Sign Out
Nasal Spray Device: Indicator: One device contains 2 sprays. (1 spray for each nostril); 2 green dots (0 mg delivered): Device Full; 1 green dot: One spray delivered; No green dots (28 mg delivered): Device empty.
Step 1: Get ready: Before first device only: Instruct patient to blow nose before first device only.
Confirm required number of devices: 28 mg = 1 device; 56 mg = 2 devices; 84 mg = 3 devices.
Step 2: Prepare device: Healthcare professional: Check expiration date ('EXP'). If expired, get a new device. Peel blister and remove device.
Healthcare professional: Do not prime device. This will result in a loss of medication.
Check that indicator shows 2 green dots. If not, dispose of device and get a new one.
Hand device to patient.
Step 3: Prepare patient: Patient should: Hold device with the thumb gently supporting the plunger. Do not press the plunger.
Patient should: Recline head at about 45 degrees during administration to keep medication inside the nose.
Step 4: Patient sprays once into each nostril: Patient should: Insert tip straight into the first nostril. Nose rest should touch the skin between the nostrils.
Patient should: Close opposite nostril. Breathe in through nose while pushing plunger all the way up until it stops.
Patient should: Sniff gently after spraying to keep medication inside nose.
Patient should: Switch hands to insert tip into the second nostril. Repeat Step 4 to deliver second spray.
Step 5: Confirm delivery and rest: Healthcare professional: Take device from patient. Check that indicator shows no green dots. If you see a green dot, have patient spray again into the second nostril. Check indicator again to confirm device is empty.
Patient should: Rest in a comfortable position (preferably, semi-reclined) for 5 minutes after each device. Do not blow nose. If liquid drips out, dab nose with a tissue.
Next device (if required): Healthcare professional: Repeat Steps 2-5 if more than one device is required. Ensure that patient waits 5 minutes after each device to allow medication to absorb.
Dispose of used device(s) in accordance with local requirements.
