Xlear (pronounced "clear") kid's sinus care nasal spray is a non-addictive, all-natural solution that promotes upper respiratory health by cleansing and moisturizing the nasal passages. When used in daily hygiene, the patented solution with xylitol not only hydrates the sinuses and nasal passages, but also washes away airborne contaminants and pollutants. Over 90 percent of all infection-causing bacteria enter through the nose. Clinical studies have shown that xlear kid's sinus care nasal spray with xylitol, when used regularly, can substantially reduce sinus and upper respiratory infections including otitis media (middle ear infections) by reducing the ability of harmful bacteria, pollens, allergens and other irritants from adhering to nasal tissue. Because xlear sinus care nasal spray is clinically proven to be helpful, ent doctors, pediatricians, dentists, and other healthcare professionals in over 20 countries continue recommending it to their young patients. Clear the nasal passageway by gently blowing the nose or use a bulb syringe to remove mucus build-up prior to using Xlear. For older children: Insert nozzle into nostril and squeeze bottle to release spray. Remove nozzle before allowing bottle to re-inflate. Spray 1-2 times in each nostril. For younger children and infants: Lie child on his or her back. Tilt bottle upside down and allow drops to flow into the nostrils. Use preventively as often as needed to cleanse nasal passages and sinuses. For best results, use at least twice daily. Wipe nozzle clean after each use and replace cap.