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Nasal Mucus Relief(2)

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					     lly                                                                                      Inf
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  ica en                     EDUCATIONAL BROCHURE                                                     m
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                Natural Relief from Allergies and Sinus




                                                                                                           n
                  Symptoms Has Never Been Easier
                                                   ™ Saline Nasal Irrigation,

          Moisturization and Daily Nasal Hygiene SINUS RINSE™
   NasaFlo® Neti Pot                            Sinugator®
       written by Ketan C. Mehta, M.D., NeilMed Brand Developer and Founder

       Saline on the Go®
                                                #1 Physician Prescribed

           Accepted for Air Travel               Neti Pot
                                           Uniquely Designed for Your Comfort
                 Sterile Saline
                   Ampoules
                 For Congested
                  or Dry Noses
                     Babies,
                    Children
                    & Adults                                          Hyperton
                                                                              ic

                                                                          Pediatric

                                                                                   Isotonic



                  Nasal Saline
                 Nasal Aspirator
                    Combo™


                                     5003S-BRO-USA_Edition#43_CS111203_GA_AP
                                                             Ireland and a growing number of other European and
           INTRODUCTION                                      Asian countries.
Nasal irrigation is a personal                               Today NeilMed® Pharmaceuticals offers a full line of
hygiene practice used for                                    nasal irrigation and health products designed to help
thousands of years in my                                     children and adults breathe more freely and comfortably
native India. When I moved to                                through their nose. This educational brochure provides
the United States in 1981 to                                 you with directions for the proper use of our products
further my medical training, I                               as well as extensive information about nasal and
                                                             sinus health. Should you have any further questions
this ancient tradition.                                      or comments, please contact us through our website
                                                             or by calling us directly. We are here to serve you and
I am a practicing physician                                  welcome your thoughts or concerns.
who specializes in pulmonary        Ketan C. Mehta, M.D.
and critical care medicine          CEO, COO & Founder       Sincerely,
in Santa Rosa, California.                                   Ketan C. Mehta, M.D., CEO, COO & Founder
In my practice, I have relied mostly on the constantly
evolving Western medical technologies. However,
after suffering from chronic sinus disease and trying a
range of treatments to control my symptoms—including
corrective surgery—I discovered that the most effective              QUALITY POLICY
therapy was the ancient practice of nasal irrigation.                AND GUARANTEE
In my practice, I began prescribing this simple treatment
to my patients. I believed that routine saline nasal         NeilMed® is the #1 brand in
                                                             North America for large volume
symptoms. A large number of patients did improve after       saline nasal irrigation devices.
trying nasal irrigation. However, they returned with the     Our goal is to ensure the highest
same symptoms when they stopped doing nasal rinses           possible quality, effectiveness
                                                             and safety for our devices, at an
on a daily basis. I realized the important need for a        affordable price.
product that would be easy to use for daily hygienic care.
                                                             We are highly committed to
In January 2000, I formed NeilMed® Pharmaceuticals           meeting applicable regulatory,
and began marketing the Sinus Rinse™ kit. This               customer and quality standards
effective and soothing volume nasal rinse system             and achieving increasing levels        Nina Mehta
incorporates years of medical knowledge and the              of customer satisfaction.               President
invaluable suggestions of medical colleagues and             Our policy is to give a full
patients. Due to the product’s effectiveness and             90-day money back guarantee to all of our valued
widespread acceptance by doctors, Sinus Rinse™ is            customers. Today we support medical research at
now the #1 physician prescribed nasal irrigation system      several university medical centers. I assure you that
in the United States and Canada. It is also widely                                            NeilMed® brand of
available in Australia, New Zealand, Singapore, UK,          products and the NeilMed® way of customer service .

 2
                 PHYSICIAN & CUSTOMER TESTIMONIALS
“I have prescribed NeilMed’s SINUS RINSE™ for all of my                “Nasal irrigation with NeilMed’s SINUS RINSE™ system
patients that suffer from chronic nasal and sinus problems.            has been very helpful to our rhinitis and rhinosinusitis
The squeeze bottle provides a large volume of buffered saline          patients. Everyone in our practice agrees that nasal
solution, which is easy to deliver to the nose and thoroughly          irrigation is a practical and useful adjunct to the treatment
cleans the nasal passages, providing substantial therapeutic as        of nasal and sinus disease.”
                                                                       Michael Kaliner, M.D., President, World Allergy
Joseph Jacobs, M.D., Director of Rhinology and Vice-Chair              Organization 2005-2007 Clinical Professor of Medicine,
of Otolaryngology, NYU, New York, USA                                  George Washington University Medical Center,
“Patient Management: Consider Nasal douching as an                     Washington, DC
additional maintenance therapy for Rhinitis/Sinusitis patients.        All testimonials have been provided as a courtesy without
There is an excellent OTC product called NeilMed’s SINUS
RINSE™, no more than salt and sodium bicarbonate granules
that dissolve in 240 mL of water and is squirted up each nostril       Join us on one or all of the following pages and be amongst
in turn to cleanse and refresh the usually swollen, irritable
mucosa. This product is a real winner for those patients
unwilling to continue standard therapy because of steroid-                       www.neilmed.com/rebate
phobia. As I explain to patients, NeilMed’s SINUS RINSE™
can do no harm (when used correctly), is available without                                            facebook.com/SinusRinse
prescription and has toll-free numbers to call for advice about
the rinse and its use. As a nasal douche, its ability to reach the                                    twitter.com/NeilMed
upper nostrils by far makes it superior to rival products.”
Dr. Paul Carson, M.D., (Allergist), Dublin, Ireland
“NeilMed’s product range brings modern sophistication                                                      INDEX
to familiar, well-established remedies for nasal and sinus
problems. Although the concepts of nasal irrigation and sinus          Warning ..................................................................................... 4
rinsing are not new, the unique applicators make the therapy           Instructions for Cleaning ......................................................... 5
more acceptable, easier to perform, and therefore more likely to       Directions For Use:
succeed. I personally use NeilMed’s SINUS RINSE™ and have                Sinus Rinse and SinuFlo ..................................................... 6
                                                                         Sinugator ............................................................................... 7
indications listed.”                                                     NasaFlo Neti Pot ................................................................... 8
Dr. Frans J Cronje, MBChB, MSc, Diving & Aviation Medicine               NasaMist All-in-One .............................................................. 9
Specialist                                                               NasaDrops ........................................................................... 10
“As a professional scuba diver, I have been using SINUS RINSE™           NasoGel Spray & NasoGel Tube.........................................11
for several years with amazing results. The sinus problems and           Isotonic, Hypertonic, Pediatric NasaMist ......................... 12
congestion I have long suffered have been greatly reduced. I             Clearcanal ........................................................................... 13
openly endorse and recommend SINUS RINSE™ for all divers.”             FAQ ..................................................................................... 14-21
Martha Watkins Gilkes, Past President, Women Divers Hall of            NeilMed Products Summary Chart .................................. 24-25
Fame                                                                   Products .......................................................21-23, 26-28, 32-33
“I just wanted to thank you and to tell how great your product is,     Ordering Info, Guarantee ................................................... 2, 34
and how much it has helped me. I have major sinus problems,
                                                                       Customer Survey Form ..................................................... 29-30
going for my 8th surgery and without NeilMed® products I think
I’d be dead. I use it at least twice a day, sometimes 3 or 4 times.”   Physician & Customer’s Testimonials.............................. 3, 32
Judy Cruse, USA                                                        Retail Order Form ................................................................... 35


