Teaching patients to use nasal sprays | BMJ Learning

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Intranasal corticosteroids are the most effective medication for hay fever, but patients need to use their nasal spray correctly to feel the full effects.
Here, Guy Scadding, Consultant Allergist, Royal Brompton and Harefield Trust NHS, demonstrates how to teach a patient to use a nasal spray.
For more on treating hay fever, take BMJ Learning's 1-hour course: bit.ly/nasalsp...
After completing this course you should:
- Understand the stepwise approach to the treatment of patients with hay fever, and the different treatments available
- Recognise when oral corticosteroid use may be necessary
- Understand the role of nasal saline irrigation in the treatment of hay fever
- Know the treatment options available for pregnant women and children with hay fever
- Recognise when referral for immunotherapy may be appropriate.

Опубликовано:

9 сен 2024

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Комментарии : 411

@CanIHasThisName 8 месяцев назад

Wow. This is something that honestly should be graphically showed on every box.

@Forgotten_Foods 8 месяцев назад

You can imagine how big pharma profits plummet as the patients gets more informed about this

@stanislavdimitrov8800 8 месяцев назад

No company wants to give people more ways to sue them, by making non-crucial statements that open up more space for mistakes.

@mommingpursuit 7 месяцев назад

Need a QR code for this video on the directions

@matt92hun 7 месяцев назад

I just followed the instructions on the little paper manual in the box and it worked.

@deiterp3912 7 месяцев назад

@@Forgotten_Foods Always going after the low hanging fruit with big pharma "for profit company wants profit" like that's some high IQ take. It would actually be interesting if anyone who has ever said that gave specific reasons instead of huge generalizations. I'm sure big pharma is making crazy profits off... not having a diagram on nasal spray? You do realize most pharma profits are from patented medication, right?

@michellem9392 11 месяцев назад

I've been using nasal sprays all wrong for decades. Now I don't get that bitter taste at the back of my throat. I appreciate this video!

@smrduty_tchor 8 месяцев назад

Trust me, mate, you are not the only one.

@tiortedrootsky 8 месяцев назад

Its probably 99% of people...

@soumikpaulthebeast 8 месяцев назад

Hey I'm here too

@gallahant 8 месяцев назад

I think all of us use them wrong, because the damn doctors that prescribe them to us, never teach us how to properly use them!

@snorman1911 8 месяцев назад

And to think all you had to do was read the instructions...🤡

@Hannodb1961 8 месяцев назад

Odd that no one seems to think it is important to tell you this when prescribing a nasal spray.

@AzafTazarden 8 месяцев назад

@arnod.1421Not really, the patient will use as much as the doctor prescribes whether they use it correctly or not, so they'll always buy the same amount

@AzafTazarden 8 месяцев назад

@arnod.1421 but they won't use more if they don't even know they're using it wrong unless they use more than the prescribed amount. Otherwise they'll just think the spray doesn't really work

@AzafTazarden 8 месяцев назад

@arnod.1421 If a medication doesn't work as well as you expect it to you just take more instead of talking to your doctor? Is that how you treat your health?

@DJ-nh6wq 8 месяцев назад

My pharmacist showed me this exact same way to spray my nasal meds when I filled the script.

@citrine_sunset 8 месяцев назад

this exact description is usually right one the instructions. i got them in the bag with prescriptions, and get them in the box for OTC, at least for both flonase and astepro & their generic versions. we need to normalize reading directions as a society lol

@rxnnnz9698 8 месяцев назад

Wow i've been using it wrong my whole life. Thank you random doctor from the internet for explaining something that none of the doctors I've seen, including specialists, did🙏

@LJ808 10 месяцев назад

Oh wow, I really have been doing this wrong for years. This is a huge help, especially since my doctor recently prescribed two nasal sprays for me. Thank you so much!

@angelmonroy3012 8 месяцев назад

hope you feel better now!

@LJ808 8 месяцев назад

@@angelmonroy3012 I do! Thank you 😁

@scottdenise32 День назад

Same here.

@manaf52 9 месяцев назад

I would say from someone who had suffered from permenant nose problems ,this is the best tutorial for using sprays on internet ! Well done

@Jackiecarlet 8 месяцев назад

So I use Flonase and have for many years. Works great. I read the directions on the pamphlet years ago and this is exactly how I do it. I CANT BELIEVE I DID IT RIGHT 😂

@molamolalaaa2968 8 месяцев назад

This makes so much sense! I was told to breathe deeply when spraying the bottle. Been doing it wrong for years!

