Teaching patients to use nasal sprays | BMJ Learning
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- Опубликовано: 8 сен 2024
- 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.
Wow. This is something that honestly should be graphically showed on every box.
You can imagine how big pharma profits plummet as the patients gets more informed about this
No company wants to give people more ways to sue them, by making non-crucial statements that open up more space for mistakes.
Need a QR code for this video on the directions
I just followed the instructions on the little paper manual in the box and it worked.
@@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?
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!
Trust me, mate, you are not the only one.
Its probably 99% of people...
Hey I'm here too
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!
And to think all you had to do was read the instructions...🤡
Odd that no one seems to think it is important to tell you this when prescribing a nasal spray.
@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
@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
@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?
My pharmacist showed me this exact same way to spray my nasal meds when I filled the script.
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
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🙏
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!
hope you feel better now!
@@angelmonroy3012 I do! Thank you 😁
Same here.
I would say from someone who had suffered from permenant nose problems ,this is the best tutorial for using sprays on internet !
Well done
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 😂
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
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!
LMFAO
Just make sure your stomach is coming out when you breathe in and goes in when you exhale😊
This video showed randomly up in my recommendations. Glad to have learned how they actually work.
This makes so much sense! I was told to breathe deeply when spraying the bottle. Been doing it wrong for years!
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!
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!
Just got some nasal spray and went right back to this video. What a difference!!
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! 🤣
It's not just outward, it's also more towards the back of the head. Good luck
if you resist the snort it wont taste (as) bad! :)
Dymista ugh 😩😩😩 the "lovely"taste it has ,you can never forget it
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!
I'm in my 40s and I finally learned how to use nasal sprays. Thank you.
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.
Valuable lesson after years on this world.
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!
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...
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 !!
Try citri drops nasal spray
the spray is fine, but to truly clear out the "crap" so to speak, nothing keeps me clear like a sinus rinse.
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!
thanks for crystal clear instructions, especially for opening a tip before spraying - I just realised why these sprays didn't work my entire life :)))
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 !
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.
I have never ever read that. Not that I could if I tried. It's too small for me.
Excellent demonstration, diagrams, explanation to make things clear to ignorant patients. The diagrams plays a super role in teaching and learning. 👌
"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.
Why double spacing looks so ugly..
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.
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
Przy niektórych lekach należy przepłukać gardło.
I was wondering why this appeared in my recommendations but it is actually helpful and well explained.
Was doing it the wrong way till date. May Allah help our doctors spare time to engage people on right way of taking medicine
Easy and clear. And today I am sick and just bought a bottle. Perfect timing.
Found this out on a dr Karan video but this helps even more man that’s frustrating that it isn’t taught when prescribing
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!
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......
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...
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 !
I'm so glad British Matt Stone took time out of his day to teach us how to use nose sprays properly.
Wow, I had no idea and have obviously been doing it wrong. Thanks so much!
I have started to get more allergies than normal. This is a huge help. Hoping this will help.
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.
You are a big help. I tend to swallow the spray/mist everytime
I got my stuff delivered discreetly by this mycologist whose get lsd, dmt, mushrooms and more
They're on Telegram and Instagram..
@Pham_smart11
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..
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.
That was very helpful, I have a nasal spray but forgot how to use it. I no longer have the packaging.
Watch it 20 times
who tf downvotes such a useful video? (14 so far)
BIG THANKS for the vid!!
How do you know how many downvotes a video has. Is there some trick to see the count?
The virtual image really shows exactly how it's supposed to be done where it sprays
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!
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💯
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.
I love how serious they're both sitting there 😂
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.
Muchas gracias por su explicación, muy útil ❤👏👍
Definitely needed this, since this is a first time I've used this.
Wow, thanks for this. I just got given a nasal spray and I was using it wrong.
Thank you so much for the explanation😢 I have been using it the wrong way since I can remember!!!
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.
Exactly ,everyone says differently 😢confusing
That was very helpful. Thank you very much. I was told to aim for the eyeball, but they didn’t tell me which eyeball
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!
I expected to know it right but did not expect the no sniffing part after spraying, thx for the info.
Much better than the instructions given with the spray, especially the angling of the spray to one side.
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
Short and sweet video... Time also not wasted by talking all rubbish.. Directly it was explained to the point.. Thanks for the vdo doc. ❤
Wow thank you so much, wish all doctors/pharmacist know about this video. It’s been really helpful
Incredibly helpful video. I've been using nasal spray wrong for 3 years apparently.
simple explained with good visuals. liked it very much.
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" 😂
Uhh, at 1:36 he is clearly pointing it medially but then the 3D animation shows to point it laterally.
see thats what I thought, so what's supposed to be done?
He went up then tilted to the side
big help for my allerghic rhinitis
Thank you for this valuable information, helps me a Lot. Great, Thanks Again ❤
I always used it wrong, no wonder I had to use a lot! Many thanks!
Thanks for this my nose is clogged up and I can’t breathe from it so I hope this does the trick
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
For me dymista is the best ❤but it taste horrific
Terimakaih 😊, akhirnya saya bisa menggunaknya dengan benar .
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
Certainly is helpful enough for me😊👍🏾. My spray bottle is almost empty ,been spraying nasal walls!🤦
How important detail ! Thanks so much
Thank you for this! I have to use the nasal spray for two months 😅
I'm impressed at how many people did not read the "How to" section of their nasal sprays. Good thing this video exists 😄
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…
@@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
Better to know now than never. Hopefully i remember this.
Informational and To the point. Fantastic.
Starts at 1:40
Wow. This makes all the difference. Thank you for posting this!
Thank you ❤😊
I was able to do it properly. Thanks for this!
This is great animation
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).
thank you algorithm this is actually really helpful
That's great and all but if they wanted to support proper form they should make the nozzle longer and at an angle.
Ty so much no wonder they’ve never worked for me
Thank you 1000 times over!!!
So, should I aim it towards the bridge or away from the bridge?
The demonstration and the animation did things completely opposite..
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...
Thanks for this. I used a nasal spray for the first time and it's effective.
TIL I've been using nasal spray wrong all my life. Thank you very much for the info :)
AMAZINGLY RELEVANT
Helpful. Thank you
Aiming the tip right to the septum is going to predispose patients to have epistaxis. the tip should look a bit laterally
Makes sense however I have used sprays wrongly all my life. Thank you for uploading.
☘️🌝🌲
Such a helpful video! Thank you.
I've come to realize what the video showed for some time now, but mostly because I've been using it for far too long! I can get congested due to allergies but also from temperature change or dryness. I'm probably a lost cause from traditional remedies and will soon be looking into more modern methods I guess of treating a stuffed up nose.😢