                                                                                                                       www.neilmed.com                             3
1         WARNING: Please Read Before Using.                                            SINUS RINSE ™ FEATURES
 Before using the SINUS RINSE kit, please inspect the cap, tube
                                  ™
                                                                                 Natural relief of allergy, sinus and cold symptoms.
 and bottle carefully for wear and tear. If any of the components
 appear discolored or cracked, please contact NeilMed® to obtain a               Soothing, non-burning and non-stinging nasal irrigation.
 replacement. You must follow the cleaning instructions provided in this         Large-volume and low-pressure irrigation system for
 brochure or cleaning instruction card or on our website prior to each use.      extremely effective displacement of mucus and other
 The SINUS RINSE™ bottle and mixture are to be used only for nasal               nasal irritants.
 irrigation. Do not use for any other purposes.
 Rinse your nasal passages only with NeilMed® SINUS RINSE™
                                                                                 Great for daily nasal moisturizing and hygiene.
 packets. Our packets contain a mixture of USP grade sodium chloride             Each product comes with premixed packets or sachets of
 and sodium bicarbonate. These ingredients are the purest quality                USP grade sodium chloride & sodium bicarbonate. (Natural
 available to make the dry powder mixture. Rinsing your nasal passages           ingredients with a purity level 99% or higher)
 with only plain water will result in a severe burning sensation. Use
                                                                                 NeilMed® packets are preservative, iodine, gluten,
 nasal passages are completely blocked or if you have an ear infection           BPA & latex-free, as well as pH Balanced, Isotonic
 or blocked ears. Please retain this brochure for instructions and other         and/or Hypertonic.
 important information.
 We recommend that you use the rinse ONE HOUR PRIOR to bedtime in                nasal opening.
 order to avoid any residual solution dripping down the throat.
 We strongly advise against the use of our kit on children or adults who         No push & pull cap components make cleaning easy.
 have physical limitations or mental disabilities due to developmental           The easy-squeeze bottle is designed to provide a smooth,
 or acquired disorders. Only use the product on children four years              steady stream of the solution while rinsing.
 their children.
                                                                                 The bottle empties nearly 95% of its solution while you irrigate
 Keep out of reach of children. Do not swallow the solution; however,            when standing in an upright position.
 if you do so accidentally, there is no harm as the amount of sodium             An excellent nasal cleansing method to use prior to spraying
                                                                                 nasal corticosteroids.
 Patients who are unable to stand up or bend near the sink SHOULD NOT            Strongly recommended by physicians for use after sinus
 use this product. We advise you NOT to use this kit on patients who are
 bed bound or severely debilitated.                                              surgery & for CPAP patients.
                                                                                 Suitable for use during pregnancy.
2 Tips To Avoid Ear Discomfort While Rinsing                                     Portable for travel.
   If you have had ear surgery, please contact your physician prior to           Full Money-back guarantee for customers who return the
irrigation. Do not use if you have an ear infection or blocked ears.             product within 90 days after the date of purchase.
  Rinse with lukewarm water. Keep your mouth open while rinsing. Do not
hold your breath while rinsing. While rinsing, make sure to tilt your head as
shown in the photo on page 6. Gently squeeze the bottle while rinsing; do        Caution against using homemade salt
not squeeze the bottle forcefully.                                              mixtures with NeilMed® medical devices:
near your ears. Most importantly, always blow your nose very gently.
                                                                                Homemade solutions may have incorrect concentrations, leading
3 To Avoid Unexpected Drainage After Rinsing:                                   to inadequate relief or even nasal congestion. Additionally, store-
In rare situations, especially if you have had sinus surgery, the saline        bought table salt and baking soda are not pharmaceutical grade
solution can pool in the sinus cavities and nasal passages and then drip        compounds for medical use and may contain impurities.
from your nostrils hours after rinsing. To avoid this harmless but annoying     The NeilMed® SINUS RINSE™ system is a large volume nasal
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      into the nasal passages. Adding one blue packet of NeilMed®
side and blow again. You may need to repeat this several times. This will       SINUS RINSE™
help rid your nasal passages of any excess mucus and remaining saline
                                                                                saline solution (Hypertonic with 2 or more packets) that is pH
rinse right before leaving your house or going to bed.                          balanced and preservative free.


4
          Instructions for Cleaning and Disinfecting Devices
        It is very important to keep these devices clean and free from any contamination.
NeilMed® SINUS RINSE™ Squeeze Bottle: Please perform                       Dishwasher Cleaning:
routine inspections of the bottle and tube for                             Do not use a dishwasher to clean the inside
any discolorations and cracks. If there are                                of a bottle. While our bottle is dishwasher safe,
any visual signs of deterioration or permanent                             a dishwasher will not adequately clean the
color changes, please clean thoroughly. If the                             SINUS RINSE™ bottle. The water jets in
discolorations remain after cleansing, discard the                         dishwashers cannot enter the narrow neck of the
items and purchase new ones. Our recommendation is           bottle, and portions of the bottle’s interior will not be cleaned
to replace the bottle                    . We strongly       thoroughly. Additional methods of cleaning the bottle include
suggest that you follow all these steps after each           the use of concentrated white vinegar or isopropyl alcohol
use of the product.                                          (70% concentration), followed by scrubbing and rinsing as
                                                             described above.
Step 1: Rinse the cap, tube
and bottle using running water.                              Microwave Disinfection:
Fill the bottle with previously                              Clean the device with soap and
boiled, distilled or bottled water.                          water as mentioned above and
                                                             shake off the excess water.
Step 2: Add a few drops of                                   Now place the bottle, cap and
dish washing liquid or baby                                  tube in the microwave for 1.5
shampoo.                                                     to 2 minutes. This will disinfect
Step 3: Attach the cap and tube to the bottle; hold          the bottle, cap and tube as
                                                             recommended by NeilMed® as well as published in medical
shake the bottle vigorously.                                 research journals.
                                                             NeilMed® Neti Pot Users: Use the same procedures
Step 4: Squeeze the bottle hard to allow the soapy           as above.
solution to clean the interior of the tube and the cap.
Empty out the bottle completely.                             Maintenance & Storage: Use a microwave
                                                             periodically to disinfect devices. Always
Step 5: Rinse the soap from the bottle, cap and tube         store NeilMed® products in a cool and
thoroughly and place the items on a clean paper towel to     dry place with adequate ventilation.
dry or use the preferred NasaDOCK® or NasaDOCK plus™.        NasaDOCK® or NasaDOCK plus™ offer
The NasaDOCK® is a simple, hygienic way to dry and store     a simple hygienic way to air dry & neatly
the SINUS RINSE™ bottle, cap and tube. NasaDOCK®             store the bottle, cap, tube and Neti Pot.
comes with various hanging options and is available in       Do not store the bottle with the cap screwed on,
different colors. Our newest model also offers storage for   unless both are dry. Do not store the wet parts in a sealed
our SINUS RINSE™ mixture packets. We strongly suggest        plastic bag. If you travel before they are dry, wrap parts
using NasaDOCK® as an inexpensive, easy way to dry the       separately in paper towels. Hand soap or shampoo can be
cap, tube and SINUS RINSE™ bottle.                           used for cleaning parts while away from home.

     NeilMed® Neti Pot: Please clean with soap & water and let it air dry
www.neilmed.com/rebate facebook.com/SinusRinse twitter.com/NeilMed                            www.neilmed.com               5
         DIRECTIONS FOR SINUS RINSE™ & SINUFLO® READYRINSE®
                Please read caution and warning on page 4 before using the product
Step 1: Please wash your hands. Fill the                         completely to avoid pressure on eardrums.
clean bottle with the designated volume                          If tolerable, sniff in gently any residual
                                                                 solution remaining in the nasal passage
boiled water. You may warm the water in a                        once or twice, because this may clean out
microwave in increments of 5 to 10 seconds                       the posterior nasopharyngeal area, which is
to avoid overheating the water, damaging                         the area at the back of your nasal passage.
the device or scalding your nasal passage.                       At times, some solution will reach the back
Step 2: Cut the SINUS RINSE™ mixture                             of your throat, so please spit it out.
packet at the corner and pour its contents                       To help drain any residual solution, blow
into the bottle. Tighten the cap and tube on                     your nose gently while tilting your head
                                                                 forward and to the opposite side of the nasal
the tip of the cap and shake the bottle gently                   passage you just rinsed.
to dissolve the mixture.                                         Step 5: Now repeat steps 3 and 4 for your
                Step 3: Standing in front                        other nasal passage.
                 of a sink, bend forward to                      Step 6: Clean the bottle and cap (see
                  your comfort level and tilt                    directions on page 5). Air dry the SINUS
                   your head down. Keeping                       RINSE™ bottle, cap, and tube on a clean
                   your mouth open, without                      paper towel or use NeilMed® NasaDOCK®
                   holding your breath, place the cap            or NasaDOCK plus™ (sold separately) to store the bottle,
                   snugly against your nasal passage.            cap and tube.
                       SQUEEZE BOTTLE GENTLY until
                         the solution starts draining from the      Directions for SINUFLO® READYRINSE®
                          OPPOSITE nasal passage. Some           Step 1: If using premixed
                          may drain from your mouth. For a
                                                                 SINUFLO®, remove the cap
                          proper rinse, keep squeezing the
                          bottle GENTLY until at least 1/4       and safety seal from the bottle.
                          to 1/2 (60 mL to 120 mL or 2 to 4      Warm the solution, as in Step
                                of the bottle is used. Do not    1 above.
                          swallow the solution.                  Step 2: Tighten the cap and
                          Step 4: Blow your nose very            tube on the bottle securely.
                          gently, without pinching nose          Step 3: Follow steps 3 to 6 above. If there is any solution left
                                                                 over, please discard it. We recommend you make a fresh
                                                                 solution each time you rinse. Rinse once or twice daily, or
                                                                 as directed by your physician. If you have any questions,
                                                                 please call toll free 1-877-477-8633 in the USA or
                                                                 Canada or use other numbers on page 34. Or email us
                                                                 at questions@neilmed.com or visit our website.
                                                                 SINUFLO® READYRINSE® is a reusable bottle.
 6
      DIRECTIONS FOR SinuGator® Cordless Pulsating Nasal Wash

