Breath·Ease XL nasal wash system with lavage bottle.

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• Each package contains.
• What is Breathe·Ease XL™ used for?
• Lavage® Nasal Wash Bottle.
• For use with the Grossan Sinus Irrigator.
• Calibrated Measurement.
• Warm Saline.
• Fresh.
• Benzalkonium.
• References.
• Click here to purchase

Breathe-Ease XL™ is a complete sinus care program. The nasal wash system with lavage bottle includes everything needed for a proper nasal irrigation technique and can be used by children as well as adults. Breath-ease XL gently washes away allergens, dust, and pollens. This quick easy to use system may be used anywhere at any time. It is designed for easy upright use and individual pressure control. Doctor developed and recommended for allergy and sinus conditions. 

Breathe·Ease XL™ solution addresses the source of ear and sinus infections. It also stimulates the body's own washing of the nose reducing problems with allergies and asthma.

Each package contains: 

• 190gm of Breathe-ease XL powder for nasal solution. 
• Hypo Allergenic lavage bottle with Form Fitting Nasal Cap. 
• Measuring spoon - white - for mixing with bottled or filtered water for spray or irrigation.
• Abstract from the best selling book The Sinus Cure, by Dr.Grossan.

What is Breathe·EaseXL™ used for?

Saline nose drops are needed for most nasal and sinus conditions and are recommended for dryness, crusting, and as an aid to normal nasal function. Saline rinses can also be used to prevent and treat nose bleeds.

The nose is supposed to moisten inhaled air, helping to maintain a moist environment for the cilia in the sinuses. These cilia are the body's first line of defense against infection. The moist, mucous environment also forms a pathway for the good white cells to reach the bad bacteria that may attempt to infect the body through inhalation.

Any dryness, itching, or crusting in the nose means that a moisturizer is needed for the nose to do it's job. Saline had always been considered the most common, safe, and simple such moisturizer. Today we know that the preservatives that must be added to insure a long long shelf life can be harmful or irritating to the nose, especially when the nose is irritated already. So it is important to avoid any of these preservatives that might irritate an already sore nose. So Breathe·Ease XL™ was developed as a means of providing a solution for the dry irritated nose free of irritating preservatives.

The purpose of saline type sprays or rinses is to restore normal cilia function. Professor Wilbert M. Boek of University Hospital,  reported that certain solutions containing potassium chloride, calcium chloride, sodium bicarbonate, and salt were much better for restoring nasal/sinus cilia than those without these ingredients. Clinical experience has borne this out. Breathe·Ease XL™ is a formula based on Professor Boek's findings. He showed that a product called Locke-Ringer's solution, used in the hospital for intravenous administration to patients needing fluids did a better job of restoring cilia function than physiologic saline. Plus he cautioned against the use of some of the preservatives that can harm the delicate nasal membranes.

Breathe·Ease XL™ is especially designed for use by the child. The incidence of children with sinusitis is increasing at an alarming rate. Many of these children could be helped by regular use of moisturizer solution.

Lavage® Nasal Wash Bottle:

For years we have advocated using pulsatile irrigation for chronic sinusitis, nasal congestion and after exposure to excess dust, diesel fumes, certain industrial chemicals. What was needed was a portable system that would remove the foreign products from the nose and help restore the cilliary function. The Lavage® Nasal Wash includes every thing needed for a proper nasal irrigation (lavage) technique and can be used by children as well as adults. This Lavage unit is very easy to use, inexpensive and durable. One package can be used for about 80 treatments, unlike the other nasal wash devices that are used once and need to be replaced. Key features of the Lavage bottle include:

• Designed for easy use and pressure control.
• Unique bottle design allows for upright use. 
• Hypo allergenic.
• Bottle is designed for easy visual inspection and hygiene. 
• Form fitting nasal cap for comfort and to properly seal the nostril. 
• Measurements on bottle for accurate mixing of irrigating solutions. 
• Measuring spoon for precise measurements and may be used to mix the solution.

For use with the Grossan Sinus Irrigator:

Experience has shown that when the Breathe·Ease XL™ formula is used for Grossan Sinus irrigation, patients get better clearing of sinus infection and post nasal drip. This is because there is no iodine, preservatives, or silica in the formula. The measuring spoon allows for accurate measure. Add one teaspoon of Breathe·Ease XL™ to a pint of water in the Water Pik basin. Stir, then use as directed to restore cilia and remove purulent material.

