 [ Symptoms ] i have been having a lot of pelvic pain over the last 6mo i have had two c sections and have pcos [ Disease ] that actually could be normal but one of the questions i have for this particular patient is whether or not they are using the spray the right way with many of the sprays it is important that you follow the directions that are included in the packaging and that you tilt your head the right way sometimes if the head is tilted too forward it is gonna run out the other thing is too is that maybe their nasal tissue is actually irritated a lot of people do not realize that constant use of sprays and topical products can make the tissue a little sensitive and that might be the reason why they are getting the runny nose so it might be time for a little bit of a break let the tissue heal a little bit and then we can possibly restart therapy but once again it is really important that they let you know their pharmacist know about this is what is going on because we may be able to say to them “yes this is a common side effect” and “let is go over your technique again” or the pharmacist might say “you know what it is time to go back to your doctor or healthcare provider to revisit it and let is see if there is something else that could be given”