NEW     Please read caution and warning on page 4 before using the product

                                    Cordless Pulsating Nasal Wash
       The NeilMed ® Sinugator ® cordless                rinse, keep pressing
      Pulsating Nasal Wash™ is an easy to use            the power button until
      system that allows you to deliver the              at least 1/4 to 1/2 (60
      saline solution with positive and pulsatile        mL to 120 mL or 2 to
       pressure to clean the nasal passages              4 fl oz) of the solution
       thoroughly.                                       is used for one nostril.
           Step 1: Please wash your hands.               Stop pressing the power
           Fill the clear blue reservoir with 240        button if you feel any
           mL (8 fl oz) volume of lukewarm,              discomfort, pain or pressure during the
           distilled, micro-filtered (0.2 micron)        irrigation.
           or previously boiled and cooled down          Step 4: Blow your nose very gently, without pinching nose
           water.                                        completely to avoid pressure on eardrums. If tolerable,
            Step 2: Cut the SINUS RINSE ™                SNIFF IN gently any residual solution remaining in the
            mixture packet at the corner and pour        nasal passage once or twice, because this may clean out
             its contents into the blue reservoir        the posterior nasopharyngeal area, which is the area at the
              of the Sinugator®. Place the white         back of your nasal passage.
               motor unit over the blue reservoir        Step 5:
               and rotate until locked. Swirl the unit   nasal passage or nostril.
               thoroughly to dissolve the mixture.       Cleaning Directions: Clean the Sinugator ® by running
               Step 3: Standing in front of a sink,      plain water and dry with a clean lint free towel and then air
               bend forward to your comfort level        dry the unit by keeping it open to the air. The nasal irrigator
               and tilt your head down. Keeping          tip, blue reservoir and white soft tube can be disinfected
               your mouth open, without holding          by placing in the home microwave for 60 seconds. (Read
               your breath, place the tip snugly         additional details in enclosed brochure.) Clean the entire
               against your right nasal passage or       unit with a few drops of dishwashing liquid and water every
               nostril. Press the blue power button      three days to keep the unit clean. Please make sure to run
                until the solution starts draining       enough water during each wash so no soap is left behind.
                from your left nasal passage.
                                                                                 WARNINGS
                Depending on the head position,
                residual solution may drain from         Do NOT place the white motor unit in microwave for
                your mouth. We suggest to spit it        disinfection. Because of the unit’s stainless steel
               out, however, there is no harm, if
              accidentally swallowed. For a proper

                                                                                         www.neilmed.com               7
                DIRECTIONS FOR                                                 Neti Pot
                        Please read warning on page 4 before using the product
          IMPORTANT: NeilMed® SINUS RINSE™ Mixture Packets should be used with NeilMed®
                     NASAFLO® Neti Pot to achieve the best results. You may use NeilMed® packets
             with other irrigation devices, as long as you mix with the correct volume of water.

Step 1: Please wash your hands and rinse the device.         If tolerable, sniff in gently any residual solution
Fill the NASAFLO® Neti Pot with                 of           remaining in the nasal passage once or twice,
                                                             because this may clean out the posterior
You may warm the water in a microwave, but we                nasopharyngeal area, which is the area at the back of
                 recommend that you warm it in               your nasal passage. At times, some solution will reach
                 increments of 5 to 10 seconds to            the back of your throat, so please spit it out.
                 avoid overheating, damaging the             For Neti Pot users, to help drain any residual
                 device or scalding your                     solution, blow your nose gently while tilting your head
                 nasal passage.                              forward and to the same side of the nasal passage
                 Step 2: Cut the SINUS RINSE™                you just rinsed.
                 mixture packet at the corner and            Step 5: Now repeat steps 3 & 4 on your other
                 pour contents into the pot. Tighten         nasal passage.
                 the lid on the device securely. Place       If there is any
                                                             solution left over,
                      and shake the device gently to         please discard it. We
                      dissolve the mixture.                  recommend you make
                      Step 3: Standing in front of a sink,   a fresh solution each
                      bend forward to your comfort level     time you rinse. Rinse
                      and tilt your head to one side.        once or twice daily OR
                      Keeping your mouth open, and           as directed by your
                      without holding your breath,           physician. If you have
                      apply the tip of the device snugly     any questions,
against your nasal passage and ALLOW THE                     please call toll free
SOLUTION TO GENTLY FLOW until the solution starts            1-877-477-8633 in the USA or Canada or use
draining from the opposite nasal passage. Use roughly        other numbers on page 34. Or email us at
half the solution in the Neti Pot                            questions@neilmed.com or visit our website.
It should not enter your mouth unless you are tilting your
                                                              Saline is considered safe.
                                                              The U.S. FDA is recommending that common cough
                                                              and cold over the counter medicines not be given to
                                                              babies and toddlers, and that antihistamines should
Step 4: Blow your nose very gently, without pinching          not be given to children under age 6.
nose completely to avoid pressure on eardrums.
 8
                       DIRECTIONS FOR NasaMist® All-in-One
                Please read warning on page 4 section 2 & 3 before using the product

3 Specially Designed Nozzles                                     Keep your mouth open and, without holding your breath,
Ultra Gentle Mist Tip for Nasal Moisturization: This tip         place the tip snugly in the nostril and squeeze the actuator
can be used for ages 1 and up for moisturizing and               until the solution starts draining from the opposite nasal
soothing dry nasal passages. Insert the Ultra Gentle
Mist tip into nostril and press until adequate solution is       for 2 to 3 seconds. Do not swallow the solution. Blow your
sprayed.                                                         nose gently, without pinching your nose completely, to
                           Medium Tip: This tip                  avoid applying pressure on your eardrums. If tolerable,
                           can be used for ages 5                sniff in any residual solution remaining in the nasal
                           and up. This tip will deliver a       passage once or twice prior to blowing your nose. This
                           medium volume jet that can            may clean out the posterior nasopharyngeal area, which is
                           reach deeper into the nasal           the area at the back of your nasal passage. At times, some
                           passages.                             solution may reach the back of your throat. If so, please
                           Large Volume Rinse Tip for            spit it out.
                           Nasal & Sinus Rinse:                  To help improve drainage of any residual solution, blow
                           This tip can be used for              your nose gently while tilting your head to the side. Now
                           ages 5 and up. Apply the special      repeat these steps on your other nasal passage.
                           conical lavage tip and follow the                               WARNINGS
                           instruction in next paragraph.
                           Special Instructions for Large           of contamination.
                           Volume Rinse: Stand in front of
                           a sink, bend forward to comfort          during use to avoid any pressure in the nose or ears.
                           level and tilt your head down.
                                                                          Dr. Mehta’s
                             Ultra Gentle            Medium                   LVLP
                               Mist Tip             Stream Tip            Rinse Tip™        please do not puncture
                                                                                            or incinerate.


                                                                                            and away from heat sources.
                                                                                            Avoid freezing.

                                                                                            on babies and small children.
                             for ages 1 & up      for ages 5 & up        for ages 5 & up

 NOW with Dr. Mehta’s LVLP Rinse Tip™ (Large Volume Low Pressure) - Patent Applied            www.neilmed.com            9
                            DIRECTIONS FOR NasaDrops®
                         Please read warning below before using the product

       NasaDrops® SINGLE USE STERILE SALINE AMPOULES
NeilMed® NasaDrops® is a drug-free, preservative-free,                                               Dr. Mehta’s
                        sterile nasal saline solution       Mehta’s Nasal Saline Nasal               Nasal Saline
                        that soothes and moisturizes        Aspirator Combo™, once the              Nasal Aspirator
                        babies’, children’s and adults’     ampoule or vial is emptied out, you        Combo™
                        dry or congested noses. The         can use it as a disposable aspirator to
                                                            suction out the nasal secretions.
                         are convenient for home,
                         nursery, playground, school,                      WARNINGS
                         air travel, hotel room and
                         hospital use. A few drops          with a full understanding prior to any
                         of saline will moisturize.         usage on babies and children. Must follow
                         Squeezing a larger quantity        all the directions.
                         will deliver a gentle nasal
                         rinse. This product is suitable    coughing, choking or pushing the mucus
                         for babies 6 months and older.     or saline from the device into throat.
                         For babies under 6 months,
                         please consult your physician
                         before using NasaDrops®.
Nasal & Sinus Application:                                  the ampoule is leaking or broken.



 upright position.
                                                            for individual sale.
                                                                                                        New design
                                                            and other important information.
                                                                                                        of the nostril
 or squeeze as needed to deliver a larger quantity                                                   Patent Applied
 for nasal irrigation. Depending on the size of the        STORE OR KEEP IN A COOL & DRY PLACE
 nasal cavity, the irrigating saline with mucus will
 come down from the other nostril. Discard any                               BULB         EMPTY VIAL
                                                                                            CAN BE
 unused solution.                                                          ASPIRATOR
                                                                           NO LONGER       USED AS A
                                                                                          DISPOSABLE
 by your doctor.                                                            NEEDED
                                                                                          ASPIRATOR
10
       DIRECTIONS FOR NasoGel® Spray & NasoGel® Tube
                          Please read warnings below before using the product

                           Moisture for Dry Nasal Passages
               NasoGel® provides moisture to soothe and hydrate dry nasal passages.
        Dryness is caused by:
Dryness may lead to nose bleeds, altered sense of smell, headaches, nasal discomfort, nasal infections, crusting, etc.