Calibrated Measurement:

Many worry about mixing the right amounts of saline. One teaspoon can vary enormously, as much as 40 % in one study. Here the teaspoon is exactly measured so there is no mistake.

For use with the Grossan Sinus Irrigator you get over 60 day's supply. With this special formula, and because there are no preservatives, silica, or iodine, many patients require less days of irrigation.

Warm Saline:

Every doctor tells you to irrigate with warm saline. Warm solution helps bring more circulation to the area, and besides, it feels good. Yet, some solutions with additives can only be used at room temperature.

Fresh:

For many customers once they have opened the store bought saline solution and carried it about for weeks, they no longer consider it to be fresh and toss it to buy a fresh bottle. Part of this has to do with the preservatives giving a "smell" kind of sensation. With Breathe·Ease™ you know its fresh because you make it every week.

Benzalkonium:

The preservative Benzalkonium Sodium causes problems with nasal sprays. Around 1985, it was noted that the number and severity of cases of rhinitis medicamentosum was increasing with increased use of benzalkonium, an antibacterial preservative found in most over-the-counter prepared saline nasal spray products. Rhinitis medicamentosum means that the nose gets stuffy and congested after use of nose drops such as oxymetazoline (Afrin®). The more the nose drops are used, the more "rebound" when the drug wears off, that is, the worse the patient gets after the drops wear off, requiring more and more use of the drops. The drops become effectively addictive, and worse, the nose is always stuffy anytime the drug is not active in the nose. 

Next, it was discovered that you could get rhinitis medicamentosum just form the Benzalkonium alone, as well as saline with Benzalkonium. So, it wasn't the nasal medication oxymetazoline that was responsible, but the Benzalkonium. The oxymetazoline did shrink the nose nicely, but the benzalkonim caused a rebound congestion.

These additive problems are so important that the Dannemiller Memorial Educational Foundation gives special training to doctors on this subject. This training emphasizes that if you are allergic or have an infection, the additives can be more irritating than when you are "normal".

References: 

Physiologic and hypertonic saline solutions impair ciliary activity in vitro. Boek WM. Laryngoscope, 109(3):396-9 1999 Mar.
Physiological salt solution (0.9%) was found to slow cilia movement. Locke-Ringers solution with soda bicarbonate, potassium and calcium chloride, and salt was found best for cilia. "This solution is more appropriate than saline for nasal irrigator and nebulazation or sinus lavage." He reported complete ciliastasis with some hypertonic solutions, often within 5 minutes of exposure.

Benzalkonium chloride in a decongestant nasal spray aggravates rhinitis medicamentosa in healthy volunteers. Clin Exp Allergy.1995; 25:957-965. 
Benzalkonium chloride induces mucosal swelling, which explains why the presence of this preservative in a decongestant spray aggravates nasal/sinus symptoms

Effects of topical nasal steroids on human respiratory mucosa and human granulocytes in vitro. Steinsv¡ag S. Acta Otolaryngol (Stockh), 116(6):868-75 1996.
"It is concluded that benzalkonium chloride has toxic effects on human respiratory mucosa and human neutrophils in vitro."

Effect of topical corticosteroids and topical antihistaminics on ciliary epithelium of human nasal mucosa in vitro. Hofmann T. HNO, 46(2):146-51 1998 Feb.
"An irreversible cessation of ciliary movement was observed in all cells exposed to nasal sprays containing benzalconium chloride....." "we recommend that this preservative should not be used anymore in topical nasal medications."

The effects of topical nasal steroids on rat respiratory mucosa in vivo, with special reference to benzalkonium chloride. Berg OH. Allergy, 52(6):627-32 1997 Jun.
"In conclusion, benzalkonium chloride appears to be potentially toxic to the nasal mucosa."

A clinical trial of hypertonic saline nasal spray in subjects with the common cold or rhinosinusitis. Adam P. Arch Fam Med, 7(1):39-43 1998 Jan-Feb.
Hypertonic saline does not improve nasal symptoms or illness duration in patients with the common cold or rhinosinusitis. Thirty two percent of users noted burning and wouldn't use the product again.