p Step 1: Twist tab to open the ampoule or vial. p Step 2: If using on a child, hold baby or child in upright position. p Step 3: Tilt baby or child's head slightly forward. p Step 4: Place the tip of ampoule in the nostril. p Step 5: Press gently to dispense a few drops to moisturize or squeeze as needed to deliver a larger quantity for nasal irrigation. Depending on the size of the nasal cavity, the irrigating saline with mucus will come down from the other nostril. Discard any unused solution. p Step 6: Use up to six times daily as needed or as directed by your doctor.