          NasoGel® Spray                                                    Step 6: Replace the safety clasp and cap
    An easy to use and convenient                                           after use to avoid drying. The pump will stay
           gel dispenser.                                                   primed for a few days. Re-prime the pump
                                                                            as the air pressure is lost.
Step 1: Remove cap from the nozzle.
          Step 2: Remove the blue
                                                                            NasoGel® Tube
          safety clasp.                                                     Directions: Using a clean
                                                                            cotton swab applicator or
           Step 3: To prime pump a) Press                                   a rubber-gloved finger,
           the pump and then hold it in the                                 apply a small amount of
              down position, as shown,                                      NasoGel® into each nostril
               for 4 seconds. b) Release                                    every 4 to 6 hours. In case
               pump. c) Repeat steps                                        of persistent dryness,
             a) and b) 4 to 5 times or until                                you may increase the
             gel comes out.                                                 frequency.
             IMPORTANT NOTE:                                                  Warnings: Keep out
             You have to press and then                      of reach of children. Store in a cool, dry
              hold the pump down for                         place and protect from freezing. Do not
                the full 4 seconds for
                                                             use for mouth dryness.
                 maximum spray power.
                 Step 4: After priming the                              NasoGel® Tube
                 pump the Gel is ready to                     A soothing water soluble saline gel
                 dispense.                                     in tube form for those who don’t
                                                                      like using a spray.
                 Step 5: Use 2-4 sprays
                 of NasoGel® Drip Free
                 Spray in each nostril
                 every 4 to 6 hours. In case
                 of persistent dryness, you
                 may increase frequency
                 of use or consult your
                 doctor.

                                                                                          www.neilmed.com            11
DIRECTIONS FOR Isotonic, Hypertonic & Pediatric NasaMist®
                    Please read warnings below before using the product
                            For Adults, Children & Babies
NasaMist® Saline Spray                                    Step 1: Insert tip of actuator into nostril and press
                                                          gently until adequate volume has been sprayed and the
This drug-free, non-burning saline spray helps            nasal passages are moist.
alleviate nasal allergies, dryness, post-nasal drip and
                                           Hypertonic     Step 2: Repeat for the other nostril. For babies and
delivers over twice the concentration of saline as
Isotonic. Pediatric provides a specially designed         often as needed to moisturize.
box for babies and children and the tip is same as our       Advantages of Hypertonic Solution
standard blue box tip. Please contact your physician
before using on babies under 6 months.                               EXTRA STRENGTH*
                                                          Research shows that a Hypertonic (2.7%) or more
  Isotonic           Isotonic          Hypertonic         concentrated solution may help reduce congestion
  Regular            Pediatric        Extra Strength      better than an Isotonic (0.9%) solution. This is because
                                                          a more concentrated salt solution will draw more water
                                                          out of the congested tissue, reduce swelling and open
                                                          up the nasal passages and sinus openings to allow for
                                                          better drainage. It is possible that you may experience
                                                          temporary burning or stinging with the Hypertonic
                                                          solution. If this persists, please use our Isotonic spray.
                                                            Warnings:

                                                           of contamination.

                                                           during use to avoid any pressure in the nose or ears.


                                                           incinerate.

                                                           sunlight and away from heat sources. Avoid freezing.

                                                           small children.
                                                          *As compared to isotonic solution
12
                                  DIRECTIONS FOR ClearCanal®
                             Please read warnings below before using the product

      Dr. Mehta’s Rule of 10 Method for Ear Wax Removal       ™


                                                              Plug ears for                          Rinse each ear for
       10 Drops per ear                               10 minutes                             10 seconds
 Please read complete directions before using product. Contains 10 complete treatments.
Dr. Mehta’s Ear Wax Removal Complete System™                         seconds
                                                                     side to side to drain out residual liquid & dry ears with a clean dry towel
                Ear Wax is important in preventing
                dirt and bacteria from causing hearing               On rare instances, individuals may experience pressure in the ears.
                     problems. If there is an excess of              If this occurs, stop rinsing. If symptoms persist please seek medical
                      wax build up, ear rinsing may be               attention or contact NeilMed® directly.
                      necessary to soften, loosen and                Suggested Use
                      wash it out.                                   Maximum of twice per week, or as recommended by your physician.
                     Directions:                                                                   Warnings:
                    This product is intended for use on adults       Do not use:
                 and children over 12 years of age. Consult your
                 physician for use on children under 12.               ingredients in the dropper bottle.
                  Tilt head sideways and place 10 drops into
                   each ear canal by squeezing the plastic             ear, or are dizzy. (Please consult a doctor with concerns.)
                    dropper bottle provided with this system.
                     The tip of bottle should not enter ear canal.     surgery, unless directed by a doctor.
                       Keep drops in ear for 10 minutes by
                       keeping head tilted or placing enclosed       When using this product:
                       ear plugs in ears. It is normal to feel
                       warmth in inner ear.
                       Remove ear plugs. Attach the special
                       drainage collection cup to
                       the canister to avoid the                      reduce the risk of contamination. DO NOT SHARE WITH OTHERS.
                       rinse solution dripping out                   Should not be used in the following situations:
                       of your ear. Flush ears with
                       the NeilMed® ClearCanal®
                       specially designed                            Individuals with the following conditions should not use this
                       actuator nozzle for 10                        product unless directed by a physician:

                                                                       impacted ear wax or other ear problems
                                                                     Other Information:

                                                                       or inci nerate.


                                                                       Avoid freezing.


                                                                                                            www.neilmed.com                13
Frequently Asked Questions                                 Q3: Why do you need such a large volume?
                                                           A: A large volume of saline solution creates a
     NASAL IRRIGATION                                      momentum that sweeps away all allergens, excess
Q1: What is the advantage                                  mucus, pollutants, dust and animal dander in the path
    of sinus rinsing?
A: Some amount of mucus                                    Q4: Why do you need low pressure?
production from the nasal and                              A: A low pressure will ensure that no discomfort is
sinus lining is normal. Allergies                          experienced in ears or sinuses.
and infections will cause                                  Q5: Can nasal sprays or pressurized cans be used
excessive mucus production.                                    to perform a sinus rinse?
This creates nasal and sinus
symptoms such as a runny and                               A: Yes and No. In the same way that a small spray
stuffy nose and post-nasal drip.                           bottle will never be as effective as a garden hose at
When you perform a nasal rinse,                            cleaning mud off a driveway, a nasal spray cannot
you wash away excess mucus                                 duplicate the effectiveness of a volume rinse bottle at
and irritants such as pollen,                              clearing your nasal passages of all mucus and nasal
dust particles, pollutants and bacteria, thus reducing     irritants. There are various spray products on the
inflammation of the mucus membrane. Normal                 market and per research, they are only moisturizers in
                                                           most cases and broadly cannot be considered as large
symptoms may be reduced.                                   volume nasal wash systems. This is due to fact that it
Q2: How is a Sinus Rinse performed?                        spray system. The exception is our new NasaMist®
A: For a true nasal rinse (also known as wash, douche      All-in-One spray, which has a special applicator
or lavage), you need a large volume of saline—at           tip that is Dr. Mehta’s LVLP (Large Volume Low
least                                  —in each nasal      Pressure) nasal rinse adapter that provides a full
passage, delivered with low pressure or gravity            LVLP nasal rinse. For a true LV nasal rinse, you need
method. You need a total of                                from                                   in each nostril.
          to wash both sides of your nasal passages.       With a few seconds of spray from the pressurized cans
When you squeeze the solution up into your nasal           or a few sequential squeezes on spray bottles with
                                                           micro tips or actuators, you may get a volume of 0.1
                                                           mL to 5 mL, at the most. We recommend sprays be
This ensures that all allergens, irritants, excess mucus   used as Saline on the go® between nasal washes or
                                                           when you are experiencing discomfort from dryness
                                                           and congestion. If you have questions about which
will not achieve a thorough cleansing job.                 process to use, please check with your doctor.
14
Q6: What are the advantages of the NeilMed® SINUS                Q10: Can I use bottled water?
    RINSE™ bottle in performing a true nasal rinse?              A: A commercial bottled water or properly maintained
A: The SINUS RINSE™ easy-squeeze bottle is BPA-free              reverse osmosis system at home is good. Bottled water or

