Dymista Patient Counseling Information

Instruction for Use: Preparing the spray: 1. Shake the bottle gently for 5 seconds by tilting it upwards and downwards and then remove the protective cap.
2. The first time the nasal spray is used, the patient must prime the pump by quirting it into the air.
3. Prime the pump by putting two fingers on either side of the spray pump and place the thumb on the bottom of the bottle.
4. Press down and release the pump 6 times until a fine mist appears.
5. Now the pump is primed and ready to use.
6. If the nasal spray has not been used for more than 7 days, the patient will need to re-prime the pump once by pressing down and releasing the pump.
Using the spray: 1. Shake the bottle gently for 5 seconds by tilting it upwards and downwards and then remove the protective cap.
2. Blow the nose to clear the nostrils.
3. Keep the head tilted downwards towards the toes. Do not tilt head backwards.
4. Hold the bottle upright and carefully insert the spray tip into one nostril.
5. Close other nostril with a finger, rapidly press down once and sniff gently at the same time.
6. Breathe out through the mouth.
7. Repeat in the other nostril.
8. Breathe in gently, and do not tilt the head back after dosing. This will stop the medicine going into the throat and causing an unpleasant taste.
9. After each use, wipe the spray tip with a clean tissue or cloth and then replace the protective cap.
10. Do not prick the nozzle in case spray is not obtained. Clean the actuator with water.