Large Volume Rinse Tip for Nasal & Sinus Rinse: This tip can be used for ages 5 and up. Apply the special conical lavage tip and follow the instruction in next paragraph. Special Instructions for Large Volume Rinse: Stand in front of a sink, bend forward to comfort level and tilt your head down. Keep your mouth open and, without holding your breath, place the tip snugly in the nostril and squeeze the actuator until the solution starts draining from the opposite nasal passage or from your mouth. Allow the flow to continue for 2 to 3 seconds. Do not swallow the solution. Blow your nose gently, without pinching your nose completely, to avoid applying pressure on your eardrums. If tolerable, sniff in any residual solution remaining in the nasal passage once or twice prior to blowing your nose. This may clean out the posterior nasopharyngeal area, which is the area at the back of your nasal passage. At times, some solution may reach the back of your throat. If so, please spit it out. To help improve drainage of any residual solution, blow your nose gently while tilting your head to the side. Now repeat these steps on your other nasal passage.