                                                                 Q11: Which type of water is recommended for
to clean both nasal passages thoroughly. It allows you                   nasal rinsing?
to control the pressure you use and reduce it if you have        A:
                                                                 (which is safe because boiling sterilizes it). You can store
medical research shows that this is the most effective           boiled water in a clean container for seven days, or more
delivery system available for nasal irrigation. The bottle has   if refrigerated. Please avoid using non-chlorinated or non-
printed instructions on it and also has a custom designed,
                                                                 Q12:
openings.                                                        A: It can be warmed in the microwave, with the cap left loose
Q7: What are the advantages of SINUS RINSE™                      to avoid spillage. The time needed to warm the solution can
    packets?                                                     only be determined by trial and error. Try increments of 5 to
A: Our SINUS RINSE™ bottle with our packets is a                                                            . Do not overheat,
patented system in USA and several countries. Each               as this may damage the bottle or scald your nasal passages.
SINUS RINSE™ packet contains a preservative-free                 (It is safe to put both cap and tube in microwave.)
mixture of sodium chloride and sodium bicarbonate that           Q13: What are the causes of a burning sensation
is pH balanced and has a purity level 99% or higher. The                 related to irrigation?
packets are easy to dispense and contain enough mixture          A: Under normal circumstances, you should not feel any
                                                                 burning or stinging when you use NeilMed® SINUS
a large volume available to perform a true nasal rinse. The      RINSE™ packets. With our product, you should expect a
solution made with the SINUS RINSE™ packet will not burn         soothing rinse. Causes of a burning sensation include:
or sting because it is pH neutral. Moreover, the ingredients     1. Forgetting to put the saline mixture in the bottle.
in each packet are identical, taking the guesswork out of
preparing the solution and giving you the same solution
                                                                     quantity (with exceptions).
each time you make it.
                                                                 3. Using water that is too cold or too hot.
Q8: What is the best time of day to do a nasal rinse?
                                                                 4. Not thoroughly dissolving the mixture in water by shaking
A: Nasal rinses can be done at any time of day.
                                                                     or stirring, particularly for Neti Pot users.
However, we recommend that you rinse at least
one hour before leaving your home or going to bed                If you follow these directions and still feel any burning and
in order to avoid the occasional, accidental drainage            the problem continues, please discontinue sinus rinsing
of the small amount of leftover solution from the                                                                  questions@
nasal passages, which may drip back or may come out of           neilmed.com.
the nose if you were to lean forward.
Q9: How many times a day can a nasal rinse                                          All NeilMed® SINUS RINSE™
     be performed?
                                                                                     products & saline sprays
A:
                                                                                        are suitable for use
circumstances, even rinsing up to 6 times a day is safe.                                 during pregnancy.
Please follow your physician’s advice.
                                                                                               www.neilmed.com            15
Q14: What should I do if the nasal rinse creates                      of water OR use our green Hypertonic
      pain in my ear?                                       Packet. Each NeilMed® Hypertonic packet will make
A: Nasal rinsing is not recommended when you have                             of Hypertonic solution or 480 mL (16
an acute or new ear infection or ear discomfort of any             of Isotonic solution.
kind. We advise that you consult your physician before      Q18: What should I do if I happen to swallow the
starting the rinses or wait until symptoms subside.                saline solution during the SINUS RINSE™
If symptoms recur, stop the rinses and consult your                procedure?
physician as soon as possible. Due to different levels      A: It should not do any harm, even if you have high
of pain threshold, please use your judgment to decide       blood pressure or a heart condition. If you follow our
when to start rinsing. See page 4 for more information      directions, tilting your head forward, the chances
on avoiding ear discomfort.                                 of solution reaching the back of the throat are
Q15: What if my nasal passage feels plugged                 very small.
      or stuffy after using the rinse?                      Q19: Is it common for solution to drain from my
A: Some people experience reflex congestion with                   nose after rinsing?
exposure to saline. This condition is usually very          A: Yes, this is very common, which is why we do not
transient. If symptoms continue, consider using a           recommend rinsing your nasal passages right before
Hypertonic (double strength) solution, or use an
over-the-counter decongestant for a day or two. This        after using the rinse.
is usually a very benign and mild condition that should     Q20: Should workers exposed to occupational dust
resolve with time, and unless severely                            perform nasal rinses?
symptomatic, there is no need to
discontinue ongoing irrigation. It will                     A: Workers who are exposed to large amounts of
most likely resolve on its own.                             environmental or occupational dust from construction
                                                            work, farming, mining and various other occupations
Q16: Can I add any other                                    may benefit from regular use of the nasal rinse
      ingredients, such as                                  procedure. You should rinse the nose as soon as
      eucalyptus oil, alcohol, herbal                       possible after the exposure. The sooner the irritant
      medications, corticosteroids,                         is removed from the delicate membranes, the less
      vinegar or antibiotics?
A: Please check with your physician as there are            and congested.
various options available.                                  Q20A: Why Nasal Irrigation for Scuba Divers?
Q17: What if I prefer a higher concentration                A: Scuba divers during ascend and descend must
      of salt solution?                                     equalize the pressure in the ears to avoid pain and
A: Some physicians do recommend Hypertonic                  other problems. By good nasal and sinus care, if
(double or triple the concentration) solutions in certain
cases. They believe that a higher concentrated solution     or less pressure discomfort felt in the sinuses and ears.
                                                            NeilMed®
and sinus openings.
If you prefer higher salinity or Hypertonic solution, you   feel in the ear and nasal passages and our reports are
can use 2 to 3 of our blue mixture packets in 240 mL        quite encouraging.

16
Q21: Do nasal rinses improve the sense
       of smell?                                             Normal Anatomy                              Frontal
                                                                                                          Sinus
                                                                               Sphenoid Sinus
A: We know that chronic rhinitis or chronic sinus                 Middle Ear                              Upper
                                                                                                        turbinate
symptoms will adversely affect the sense of smell
                                                                                                         Middle
and taste. Nasal rinses will improve nasal and sinus                                                    Turbinate
conditions, which can improve the sense of smell
                                                                                                          Lower
and taste. This has been shown in our internal data.                                                     Turbinate
Q22: Does the nasal rinse procedure improve
       bad breath?                                          Eardrum
                                                                                       Palatine
                                                             Eustachian
A: If bad breath is caused by chronic nasal and sinus           Tube                    Tonsil

                                                           Clean and healthy sinus and nasal passages help provide
Q23: Do nasal rinses reduce or cure snoring?                    normal, clear breathing and overall good health
A: In some cases, nasal rinses have reduced the             SINUS, SINUSITIS AND RHINITIS
symptoms of snoring per reports from our users.
Q24: Can the SINUS RINSE™ mixture packet                   the face. As shown in the                    picture
      be used for nasal irrigation using a                 above, there are three pairs of sinuses: frontal,
      powered irrigator?                                   ethmoid, maxillary and one single sinus at the skull
A: Use one blue packet of SINUS RINSE ™ for                base that is called sphenoid. Each pair connects
                   of water OR use two blue packets        to the nose through small openings called
OR one green packet for                        of water.   and acts to humidify and warm the air we breath,
However, we do not feel that it is necessary to use any    add to our sense of smell and taste, and play a
electrical system when you have our simple squeeze         significant role in the quality of human sound.
bottle system. If you like the electric system, we sell    Additionally, these air-filled pockets help lighten
SinuGator ® shown in the back section.                     our heavy skulls, making it easier to keep our
Q25: Can I use the NeilMed® cap and tube                   heads upright.
      with an electrical powered nasal
      irrigation system?                                                               Sphenoid
                                                                                        Sinus
A: Our cap and tube assembly can easily adapt to
                                                                                        Frontal
almost electrically-powered commercial irrigator.                                       Sinuses
However, our SINUS RINSE ™ kit is packaged
with everything you need to relieve your symptoms,
without the additional hassle or expense of an                                          Ethmoid
                                                                                        Sinuses
electrical system.
Q26: What are sinuses?
                                                                                       Maxillary
A: Sinuses are hollow spaces within the bones of                                       Sinuses

www.neilmed.com/rebate facebook.com/SinusRinse twitter.com/NeilMed                          www.neilmed.com        17
                                                                or with other medical therapies, it will reduce symptoms
  Non-Allergic Rhinitis                           Frontal
                                                   Sinus
                                                                and may eliminate the need for prescription medication.
                                                                Recent study show that NeilMed® SINUS RINSE™ with
             Sphenoid
              Sinus                                             nasal corticosteroid sprays improve the quality of nasal
                                                                sinus symptoms.
                                                  Swollen
                                                                Q28: What is rhinitis?
                                                nasal lining
                                                                A:
                                                                lining of the inner body surfaces) of nasal passages.
                                                                Q29: What is sinusitis?
                                                                A:
     Postnasal
                                                   Yellow
                                               Purulent Nasal
                                                                various sinuses.
       Drip                                      Discharge      Q30: How do I differentiate between rhinitis
                                                                       and sinusitis?
                                                                A:
   the lining of the nose due to bacterial & viral              differentiate between the two. Usually, symptoms of
                 infection or irritants                         rhinitis include stuffy, runny or drippy nose, scratchy
Sinuses are lined with a mucous membrane called the             throat and dry cough. Symptoms of sinusitis are more
         . When your sinuses are healthy, they secrete          severe than the symptoms of rhinitis and often include
a thin layer of mucus over the mucosa that drains into          increased nasal secretions and pain around the sinuses,
the nasal passages through the ostia. The mucosa                such as facial pressure and pain.
                                                                Q31: What are the symptoms related to sinusitis
environmental pollutants before they can reach your                    and blockage of the ostia (openings of the
                                                                       sinuses)?
irritated, the ostia become blocked. Mucus accumulates          A: The following are symptoms of acute and
inside the sinuses and becomes a breeding ground for            chronic sinusitis:
viruses and bacteria.
Q27: What is the estimated number of people
       suffering from allergic rhinitis and sinusitis?
A: The two most common illnesses that affect our sinuses
are rhinitis and sinusitis. In the United States alone, it is
estimated that from 30 to 50 million people suffer from
one of these conditions. Our goal as a medical product
company is to join forces with others in the health care

