@irenea8 hi Irene..
I attached a pic of box of syringes…. let me know if you’re able to read it clearly… I think I’ll find a link for you too and send it. I used to sterilize syringes and it was a pain in the butt but with these you just use it once and throw it away. you get 50 in a box it’s wonderful. It’s bad enough. We have to sterilize all our equipment every day, although I do mine every 14 days cause I have a lot of aerobics and cups and everything so I gather them and hold them until one big sterilizing session maybe every 10 to 12 days otherwise I would become very irritated and feel like I’m in bondage to this thing. It works out good that way it’s worth the investment. you use NeilMed sinus rinse for nasal rinses. It comes in packets that you can buy a boxof. you use sterile water, one cup , and open one little packet and mix it in. You can stir it with the sterile syringe. Each syringe is wrapped in plastic and is to be thrown out after Use ….make the water room temperature or slightly warm. Insert syringe slightly into one nostril at a time and squirt it in….and let it go all the way up gently and out your mouth. U bend your head over sink and it should come out of your mouth.. would you get the technique down? It’s a breeze. I’m gonna send you a link for it if I can’t find it, There is a tutorial on Lung Matters of how to do it then you switched to the other nostril it’s part of the protocol. It clears out all that crap that’s in your sinuses that could drip down into your lungs and cost infections. Also it’s like another layer of protection. It really feels good too because after you do it, you feel really clean up in your head, especially in Pollen season.
The levalbuterol Opens up the airways. I use it occasionally, but if I use it too much my muscles and joints hurt and if you look up side effects of it, it can do that. It doesn’t make me nervous the way albuterol would… but I don’t like the way it makes me feel …so I only use it when I think I really need it. I usually can get a lot up doing the squeeze without it. If I do use it I nebulize it first, and then I use the saline. I do not mix them together.

@irenea8 this is the sunus cleaning link
https://selfmatters.institute/2021/03/09/my-sterile-nasal-rinses/

@irenea8 here is a nasal rinse tutorial. I do not use neo Med squeeze bottle because you can’t sterilize it so I use the syringes and then toss them so you mix it up in a little cup of sterilized water and suck it into the syringe and use it in each nostril one cup of water, you should be able to do each nostril like maybe three times and follow this tutorial. Let me know if this helps. It shows you the technique.