Dosing and Administration

Dosing Information for XHANCE1

XHANCE is administered in each nostril twice daily

XHANCE is approved for1:

XHANCE device showing dosing of 1 spray per nostril for the 186 mcg twice-daily regimen

1

spray per nostril BID* for the 186 mcg dose

*Total daily dose=372 mcg

30 days of treatment at this dosage requires 1 unit of XHANCE per month

XHANCE device showing dosing of 2 sprays per nostril for the 372 mcg twice-daily regimen

2

sprays per nostril BID† for the 372 mcg dose

†Total daily dose=744 mcg

30 days of treatment at this dosage requires 2 units of XHANCE per month

Maximum total daily dosage should not exceed 2 sprays (372 mcg) in each nostril BID (744 mcg total per day)1

  • Patients should use XHANCE at regular intervals since its effectiveness depends on regular use1
  • The safety and efficacy of XHANCE when administered in excess of recommended doses have not been established1

BID=twice daily.

XHANCE dosing card summarizing approved dosing options and administration guidance

XHANCE Dosing Card

Keep a reminder of the approved dosages of XHANCE.

Download

How to administer XHANCE1

Before using XHANCE

Not actual size.
Hand holding the XHANCE nasal spray device prior to priming and administration

Prime XHANCE by first gently shaking and then pressing the bottle 7 times or until a fine mist appears. Direct the spray into the air, away from the face.1

  • When XHANCE has not been used for 7 days or more, prime the pump again by shaking and releasing 2 sprays into the air, away from the face1
  • Shake XHANCE before each use1
  • Administer by the nasal route only. Avoid spraying directly on the nasal septum1

In a clinical trial questionnaire, most patients reported that XHANCE was somewhat or very easy to use2

Instructions on using XHANCE1

XHANCE nasal spray device demonstrating proper administration technique using the exhalation delivery system
  1. Insert the tapered tip of the cone-shaped nosepiece deep into 1 nostril and form a tight seal between the nosepiece and the nostril.1
  2. Place the flexible mouthpiece into the mouth, bending as necessary to maintain a tight seal with the nostril.1
  3. While blowing into the mouthpiece, push the bottle up to actuate the spray.1
  • To achieve intended drug deposition, it’s important to continue to blow through the mouth, not inhaling or exhaling through the nose1
  • For a full dose, repeat the process in the other nostril. Administer 1 spray per nostril at the 186 mcg dose, and 2 sprays per nostril at the 372 mcg dose1

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