Large volume nasal irrigation is considered by most ENT
allergists, and also now supported with extensive medical

relief of nasal and sinus symptoms due to all causes. We
do not claim that our product SINUS RINSE™ will cure                 such as meningitis, brain abscess,
the problem, but we can certainly say that either alone              ear infections, etc.
18
Q32: What are the causes of rhinitis and sinusitis?
A:
                                                               Allergic Rhinitis                              Frontal
                                                                                                               Sinus
                                                                         Sphenoid
                                                                          Sinus
                                                                                                             nasal lining
                                                                                                           (appears pale,
                                                                                                            boggy blue)




                                                                                                             Clear nasal
                                                                                                             discharge
                                                             Postnasal
  Treatment of Sinus Conditions                                Drip


Q33: Can nasal rinses prevent or reduce a head                 Allergic rhinitis is a common allergic reaction

                                                                          with clear and thin secretions
A:
rinses in large volume help reduce excess mucus and       Q36: Would I need to change my nasal irrigation
keep sinus passages clear.                                     technique after sinus surgery?
                                                          A: You may need to rinse more carefully, and you
Q34: How do I know if I need surgery for my sinuses?
A: There are various forms of endoscopic sinus
surgeries (ESS) that can often be curative. We            you may need to take a little more time to change head
strongly advise that you contact your physician.          positions to allow more complete drainage from the
You can request your doctor to refer you to an ENT        sinuses. While bending over the sink, tilt your head
(ear, nose & throat) specialist if your symptoms are      sideways to help improve the drainage of any residual
not improving.                                            rinse solution. A lot of the post sinus surgery population
Q35: What is FESS & ESS?                                  may need more frequent use and sometimes need
A: Functional Endoscopic Sinus Surgery (FESS) is          double volume (480 mL) nasal irrigation.
a commonly used term for endoscopic sinus surgery         Q37: What is a corticosteroid nasal spray?
(ESS) and generally involves very little post-operative   A: Corticosteroids are anti-inflammatory drugs.
                                                          They are not anabolic steroids. Physicians prescribe
video cameras, high resolution video monitors and         corticosteroid nasal sprays to reduce chronic
high resolution advanced CAT scanners allow excellent     inflammation of the mucosa (mucus membrane)
examination of all openings of the sinuses, nasal         of nasal passages and sinuses.
turbinates and nasal septum. When required, surgery       Q38: What are nasal decongestants and when
will restore the anatomy to as normal as possible or            do I use them?
more likely as functional as possible by removing         A: Nasal decongestants constrict the dilated blood
obstructions and improving drainage. FESS or ESS          vessels and reduce nasal and sinus congestion.
can help improve or in a lot of cases cure the symptoms   You can get further advice about their use from
of chronic sinusitis.                                     your doctor or pharmacist.
                                                                                        www.neilmed.com                 19
Q39: What are antihistamines?                               Q43: What are allergens or allergy
A: Antihistamines are the most                                    inducing particles?
common medications used to treat                            A: Allergens are usually organic particles that attach to
allergies. They work by blocking the                        the nasal mucosa or respiratory mucosa and lead to
effects of histamine, which is released                     the development of an antibody, which creates a series
during an allergic reaction. They help           Mold       of chemical reactions leading to allergic symptoms.
relieve the symptoms of sneezing,                           Everybody’s reaction to allergen exposure is different.
itchy nose and eyes and runny
                                                            The same amount of exposure to allergy particles can
nose. They are not as helpful with
nasal congestion. They could be                             cause mild, moderate, or severe reactions in different
prescription or over the counter at your                    people. Some may not have any reactions at all. Those
local store.                                                with moderate to severe reactions will have symptoms.
                                             Pet Dander     Q44: Can you name a few allergens?
Q40: Can I drink alcohol during                             A: There are indoor allergens as well as outdoor
     acute or chronic symptoms                              allergens. Examples of indoor allergens include dust
     of rhinitis and sinusitis?                             mites, molds, pet dander (from animals and birds)
A: Some individuals may get skin
                                                            and pests. Examples of outdoor allergens are pollen,
use of alcohol. Alcohol worsens these                       grass, wood dust and mold. Other substances such as
symptoms and it is recommended that           Dust Mite     cigarette smoke, perfumes and aerosol spray can be
                                                            irritants and worsen allergy and sinus symptoms, or
use alcohol during these symptoms.                          can act as allergens themselves.
                                                            Q45: Are allergens always visible?
Q41: Does smoking lead to rhinitis                          A: Most individual allergens are not visible. Dust mites
      and sinusitis?
                                                            are a typical example. They are not visible to the naked
A: Yes, smoking can lead to rhinitis and        Pollen      eye, yet they are present in every house. Dust mites are
sinusitis due to constant irritation.
            Allergies                                       and are present in mattresses, pillows, carpets and
                                                            upholstery.
Q42: Does rhinitis or sinusitis affect
       asthma?                                              Q46: How do I reduce the problem of dust mites?
A: It has been established that there is                    A: Clean all the areas where dust may be collecting.
                                                Virus
                                                            Carpets and sofa upholstery should be vacuumed on
chronic sinusitis and asthma. Curing or reducing rhinitis   a regular basis. Wash pillow cases, sheets and blankets
or sinusitis may improve the symptoms of asthma             in hot water. Enclose mattresses and pillows in special
                                                            allergy proof encasements. You can also contact an
from allergic asthma have coexisting allergic rhinitis.     allergy care product company for more details.

20
  Q47: What is mold?
  A: Mold is a fungus. It can be present in any area where it is damp                                                  PRODUCTS
  and warm, especially in basements, bathrooms, kitchens and
  water damaged areas, such as wood, carpets, water coolers and
  heater fans.                                                                                                EXTRA STRENGTH*
  Q48: What is pet dander?                                                                                        Hypertonic*
  A: Any pet with hair or feathers will shed dander. These tiny
  particles come from its skin. Dander is a very common cause of
  indoor allergies in the home and in other areas where animals and
  birds are raised.
  Q49: What is seasonal allergic rhinitis?
  A: Allergy symptoms that bother you only at certain times of the
  year, such as spring or autumn, are commonly called          , or
  seasonal allergic rhinitis. These symptoms are commonly caused
  by pollens and occasionally molds.
  Q50: What is perennial allergic rhinitis?
  A: This occurs when a person develops symptoms throughout the

  dust or cat dander.
                                                                                                             Nasa Mist
                                                                                                             S A L I N E   S P R A Y
                                                                                                                                                         ™




                                                                                                           Natural Sinus Relief
                                                             ™                                         ®
                                      SINUS RINSE                                    NeilMed

                                                                                                           Soothe, Moisturize & Cleanse
                                                                                                            Preservative Free • pH Balanced • Buffered
                                                                                                                   *As compared to isotonic solution
   ENDOSCOPIC VIEW OF NOSE IN VARIOUS CLINICAL CONDITIONS

                                                                                                              AVAILABLE AT
      Very large polyps Nasal polyps            Nasal polyps     Post nasal drip Extreme dryness,
        blocking the    before treatment       after treatment   as seen on the   granulations and
       nasal passages                                             pharyngeal     crusts in Wegener’s        Order directly from NeilMed® by phone, fax
                                                                  (throat) wall    granulomatosis            or online, or your local pharmacist or store
    Term “Mucosa” is a lining membrane of the nasal and sinus passage                                         manager can SPECIAL ORDER NeilMed®
                                                                                                                   products through distributors.
                                                                                                                  NeilMed® Pharmaceuticals Inc.,
                                                                                                            601 Aviation Blvd, Santa Rosa CA 95403 USA
Dry mucosa    Thin secretions          Severely       Thickened      Purulent or     Nasal secretions      Toll Free 1(877) 477-8633 Fax: 1(707) 525-3785
             in allergic rhinitis     thickened      mucosa due to infected, thick       in fungal
                                    mucosa or lining   chronic     and yellow secre-    infections                        www.neilmed.com
                                     with swelling                       tions

                                                                                                                                       www.neilmed.com       21
                         EAR PRODUCTS                                               NEW



                                     Dr. Mehta’s
                                  Ear Wax Removal
                                    Complete Kit
                                 Contains 10 complete treatments.
                                                Safe and Natural
                                    The complete kit comes with a bottle of Carbamide
                                    Peroxide to soften the wax before rinsing, ear plugs
                                   to allow the medication to stay in the ear canal before
                                      rinsing and a specially designed cup to allow the

                                   clothing or body. In our opinion, this is one of the best
                                     and complete kits available for ear rinsing safely,
                                                 affordably and effectively.

