Initial use: press the pump 3 times to get the liquid flowing.Shake well before every use. Carefully spray into your mouth, ideally onto the inside of your cheek, and hold for a few seconds.Shake well before every use. Carefully spray into your mouth, ideally onto the inside of your cheek, and hold for a few secondsUse 4 sprays daily (or as directed by your healthcare practitioner). Can be taken together or separately.