@ZedUndSonstNichts 7 месяцев назад

This video showed randomly up in my recommendations. Glad to have learned how they actually work.

@artimisrok313 7 месяцев назад

When I followed the spray instruction for Zavzpret I ended up with my all of my emergency migraine medication down my throat. And unfortunately the medication is so awful I vomited. I tasted that medicine in my throat for the rest of the day and was sick and miserable. Scared me for weeks to try it again. Did it like you said and had no problems. Super grateful

@AishaKyes 8 месяцев назад

at this point I think I'm even breathing incorrectly 😂 I stumbled upon this randomly but I will make sure to use it that way when I have the need to!

@extremeheat9283 7 месяцев назад

LMFAO

@maabrar8577 Месяц назад

Just make sure your stomach is coming out when you breathe in and goes in when you exhale😊

@Steve_in_NJ 8 месяцев назад

I've been tilting my head back all these years on Flonaise. I'm going to do it the "right" way as soon as I press "Comment". Thank you!

@lindaj5492 8 месяцев назад

I was taught this by the ENT Consultant: seems counterintuitive to aim outwards, but he explained why, just as in this video. I’m going to check whether the info that comes with the spray includes a diagram - it should!

@vermine18 7 месяцев назад

Just got some nasal spray and went right back to this video. What a difference!!

@Telukin 8 месяцев назад

I am a regular Dymista user, and I was aiming directly up (90 degrees to the floor). I'll certainly try angling outward and see how that goes! Very hard to resist the post-nasal drip snort however! 🤣

@limiv5272 8 месяцев назад

It's not just outward, it's also more towards the back of the head. Good luck

@TheKnaeckebrot 8 месяцев назад

if you resist the snort it wont taste (as) bad! :)

@Србомбоница86 3 месяца назад

Dymista ugh 😩😩😩 the "lovely"taste it has ,you can never forget it

@_R8x_ 7 месяцев назад

I'm in my 40s and I finally learned how to use nasal sprays. Thank you.

@tope9885 6 месяцев назад

Thanks so much, I got a nasal spray today, been trying to figure out how to use it properly all day, later in the day randomly saw this, and now my premium air package has been restored.

@riot768 6 месяцев назад

Honestly this is such a simple video but so helpful. I feel like many doctors and pharmacists give nose spray and most people don't know how to correctly use it. Years of just swallowing my nose spray. Thank you!

@KarelCudej007 8 месяцев назад

Valuable lesson after years on this world.

@piggysister01 8 месяцев назад

My nasal spray has never worked. Nobody took the time to show me this. I’m not sure I was far wrong but will pay extra attention and hope!

@Ty-J_250 6 месяцев назад

I have had Chronic Sinusitis/Rhinitis for over 10yrs....I've had two surgeries and have tried every nasal spray under the sun - including the strongest ones and nothing worked... I always felt like I wasn't using them properly and often had the liquid just drip back down my throat... thanks a lot of this. I'm going to try to get another subscription. You might have saved my life with this one... hopefully something can work - now that I know how to use them properly. Tired of constantly having a blocked nose everyday and all year round, migraine headaches and more...

@hustleno-filta5373 4 месяца назад

I get them for 6 years now it makes you weak sick and depressed I get pressure on one side of my head the side that is blocked !!

@s.d.7946 Месяц назад

Try citri drops nasal spray

@hengineer 12 дней назад

the spray is fine, but to truly clear out the "crap" so to speak, nothing keeps me clear like a sinus rinse.

@RyanWilliams222 11 месяцев назад

A helpful video, but even the guy demonstrating how to use the nasal spray had it pointed toward his septum when he sprayed it! That was smart to put the animation in right afterward.

@thilagavathig4051 9 месяцев назад

Excellent demonstration, diagrams, explanation to make things clear to ignorant patients. The diagrams plays a super role in teaching and learning. 👌

@andymerrett 7 месяцев назад

"ignorant patients". Sadly that word is used in a derogatory way, which may not have been your intention. However, a patient is only ignorant if they haven't been shown how to correctly administer something, so really, whose fault is it? I'd suggest the manufacturers and doctors are at just as much, if not greater, fault.