                                  COMING TO                            IN FEBRUARY 2012

                                Order directly from NeilMed® by phone, fax or online
     NeilMed Pharmaceuticals Inc., 601 Aviation Blvd, Santa Rosa CA 95403 USA
              ®

          Toll Free 1(877) 477-8633 Fax: 1(707) 525-3785 www.neilmed.com
22
                                                PRODUCTS



                                        for
                                              DRY NOSES
                                 NasoGEL® combines a water soluble
                                 saline gel with aloe vera and sodium
                                    hyaluronate to provide moisture
                                        to soothe and hydrate dry
                                 & irritated nasal passages caused by:


                                     Available at select chains nationwide or through
                                      Distributors or Wholesalers at all pharmacies
                                     Your local pharmacist or store manager can SPECIAL ORDER
                                             NeilMed® products through distributors.

          Independent Pharmacies, Call: McKesson, Amerisource Bergen, Cardinal or your local distributor




 NeilMed® Pharmaceuticals Inc., 601 Aviation Blvd, Santa Rosa CA 95403 Toll Free 1-877-477-8633 Fax: 1(707) 525-3785 www.neilmed.com


www.neilmed.com/rebate                            SinusRinse                       NeilMed           www.neilmed.com              23
          NeilMed® Products Comparison Chart
                    Regular Kit                                                   NasaDrops®                                              SINUFLO    ®


                                    Neti Pot
                                                                    Gel
                                                                                                                                         READYRINSE      ™




                       #1 Sell
                               er   Plastic or Porcelain                                                                 All-in-One
 DEVICE                                                            Spray
                                                                      for
                                                                  DRY NOSES         Saline on the Go®
                                                                                                                   Spray Pump
               Positive Pressure      Free Flow Gravity        Spray Pump         Like a Dropper or a tiny                             Positive Pressure
 METHOD                                                                                                         with Bag On Valve
                                                                                   squeeze bulb or bottle
                                                                                                                technology (BOV)

                User controlled       User directed and       User controlled         User controlled             User controlled       User controlled
MECHANISM       squeeze bottle         controlled flow          spray pump           squeeze ampoule to             spray pump           squeeze bottle
                                                                                   dispense up to 15 mL

                 240 mL (8 fl oz)                                                                                    Isotonic
CONTAINER                                                    30 mL (1.0 fl oz)                                                          240 mL (8 fl oz) or
               120 mL (4 fl oz) or     240 mL (8 fl oz)                                     15 mL                75 mL, 125 mL and
 CAPACITY                                                    45 mL (1.5 fl oz)                                                           480 mL (16 fl oz)
                480 mL (16 fl oz)                                                                                 177 mL (6 fl oz)

                4.5 mm or 3/16”                                                        Drop by Drop or         Approximately 1 mL
                 Usually empties                              0.14 mL/Spray           low flow dripping         volume in 4 seconds     4.5 mm or 3/16”
DISPENSING                                5 to 6 mm
                in 4 squeezes or                                  or 200          or small volume squeeze       with the fine tip and   Usually empties
                                       or 1/4” opening
               2.25 mm Pediatric                               Sprays/Bottle          depending on the         approximately 20 mL      in 4 squeezes
                                                                                      squeeze pressure             with LVLP tip

                                    Gravity flow benefits     Water soluble and
                                     users who cannot        saline based gel       Perfect non burning         Gives sterile saline
                Positive pressure                                                                                                       Positive pressure
                                      tolerate positive     with Aloe Vera and    saline for little noses of    anywhere, anytime
               flow mobilizes and                                                                                                       flow mobilizes and
ADVANTAGES                          pressure flow. Best     Sodium Hyaluronate      babies and children.         for nasal moisture
                 removes thick                                                                                                           removes thick
                                     Designed No-Spill        is an excellent     Great for travel, airline,      or nasal large
               mucus and crusts                                                                                                        mucus and crusts
                                     Neti Pot System in     moisturizer for dry    nursery, school, field           volume rinse
                                         our opinion         nasal passages

                Inexpensive, best                          Best value compared
               value compared to                             to other nasal gel                                   Great value for
                                                                                     Very Affordable
   COST        any other systems        Inexpensive         sprays with sodium                                   a multi-purpose        Very Affordable
                                                                                     Saline on the go
                    available                                   hyaluronate                                          system



AVAILABILITY
                AVAILABLE
               NATIONWIDE
24                                                             NOW with Dr. Mehta’s LVLP Rinse Tip™(Large Volume Low Pressure)
               NeilMed® Products Summary Chart
                                                                                                                              ™


                                                      Gel
                                                                                                                                      Dr. Mehta’s
                                                                                                                                  Ear Wax Removal
                                                     Tube
                                ially Desig
                              ec
                                                                                                                                    Complete Kit


                                          ne
                          p
                     Tip S




                                            d for
                                                                                                                                                                 Cordless


                                              lts
                     Bab
                                                                                                                                                              Pulsating
                                          du
                          s,
                        ie     Chil en & A
                                   dr

 DEVICE                                                                                                                           New!
                                                                                                                                                                Nasal
                                                                                                                                                                Wash
                                                                   for                                                                                             New!
               Isotonic Hypertonic                            DRY NOSES          Pediatric Kit

               Spray can with actuator               Apply with a cotton                                                            Spray can with       Positive Pressure
 METHOD                                                                          Positive Pressure        Easy quick assembly
                                                    swab or gloved finger                                                               actuator         Pulsating irrigation

                   User controlled                                                User controlled        Easy to use numerical      User controlled     User activates the
MECHANISM                                             Squeeze the tube
                     spray can                                                    squeeze bottle           snapping system            spray can              switch

           Isotonic 75 mL (2.53 fl oz)                                                                    Holds 100 packets and      177 mL (6 fl oz)
CONTAINER
 CAPACITY Hypertonic 125 mL (4.2 fl oz)                  28.4 g (1 fl oz)           120 mL (4 fl oz)          either bottle & cap     125 mL (4.2 fl oz)     240 mL (8 fl oz)
          Pediatric 75 mL (2.53 fl oz)                                                                      or neti pot device


                Approximately 1 mL                                                                                                Approximately 1 mL       240 mL in
DISPENSING                                              Not Applicable            2.5 mm or 3/32”               None              volume in 4 seconds   15 to 20 seconds
                volume in 4 seconds

                                                       Water soluble and        Positive pressure flow                              Preservative free
                                                                                                                                                        Pulsating Positive
                 Preservative free                      saline based gel       mobilizes and removes                                buffered saline
                                                                                                         Keeps squeeze bottle                            Pressure flow
                  buffered saline                      with aloe vera and      thick mucus and crusts                              safe and natural.
ADVANTAGES                                                                                                 and Neti Pot dry                              mobilizes and
                 moisturizer for dry                 sodium hyaluronate is      and at the same time                                No pressure or
                                                                                                              and clean                                  removes thick
                  nasal passages                    an excellent moisturizer       controls the flow                               pain with specially
                                                                                                                                                        mucus and crusts
                                                    for dry nasal passages          for little noses                                 designed tip
                                                                                                                                                             Best value
                                                                               Inexpensive, best value                            Comparable or less     compared to other
               Comparable or less than               Best value compared
   COST                                                                           compared to any           Very Affordable       than similar saline    Electric Pulsating
                similar saline sprays                 to other nasal gels
                                                                                    other system                                        sprays          Nasal Wash Systems
                                                                                                                                                         as of August 2011
                                                                                                                                   Order directly
                                                                                                                                  from NeilMed®
                                                                                                                                   by phone, fax
AVAILABILITY

                                                                                                                                     or online

                                                                                                                                       www.neilmed.com                   25
                                               PRODUCTS                    NE
                                                                             W
                                                        Nasal Sinus Allergy

                                                                                                                     Drug
                                                                                                                     Free
                                                   Sterile • Preservative Free • pH Balanced
                                                  Buffered • 3 Specially Designed Nozzle Tips
                                                        Soothe, Moisturize & Cleanse
                                                                                                       Dr. Mehta’s
                                                                                                           LVLP
                                                                                                        Rinse Tip™




                             NOW with Dr. Mehta’s LVLP Rinse Tip™ (Large Volume Low Pressure) - Patent Applied
     Available at select chains nationwide or through Distributors or Wholesalers at all pharmacies
         Independent Pharmacies, Call: McKesson, Amerisource Bergen, Cardinal or your local distributor




