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F.A.Q.

About Nosebleeds

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Frequently Asked Questions
about NoBleed™

Are nosebleeds a common problem?

In the U.S., it is estimated that over 30 million people have recurrent nosebleeds, with the average nosebleed sufferer having over 7 different episodes a year. It is common in young children and middle-aged adults to the elderly.

What are the causes of nosebleeds (epistaxis)?

Epistaxis can be caused by a number of different factors. In children, it is most often caused by chronic nose picking or the use of steroid nasal sprays. In adults, it is usually caused by nasal steroids sprays, nasal septal deviations (from old nasal fractures), the use of appliances for obstructive sleep apnea (CPAP and BiPAP masks), and certain disease states that lead to excessive bleeding, such as hereditary hemorrhagic telangiectasia (HHT). In the elderly, it is often associated with the additional problems of medication use, such as Coumadin and other “blood thinners”, and excessive nasal dryness. At any age, any of the above factors may have a role in causing or contributing to nosebleeds.

Are there certain times of the year or certain climates that are worse for nosebleeds?

Yes. The peak months for epistaxis are October through March. Dry climates and high altitude climates are also prone to make nosebleeds more frequent and more persistent. However, many people have nosebleeds throughout the year or are on nasal steroids year round, leading to epistaxis at any time.

How do nasal steroids “cause” nasal bleeding?

Nasal steroids work by thinning the lining of the nose. This allows freer air movement and reduces the sensation of nasal congestion often found with sinusitis and allergic rhinitis. However, the nasal septum has very thin tissue to begin with, and a rich network of blood vessels lies just beneath this thin tissue. Nasal steroids will often erode this tissue to the point that these blood vessels break, leading to epistaxis. Normally, physicians will recommend that patients go off of nasal steroids for up to a month while this eroded spot heals. Unfortunately, this leads to a recurrence of allergy symptoms. NoBleed™ allows patients to stay on their nasal steroids while the phytoestrogens in NoBleed™ repair this overly thinned area.

How do the phytoestrogens in NoBleed™ work?

These all-natural, plant derived isoflavinoids act like estrogen in the cells of the skin lining the nose, especially along the mid-line area known as the nasal septum. The front part of this area has a large number of blood vessels just beneath the surface. When these are exposed to air due to thinned tissue, nosebleeds occur. Phytoestrogens such as isoflavinoids causes the tissue overlying this area to thicken, preventing nosebleeds.

Do oral estrogens work the same as NoBleed™?

No. The liver generally metabolizes and renders ineffective oral estrogens before they can affect this area. Additionally, by applying a cream to this area of the nose where nosebleeds come from, one is putting the highest effective concentration of medicine where it is needed most and can be most effective.

Are there any risks in taking NoBleed™?

Not any more than there are in having a diet high in vegetables such as yams and soybeans. In other words, this is a very safe product that can be used in a wide range of ages and health conditions. See our package insert for more information.

What other patients and/or conditions might benefit from NoBleed™?

- patients with Hereditary Hemmorhagic Telangiectasia (HHT)
- bleeding disorders (Hemophilia, Von Willebrand’s, Christmas Disease)
- patients on Coumadin, Plavix, Aspirin, or other blood thinners
- patients with a history of nasal trauma with resultant recurrent epistaxis
- dry nose sufferers, such as the elderly, or autoimmune patients
- Sjogren’s Syndrome, Sicca Syndrome, or other autoimmune disorder
- patients on nasal cannula oxygen for any reason
- patients on CPAP or BiPAP for Obstructive Sleep Apnea

Essentially, any disorder of the human body or the nose associated with increased bleeding, inflammation, or dryness would benefit from NoBleed™. The list of conditions above is by no means meant to be exhaustive.

Is NoBleed™ safe to use with other medications?

Yes! What’s more, it will not interfere with other medications, unlike oral estrogen, which has the potential to affect the liver’s ability to metabolize medications and break down harmful substances. It will not even interfere with other nasal medications, and, in some instances, even allows the continuation of some nasal medicines by counteracting their propensity to cause nasal bleeding. This is especially true of nasal steroid sprays.

How does NoBleed™ work for dry noses?

The phytoestrogen in NoBleed™ not only thickens the mucosa to prevent nose bleeds, it also makes the lining of the nose more functional. It helps it work better. Part of the function of the tissue lining the nose is to produce moisture from the tiny mucus glands lining the nose. By thickening the tissue in which these glands “live”, NoBleed™ allows these glands to be much larger and produce more moisture. This relieves the dryness found in the nose in many disorders

 


 
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