand the correct application methods and who should avoid using these sprays.

How to Use Nasal Spray

Preparation

1. Blow your nose gently to clear nasal passages. Make sure you can breathe through your nose, even if it’s difficult. If your nostrils are completely blocked, the spray won’t reach all areas and won’t be effective.
2. Wash your hands thoroughly to prevent introducing new infections into your nose.
3. Remove the cap from the spray nozzle and ensure the tip is clean and hasn’t touched anything except the inside of your nostril. This helps avoid transferring bacteria or viruses.

Spraying Technique

The application method varies depending on the type of nasal spray container.

Spray Bottle with Pump

1. Shake the bottle gently.
2. Keep your head upright.
3. Exhale fully.
4. Insert the nozzle about half a centimeter into one nostril, aiming it away from the nasal septum to protect the sensitive lining.
5. Close the other nostril with your finger.
6. Press the pump firmly while inhaling deeply through your nose.
7. Remove the nozzle and inhale a few more times to help the medication penetrate deeper and prevent it from dripping out.

Pressurized Canister with Piston

1. Shake the canister well. If it’s your first use of the day, spray a couple of times into the air to prime it.
2. Lean your head slightly forward.
3. Exhale fully.
4. Insert the nozzle into your nostril, keeping it straight and pointing away from the nasal septum.
5. Close the other nostril.
6. Press the piston with your middle and index fingers while inhaling slowly and deeply.
7. Remove the nozzle and inhale several times.

Finishing Up

1. Replace the cap on the spray nozzle.
2. Wash your hands again.
3. Avoid sneezing or blowing your nose for at least 10 minutes to allow the medication to absorb properly and avoid it being expelled.

Important Considerations

Watch for Allergic Reactions

Dr. Saigibat Mamaeva

Otolaryngologist at ON Clinic Medical Center, senior physician, PhD in Medicine.

Although nasal sprays are generally safe with minimal absorption into the bloodstream, some individuals may experience allergic reactions. Symptoms can include swelling of nasal soft tissues, persistent congestion, and rarely, skin rashes. If you notice any signs of allergy, consult a healthcare professional immediately.

Avoid the Vicious Cycle of Dependence

Decongestant nasal sprays are commonly used to relieve blocked noses by reducing swelling. However, using these sprays for more than seven consecutive days can cause your blood vessels to lose their natural ability to constrict, leading to chronic nasal congestion even after the cold has cleared. This dependence worsens symptoms and encourages more frequent use, creating a harmful cycle.

Be Prepared for Possible Irritation

Some nasal sprays may irritate the nasal lining, causing dryness, discomfort, or even nosebleeds. If you have used the spray correctly (avoiding spraying directly onto the nasal walls), consider taking a 1–2 day break. Moisturizing sprays containing saline or seawater can help soothe irritation. If symptoms persist or bleeding continues, seek medical advice.

Keep Your Nasal Spray Personal

Just as you wouldn’t share your toothbrush, nasal sprays should not be shared among family members. Even if you believe you share the same infections, different bacteria or viruses may be present. To prevent cross-contamination, each person should use their own spray bottle.

Always Read the Instructions

Although nasal sprays are often available over the counter, it’s crucial to consult a healthcare provider or carefully read the product instructions before use. Incorrect application can cause harm or reduce effectiveness.

Who Should Avoid Nasal Sprays?

According to otolaryngologist Dr. Saigibat Mamaeva: "Decongestant nasal sprays are contraindicated for individuals with a perforated nasal septum. People prone to allergies should use nasal sprays cautiously and strictly follow their doctor’s recommendations."

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