Left ear symptoms for right ear symptoms to use

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Your head position

is critical for success!


  1. After you have been up for a period of time. Symptoms begin as the tubal tissues lose fluid and the lumen increases. When you feel that your symptom of autophony is about to occur, gently blow your nose to clear any mucous.

  1. Lying back with your head between 45° to 60° degrees above horizontal. Turn your head 45° to 60° toward the affected ear. This places the Eustachian tube stoma (opening) lower than the nostril. Gravity will allow the drops to flow to the back of the nose. Sniffing will draw the drops further into the nasal passage to the Eustachian tube before the semi-permeable membrane lining of the nasal passage can absorb them. Or while sitting in a chair, tilt your head back at 45° and tilt your head toward the affected ear to place it almost below the nose.

  1. Remove the cap. To deliver the drops to the Eustachian tube, insert the tip of the dropper tip one-quarter inch (1/4") into the lower nostril closest to the symptomatic ear (affected side).

  1. Take the drops when you anticipate the onset of symptoms, i.e.; after arising from sleep or before exercising. Instill 2-4 drops in to your nose as may be needed in your case for your individual anatomy. Sniff briskly to draw the drops back approximately three inches (3") to the location of the tube opening where they will be absorbed. When the drops are delivered properly to the stoma of the tube, absorption will result in a brief stinging or burning sensation to stimulate closure of the tube. Remain lying down in this position for at least ten (10) seconds.

  1. The sensation or tasting it or a stinging in the throat means you are wasting it. Use fewer drops each time. PatulENDTM may be repeated later in the day if needed, and continued to support tissue health.


AVOID contact with eyes or ears.

Keep bottle tightly closed and away from children.

How Supplied: 15 ml, capped bottle, with dropper tip.

Recommended: Refrigerate or store in a cool, dry area.

Avoid heat or direct sunlight.

Replace cap securely after each opening

H:\USERS\P.E.T\Patul-End, Instructions for Use.doc Revised 05/08
s a natural product, oxidation may result in a clear yellow solution.
The potency remains unchanged.

H:\USERS\P.E.T\Patul-End, Instructions for Use.doc Revised 5/08

Patulous Eustachian Tube Nose Drops


The Eustachian tube is a narrow one-inch (l") passage in the back of the nose that allows for the equal exchange of atmospheric air between the nostrils and the middle ear space on the same side. Under normal circumstances the tube is closed. But in the patulous condition, the entrance may remain open and permit the free exchange of ambient air and transmission of endogenous sounds between the nose and the middle ear. It is the amplified sounds, autophony, that are especially disturbing in this disorder. The lining of the nose and nasal passages is similar to a sponge-like membrane and swells when it absorbs a suitable liquid medium. To achieve normal closure of the lumen, 2-6 drops of the nasal supplement solution are applied to the stoma or opening of the Eustachian tube. It may take two weeks before changes in symptoms become apparent.

PatulENDTM" nose drops are designed to increase the edema of the membrane at the stomal entrance of the Eustachian tube to the critical closing pressure level and seal the opening. When drops are instilled onto the nasal membrane, they are slowly absorbed upon contact with the surface. It is important to sniff the nose drops so that they are drawn back to the opening of the Eustachian tube where they can be preferentially absorbed at the stoma. After using the supplement for several days you will be better able to identify the optimal position suitable to your nasal anatomy, for proper delivery of the drops to reach the Eustachian tube area on the side of your symptoms.

Because PatulENDTM contains essential nutrients to support tissue healing, it may take three months to rebuild the delicate tissues and to regain their tone and compliance for a long-term benefit.

The Eustachian tube tissue healing may be prolonged and the degree of closure limited if you have had prior local infections, tumors, tubal surgery, radiation or trauma.

Disclaimer – Please Read:

Information about PatulENDTM is intended only for the purpose of general information and description.

It is not intended to convey any medical advice for the diagnosis, treatment or to cure any kind of disease, Nor is it intended to diagnose or in any way to establish or contribute to a doctor patient relationship.

These statements have not been evaluated by the FDA. The ingredients of PatulENDTM are included among those products published in the Generally Regarded as Safe (GRAS) publications of the FDA.

Covered by U.S. Patent No. 5,470,587. Other U.S. or International patents issued or pending.

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