@hyperplayer22 6 месяцев назад

Why double spacing looks so ugly..

@_MarianaSilva_ 8 месяцев назад

Nasonex has instructions in its leaflet on how to use the spray correctly, and that's exactly how he teaches. That makes a huge difference, at least for my rhinitis treatment.

@anomonyous 7 месяцев назад

I have never ever read that. Not that I could if I tried. It's too small for me.

@somekindoftactics 8 месяцев назад

thanks for crystal clear instructions, especially for opening a tip before spraying - I just realised why these sprays didn't work my entire life :)))

@SAMANTHACLEGG-xj6sl 5 месяцев назад

Watching this completely turned around the nasal issue I had and even with going privately with a prescription nasal spray from an expensive practioner they did not even show me the correct way to use it. So thank you !

@user-vd5hj8bc4w 7 месяцев назад

Ive tried your way for a couple of days with my prescribed dymista and its such a relief not having that taste after using...Thank you for this great information!

@SiSi-xg1hk 8 месяцев назад

So much more helpful than what you learn at the pharmacy 😅 Mine told me to gargle afterwards though in case any of it gets down my throat...well maybe if I just do it right the first time, I won't need that

@tedemez 8 месяцев назад

Przy niektórych lekach należy przepłukać gardło.

@daadla 4 дня назад

Was doing it the wrong way till date. May Allah help our doctors spare time to engage people on right way of taking medicine

@MAKgargos 7 месяцев назад

Easy and clear. And today I am sick and just bought a bottle. Perfect timing.

@Arouxayis 8 месяцев назад

I'm so glad British Matt Stone took time out of his day to teach us how to use nose sprays properly.

@anomonyous 7 месяцев назад

Yeah... Figured that one out a few years ago, when a fellow nosespray user with sinusitis told me how it should actually be used. She'd been using it wrong for decades. I'd been using it wrong for over a decade and a half. Though slightly different kinds, we both also used regular saline nasal sprays. The conditions due to why I had to use this (and other) medications are harsh enough on my nasal passage and are anything but pleasant. They sometimes give me nosebleeds too. But using these sprays wrong, massively increased the pain, discomfort and bleeds. Her doctor finally decided to tell her how to actually use a spray at one point and she told me... The pain that could've been avoided...

@maribelsoto6552 8 месяцев назад

Found this out on a dr Karan video but this helps even more man that’s frustrating that it isn’t taught when prescribing

@lmboyd3 Месяц назад

I can’t believe I’ve been doing this incorrectly! The slanting of the nasal spray made a world of difference. Glad I found this video. Thank you!

@Spigae 7 месяцев назад

I was wondering why this appeared in my recommendations but it is actually helpful and well explained.

@carolburnett8372 9 месяцев назад

your diagram is the best, when I see where it goes when you spray to the side, this word picture I will not forget......thanks BMJ LEARNING......

@mrq1701 8 месяцев назад

I usually separate the two sprays with a few minutes of delay. I'll spray each nostril once. Then continue to something like brushing my teeth and shaving my face, then I will do the second spray in each nostril. I figure I am less likely to have as much "runoff" that way.

@byrongrimsley500 Месяц назад

The virtual image really shows exactly how it's supposed to be done where it sprays

@maryanndiaz4161 9 месяцев назад

You are a big help. I tend to swallow the spray/mist everytime

@Raye-ml1hx 9 месяцев назад

I got my stuff delivered discreetly by this mycologist whose get lsd, dmt, mushrooms and more

@Raye-ml1hx 9 месяцев назад

They're on Telegram and Instagram..

@Raye-ml1hx 9 месяцев назад

@Pham_smart11

@SzamBacsi 8 месяцев назад

who tf downvotes such a useful video? (14 so far) BIG THANKS for the vid!!

@abc33155 7 месяцев назад

How do you know how many downvotes a video has. Is there some trick to see the count?

@SAMANTHACLEGG-xj6sl 5 месяцев назад

Watching this completely solved my nasal issue which had been a problem for 2 months with side effects of vibrations in my ear. An expensive private ENT doctor prescribed me a nasal spray without these important instructions of directing the nozzle towards the ear. So thank you very much !

@swagon4545 5 месяцев назад

I start my spray tomorrow for the first time.. I'm really glad I come across this video... Like a lot of comments said.. They been doing it wrong for years.. Bless... Honestly my heart go's out to you all... Thanks to the doctor..

