Minor bleeding in the nose when starting a new nasal spray is actually quite common. Inflamed nasal passages are more prone to bleeding because the tiny capillaries in the front of the nose are often engorged and fragile due to long-term inflammation. Sniffing, itching, sneezing, rubbing and nose-blowing can further irritate the nasal passages and cause bleeding.
If the bleeding is major, i.e., dark red blood is dripping out of your nose, we recommend you discontinue use immediately and schedule an appointment to be evaluated by an ENT specialist, especially if this is sudden-onset and persists, as this is not expected with any of the medication ingredients in Allermi.
Here are our tips to prevent nasal irritation, dryness and bleeding:
Use Salinity Spray Several Times A Day
Saline helps moisturize the nasal passages and reduce irritation and bleeding. Before each dose of your Super Spray (morning and night), follow these steps:
- Insert the Salinity Spray nozzle as deep as is comfortable, aiming away from the septum (the middle wall of your nose).
- Lean over the sink and sniff up 5–10 sprays in each nostril.
- Gently blow your nose.
- Repeat this saline-then-blow cycle a few times.
- Apply ointment (see step 2).
- Then use your Super Spray, again aiming away from the septum.
- Pro Tip: Use Salinity Spray in the shower after breathing in warm steam for extra hydration.
Apply Ointment After Salinity Spray, Before Super Spray
This helps fragile blood vessels heal and protects the nasal lining. Follow these steps:
- Squeeze a small amount of plain ointment onto a clean Q-tip.
- Gently insert it about 1/2 inch into your nostril (avoid the septum).
- Coat the inside of your nose in small circles, spiraling outward toward the opening.
- Repeat on the other side.
We recommend CeraVe Healing Ointment or Vaseline Petroleum Jelly.
Use Proper Spray Technique
Make sure the nozzle is inserted as deep as is comfortable and pointed straight back—not angled to either side. This helps you avoid irritating the sensitive septum.
Know What's Normal Vs. Not
Seeing a small amount of light-colored blood when blowing your nose is common and usually nothing to worry about.
However, if you notice:
- Dark red blood dripping from your nose
- Persistent or sudden-onset major bleeding
Please stop using the spray and consult an ENT specialist. This is not expected with any of the ingredients in Allermi.
How to Use Your Nasal Spray Safely and Effectively
To get the most benefit from your nasal spray while avoiding irritation or injury, proper technique is key. One of the most important things to remember is to avoid touching or spraying directly onto the midline septum—the cartilage wall that separates your nostrils.
When using your nasal spray:
To get the most benefit from your nasal spray while avoiding irritation or injury, proper technique is key. One of the most important things to remember is to avoid touching or spraying directly onto the midline septum—the cartilage wall that separates your nostrils.
When using your nasal spray:
- Insert the nozzle gently and only as deep as comfortable.
- Aim the spray slightly outward, toward the outer wall of your nostril, not straight up or toward the center (septum).
- Avoid letting the tip of the spray bottle touch the inside of your nose, especially the septum.
This is important for everyone, but especially critical if you've had nasal or sinus surgery, or a previous nasal injury, as your septum may be more sensitive, fragile, and prone to irritation or bleeding.
Being mindful of this technique helps reduce your risk of nasal discomfort, nosebleeds, and rare complications such as nasal septum perforation (a small hole in the septum).
If you're unsure about your spray technique, refer to Allermi’s instructional video or reach out to our team—we're happy to help make sure you're using your medication correctly and comfortably.
Being mindful of this technique helps reduce your risk of nasal discomfort, nosebleeds, and rare complications such as nasal septum perforation (a small hole in the septum).
If you're unsure about your spray technique, refer to Allermi’s instructional video or reach out to our team—we're happy to help make sure you're using your medication correctly and comfortably.
