I wavered whether to give 2 stars or 5. I decided on four to encourage ANYone to use sinus irrigation using this method vs anything else out there I know about (and I have used them, all, neti pot, sinus surgeries, squeeze bottles, etc)
I would give THIS product 2 stars because there is some serious price gouging going on here. Save yourself about $65 and get a water pik, which is what this thing is. Seriously. Nothing more, and in fact I noticed that the water pik company has started adding sinus adaptors with some of their kits.
BUT, considering what this unit has saved me from, I am compelled to give a high score here.
I know for a fact that using this thing multiple times a day EVEN IN THE START/MIDDLE of a sinus infection, can get rid of it. You have to be dilligent though and do it EVERY day, several times a day (at least twice probably), for several days though. And that is a pain, but it's either that or the inevitable antibiotics which I try to avoid. And with this bad boy, I can avoid that more than half the time I feel an infection coming on.
Also, here's a tip to save further money. Don't pay for the little pre mixed packets...mix your own and save a lot of money. The ingredients are literally salt and baking soda. The "higher end" packets come with Xylitol (which I swear by for sinuses, and highly recommend you use it when you rinse), which is so easy to just buy these days. You can buy a big packet of Xlitol sweetener for about $6 I think and add it to your rinse.
Anyway, back to topic:
Beyond 5 stars for this type of sinus irrigation (there really is NOTHING else that compares), but no need to pay the premium for this unit when a regular water pic does the same thing (with the proper tip on it)
Notes:
1. This thing is loud, messy and pretty cheaply made.
2. The water container leaks when you shake/swirl it (recommended to mix the solution with the warm water)
3. The tongue "tool" is a gimmick imo.
4. The switch on the unit's wand is very uncomfortable to use, and when it's wet, I find it's hard to turn on and off.
My unit is still running after...1.5 years of pretty heavy use and I have yet to do the vinegar cleaning they recommend you do every once in a while.
BUT I faithfully rinse the thing well after every use, so there is no salt residue in the system when I'm done. I think the people complaining about these not lasting might not be doing the proper cleanup after using.
Having said all that I HIGHLY recommend this or any similar unit for anyone with sinus trouble OR anyone that appreciates the feeling of a clean sinus. It really feels great to me for several hours after I do this.
Hope that helps some people.
EDIT: As of 11/30/11 still going strong! I have yet to clean it per the instructions, (not the tip, the whole vinegar thing), but after every time I use it I fill the tank with about a cup of water and run it through with the machine running. Seems to clear out the salt solution fine. Not at all saying you shouldn't clean the thing, just that I am very slack, yet the unit continues to operate normally even if it's not cleaned with something other than water.
Also, some additional tips I have learned over the years...if you are reading this review, you will likely find the following "special" ingredients helpful.
In addition to one pre-mixed saline packet (I buy the local pharmacy brand of 100 for convenience), I put the following in my rinse:
A little bit of Alkalol (look it up here on Amazon)
A liquid budesonide postule (need a Rx for it, but it's dirt cheap and generic, and is much more effective than using nasal steroid sprays as this gets IN your sinuses) or 2 if I am really congested
If I think I am getting or have a sinus infection, I will also add:
2-3 drops at MOST of GSE (Grapefruit seed extract, also see here on Amazon) POTENT stuff...be careful here...no more than a few of drops!
1/4 of a packet of Xylitol
These things combined together provide a POWERFUL anti-inlflammation/anti sinus infection solution that is safe to use even on a regular basis (not sure I would use the GSE more than once a day though). Hope that helps someone...it's taken me years of reading and experimentation to find something that is up to battling my constant sinus issues.