@dayesimpson 10 месяцев назад

Wow, I had no idea and have obviously been doing it wrong. Thanks so much!

@_letstartariot Месяц назад

This helped so much. I started losing hearing because my inner ear tubes were getting so swollen. Nasal spray (Dymista) has given my hearing back, and I wanna make sure I take it properly for max efficacy. Doing it this way, I don’t taste the drugs in the spray anymore. Thank you BMJ for posting this type of content.

@mattcool97 8 месяцев назад

Uhh, at 1:36 he is clearly pointing it medially but then the 3D animation shows to point it laterally.

@zcharged8294 7 месяцев назад

see thats what I thought, so what's supposed to be done?

@sanatryalawrence7906 6 месяцев назад

He went up then tilted to the side

@dorotheabriggs4447 11 месяцев назад

That was very helpful, I have a nasal spray but forgot how to use it. I no longer have the packaging.

@dqnsbrgeos5454 10 месяцев назад

Watch it 20 times

@TheKnaeckebrot 8 месяцев назад

I'll try and teach my patients to use the right hand for the left nostril & vice versa, doing this will automatically give a slight outward angle!

@goodtimesbeatz6718 2 месяца назад

Man i have swollen turbinates on my left side i want it to go down ⬇️ some so bad I use Afrin and my humidifier helps alot went to Ent doctor he talked surgery im not ready for surgery lol ..im Praying For us all to have good and safe outcome💯

@nijmegenares 8 месяцев назад

I love how serious they're both sitting there 😂

@ekong59 7 месяцев назад

I used to work in an Allergy clinic and apart from how it was shown in this video, we would also instruct our patients to try and aim to the direction of their ears. We always check their technique at follow up especially if they tell us that the spray did not do its job very much.

@hollybaggett2230 29 дней назад

I have started to get more allergies than normal. This is a huge help. Hoping this will help.

@JohnVanderbeck 7 месяцев назад

This is actually in contrast to the actual directions in my spray which say to only insert just the tip, not "deep". Now I'm left wondering which is correct.

@Србомбоница86 3 месяца назад

Exactly ,everyone says differently 😢confusing

@maubraymzoma6616 Месяц назад

Definitely needed this, since this is a first time I've used this.

@tsram 8 месяцев назад

So, should I aim it towards the bridge or away from the bridge? The demonstration and the animation did things completely opposite..

@bluepawn 8 месяцев назад

I have never heard of this !! I m an idiot all my life. Thanks for this wonderful video specially the virtual video of the head and how it works as i couldn't see on the doctor.

@SylvesterAshcroft88 7 месяцев назад

This makes a lot of sense, but i honestly don't feel like it's stated anywhere on the medication, to use it like this, thanks for the video!

@smyle78 8 месяцев назад

the human demonstration was the same as the wrong one on the example schematic, the direction of the spray was either inwards to the center...

@AboveInShadow 8 месяцев назад

The guy pointed the spray to the septum and the graphic says that's wrong...video fail L

@JamesF0790 10 месяцев назад

Wow, thanks for this. I just got given a nasal spray and I was using it wrong.

@angrydiver_4220 8 месяцев назад

I expected to know it right but did not expect the no sniffing part after spraying, thx for the info.

@Bastian_Jumps 7 месяцев назад

I'm impressed at how many people did not read the "How to" section of their nasal sprays. Good thing this video exists 😄

@echo-hotel 7 месяцев назад

I have no clue where you are from. But none we get in our pharmacy has anything of a description like this. That’s why I was referred here. Most just have a blurry image of it inserted. Another just day to prime, insert then spray. I’m impressed that you believe that there is some instruction on any medication. Doctors are supposed to educate their patients. The drug companies want to point to the doctors as the ones who taught them wrong. The pharmacy gets stuck in the middle and no one listens to the pharmacist as they think their doctor is some all knowing god…

@Bastian_Jumps 7 месяцев назад

@@echo-hotel I didn't mean to call anyone dumb or anything of the sort so no reason to be rude. In Denmark where I'm from the doctors who prescribe the medicine educate us in usage, however so does the worker at the pharmacy and the manual inside the product. At least for the products I've used here. I've been using several different nasal sprays the last couple of months and they ALL included a detailed explanation of how to use. I just assumed it would be the same in other countries since the medicine I have received in other countries also had some sort of manual or important information included. Though these medicines weren't nasal sprays

