The first word in sinus relief.Saline RefillsMed SystemsActive Ingredients:In Eack Packet: Sodium Bicarbonate 700 mg; Sodium Chloride 2300 mgAdults and children 4 years and over: use 1-2 packets up to every 2 hours as needed. Children under 4 years: consult a physician. Consult instructions for use for proper use. Protect saline solution packet from excessive heat and moisture.Inactive Ingredients:NoneUses:Temporarily relieves symptoms associated with sinusitis, cold, flu or allergies: sneezing, runny nose, nasal stuffiness, post-nasal drip. Removes inhaled irritants (dust, pollen). Promotes nasal and sinus drainage. Helps reduce swelling of nasal membranes. 100% all natural saline. Recommended by ENT doctors. Doctor developed. Scientifically proven. No preservatives.Stop use and ask a doctor if washing is uncomfortable or symptoms are not relieved. When using this product: use by only one person, wash with soap and water after each use, top rack dishwasher safe, do not heat in microwave. Keep out of reach of children.