NeilMed® Pharmaceuticals Inc., 601 Aviation Blvd, Santa Rosa CA 95403 Toll Free 1-877-477-8633 Fax: 1(707) 525-3785 www.neilmed.com

26                            www.neilmed.com/rebate                              SinusRinse                         NeilMed
                                               PRODUCTS
                                                               Saline on the Go®                              Dr. Mehta’s
                                                                                                               Nasal Saline
                                                                                                              Nasal Aspirator
                                                                                                                 Combo™


                                                      Sterile Saline Ampoules
                                                    For Congested or Dry Noses
                                                        Babies, Children & Adults
                                                       Preservative Free, Drug Free,
                                                     Isotonic Sterile Saline Solution
                                                              with an easy twist off top
                                                             and is convenient for home,
                                                             nursery, school, playground,
                                                                travel & hospital use.
                                                                     BULB          EMPTY VIAL
                                                                   ASPIRATOR         CAN BE                       New design
                                                                   NO LONGER        USED AS A
                                                                    NEEDED         DISPOSABLE                    of the nostril
                                                                                   ASPIRATOR
                                                                                                                Patent Applied
    For ages 6 months and up                 (Ages under 6 months, please consult your physician)
  Available at select chains nationwide or through Distributors or Wholesalers at all pharmacies
         Independent Pharmacies, Call: McKesson, Amerisource Bergen, Cardinal or your local distributor




NeilMed® Pharmaceuticals Inc., 601 Aviation Blvd, Santa Rosa CA 95403 Toll Free 1-877-477-8633 Fax: 1(707) 525-3785 www.neilmed.com


                                                                                                    www.neilmed.com               27
                                               PRODUCTS
                                                                       SINUFLO                 ®

                                                                      READYRINSE                   ®




                                                    READY SOLUTION
                                                          No Mixing Necessary
                                                                 REUSABLE BOTTLE
                                                                    Now a Soothing
                                                                  Nasal Rinse Solution
                                                                 that’s as easy as 1-2-3 !
                                                         Original & Patented SINUS RINSE™
                                                 for Large Volume and Low Pressure™ Therapeutic and
                                               Preventive Buffered Saline Nasal Irrigation, Moisturization
                                                                and Daily Nasal Hygiene
                                                     Available in 2 sizes: 240 mL (8 fl oz) and 480 mL (16 fl oz)
                                                           Buffered Saline Solution in a Reusable Bottle
                                                            with NeilMed® SINUS RINSE™ Packets
                                                      (Additional packets available at your local pharmacy)
     Available at select chains nationwide or through Distributors or Wholesalers at all pharmacies
         Independent Pharmacies, Call: McKesson, Amerisource Bergen, Cardinal or your local distributor




NeilMed® Pharmaceuticals Inc., 601 Aviation Blvd, Santa Rosa CA 95403 Toll Free 1-877-477-8633 Fax: 1(707) 525-3785 www.neilmed.com

28
                                               PRODUCTS                                                           NE
                                                                                                                    W
                                                                                    ™

                                                                                        Cordless
                                                                          Pulsating
                                                                         Nasal Wash
                                                                            • Nasal & Sinus Care
                                                                            • 5 Years of Unconditional
                                                                              Manufacturer’s Warranty
                                                                            • 120 Days Money Back
                                                                              Guarantee

                                                                                                            30
                                                                                                  With



                                                                                                            Premixed
                                                                                                             Packets

                                 Independent Pharmacies, Call: McKesson, Amerisource Bergen, Cardinal or your local distributor




NeilMed® Pharmaceuticals Inc., 601 Aviation Blvd, Santa Rosa CA 95403 Toll Free 1-877-477-8633 Fax: 1(707) 525-3785 www.neilmed.com


                                                                                                     www.neilmed.com              31
                PHYSICIAN & CUSTOMER TESTIMONIALS
“In the management of patients with chronic sinusitis, and in      Thank you for improving the health and life of my entire family. My

that nasal saline irrigation is an extremely important component   ing a nasal rinse stops the reaction and gives her break. She barely
of the overall management protocol. By instituting active,         ever needs antihistamine/allergy tablets any longer. My son suf-
aggressive saline irrigations early in the post-operative period   fered from chronic runny nose during the winter months. Nothing,
and continuing for 4-6 weeks, my patients do much better,          including a sinus operation, helped. We now give him a nasal rinse
heal more quickly and require much less active debridement.        in the morning and about 1/2 hour before he goes to bed. I use a
NeilMed’s SINUS RINSE™ Kit has been the perfect tool for           nasal rinse during the winter months to keep my nasal passages
the majority of my patients using saline irrigation. I routinely   hydrated in dry heat of forced air. My daughter can`t wait until she
recommend NeilMed’s SINUS RINSE™                                   can do a nasal rinse, too.
management tool if I am considering saline irrigation as a part
of my sinus treatment protocol.”
                                                                   “Thank you for creating amazing products. I have severe sinus
                                                                   problems, and without NeilMed’s SINUS RINSE™ I would be
                                                                   suffering so much more. I use it religiously, everyday.”




                                                             ™                                     A simple hygienic way
                                                                                                  to air dry & neatly store
                                                                                                    the SINUS RINSE™
                                                                                                    bottle, cap and tube.




 Stores 100 Packets, and                                                                            available
                                                                                                    in the
                                                                                                    following
   holds and dries either             Available                                                     colors:
  SINUS RINSE™ bottle
 & cap or Neti Pot device.
                                         At:

32
                          PRODUCTS


                                            Neti Pot
                               Porcelain                • Simple
                                                    • Affordable
                                                      • Effective
                                                  • Plastic Free

                                                     Available At:


             Order directly from NeilMed® by phone, fax or online
NeilMed Pharmaceuticals Inc., 601 Aviation Blvd, Santa Rosa CA 95403 USA
         ®

     Toll Free 1(877) 477-8633 Fax: 1(707) 525-3785 www.neilmed.com
                                                              www.neilmed.com   33
                                  ORDERING INFORMATION
     USA - HEAD OFFICE             CANADA                             UNITED KINGDOM                     IRELAND/EUROPE
     & MANUFACTURING               PO Box #3553,                      PO Box #2853, Coulsdon,            PO Box #2853, Coulsdon,
     601 Aviation Blvd.,           Markham, ON L3R 6G8                Surrey, CR5 2WN, UK                Surrey, CR5 2WN, UK
     Santa Rosa, CA 95403          Toll Free: 1(877) 477-8633         Toll Free:                         Toll Free: 00800 722 00027
     Toll Free: 1(877) 477-8633    Tel: +1(905) 480-0202              +44 (0) 800 032 6073               Fax: +44 (0)207 900 6414
     Tel: +1(707) 525-3784         Fax: +1(905) 480-0201              Tel: +44 (0)208 660 9447
     Fax: +1(707) 525-3785                                            Fax: +44 (0)207 900 6414
     www.neilmed.com                                                  www.neilmed.co.uk
     AUSTRALIA                     NEW ZEALAND                        SINGAPORE                          INDIA
     12/354 Chisholm Rd,           PO Box #25310,                     66 Tannery Lane,                   Suite 1 C, #118 Neil Rao
     Auburn, NSW 2144              St. Heliers,                       #01-02D Sindo Building             Towers, Road #3 EPIP Zone,
     Toll Free: 1800 158 900       Auckland 1740                      Singapore 347805                   Whitefield,
     Tel: +61 1300 652 148         Toll Free: 0800 634 5633           Tel: +65 (0)6 221 8948             Bangalore 560066
     Fax: +61 (03) 8677 9989       Tel: +64 (0)9 570 7279             Fax: +65 (0)6 491 5930             Tel: +91 80 4161 3512
     www.neilmed.com.au            Fax: +64 (0)9 353 1430                                                Fax: +91 80 4160 5707


We’re making rebates easy, too! No postage. No mailing. No hassle.
                        1) Take a photo (via smartphone or digital camera) of readable receipt and UPC barcode
                          from the NeilMed product box. Save the photo to an easily accessible location on
                          your PC or smartphone.
                        2) Smartphone users (Blackberry, iPhone, Android or others): Scan this QR code.
                           You will be directly linked to rebate form or visit www.neilmed.com/rebate
                           OR PC or Mac users: visit www.neilmed.com/rebate
                        3) Fill in the contact information. 4) Select product name. 5) Select applicable promotion or
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           RETAIL GUARANTEE                                                 MISSING OR DAMAGED PARTS
 90 DAYS FULL MONEY BACK GUARANTEE.                                      If any components of NeilMed® products are missing
 Please return the product within 90 days of purchase.                   or damaged, please do not return them to the place of
 You must write the reason for return and mail back all                  purchase. Instead, email us at questions@neilmed.
                                                                         com or call our USA customer service department
 billed amount or the price you paid after discounts.                    at                                                  .
 Please visit our website for current information.                       We will send you the replacements for FREE.

34

				
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