@BeppeTorped 3 месяца назад

When I first learned about this and how if done correctly you shouldn't taste a thing I taught my friend how to do it correctly aswell and his response was "and I've always just bought the nasal sprays that taste the best" 😂

@sampasdeskva Месяц назад

I almost finished my nasal spray before I saw this video. Thank you! I'm excited to buy my new bottle of nasal spray and finally use it right haha

@stephenmiller8556 2 месяца назад

That was very helpful. Thank you very much. I was told to aim for the eyeball, but they didn’t tell me which eyeball

@amtulwajeed8488 4 месяца назад

Short and sweet video... Time also not wasted by talking all rubbish.. Directly it was explained to the point.. Thanks for the vdo doc. ❤

@victoriab1194 2 месяца назад

Wow thank you so much, wish all doctors/pharmacist know about this video. It’s been really helpful

@royksk 7 месяцев назад

Much better than the instructions given with the spray, especially the angling of the spray to one side.

@thelusogerman3021 8 месяцев назад

0:30 Nasomet... that brings back memories lol. No longer need it thankfully since i had a treatment for my dust allergy. For me though the GOAT of nasal spray is Vibrocil Actilong, the one with the green tip. AND it has to be the drops. The sprays are fine. But the drops will open your nostrils so much you'll be able to smell the future

@Србомбоница86 3 месяца назад

For me dymista is the best ❤but it taste horrific

@marylinheronimo1772 4 месяца назад

Thank you so much for the explanation😢 I have been using it the wrong way since I can remember!!!

@RubenTheCartographer 7 месяцев назад

Another important thing is the correct way to spray it is with you opposing hand, left nostril = right hand. You can see that happening in this video as well (and that the guy in the beginning does not do this correctly).

@narcisaloaizamina7433 8 месяцев назад

Muchas gracias por su explicación, muy útil ❤👏👍

@kolbechowdhury4643 8 месяцев назад

Why the doctor and the animation shows different thing

@user-wp2qn6yo1m 3 месяца назад

I don't find them different though

@CaraVerde Месяц назад

Yeah. They tilted the nozzle outwards in the graphic, but the doc tilted it inwards.

@s1140285 7 месяцев назад

Incredibly helpful video. I've been using nasal spray wrong for 3 years apparently.

@SuperGeminisgirl 8 месяцев назад

simple explained with good visuals. liked it very much.

@m-notes 10 месяцев назад

Thanks for this my nose is clogged up and I can’t breathe from it so I hope this does the trick

@brezzainvernale 7 месяцев назад

I always used it wrong, no wonder I had to use a lot! Many thanks!

@msagist2004 8 месяцев назад

Certainly is helpful enough for me😊👍🏾. My spray bottle is almost empty ,been spraying nasal walls!🤦

@mackenziedrake 8 месяцев назад

Wow. This makes all the difference. Thank you for posting this!

@Erick726 7 месяцев назад

That's great and all but if they wanted to support proper form they should make the nozzle longer and at an angle.

@errolanthony7826 Месяц назад

Thank you for this valuable information, helps me a Lot. Great, Thanks Again ❤

@Eleora1997Msia 8 месяцев назад

my local pharmacist teached me this technique the effective way to the sinus not through the throat, just like how you wash your sinus just launch on lateral side

@abc33155 7 месяцев назад

You are also supposed to shake the bottle gently before each use.

@nkaneti 7 месяцев назад

thank you algorithm this is actually really helpful

@vicky.yy25 11 месяцев назад

Thank you for this! I have to use the nasal spray for two months 😅

@ggpaula6476 Месяц назад

How important detail ! Thanks so much

@canberk8699 8 месяцев назад

Aiming the tip right to the septum is going to predispose patients to have epistaxis. the tip should look a bit laterally

@zden6652 27 дней назад

big help for my allerghic rhinitis

@myspace04 8 месяцев назад

Informational and To the point. Fantastic.

@soumikpaulthebeast 8 месяцев назад

Thank you ❤😊

@PeanutBreathing 8 месяцев назад

Better to know now than never. Hopefully i remember this.

@vzero8612 Год назад

I took saline nasal drop for 2 days and i stopped it when i noticed I was getting hives all over my body it comes and goes. It's been 3 days since I've stopped taking the spray but I'm still getting hives on my body.