PatulEND 10 is a special formula for children and adolescents that has a lessened stinging effect. The stinging effect correlates with the healing benefits, and thus the effects of PatulEND®10 may take longer to become apparent. The patient should not be taking pediatric steroids, decongestants, or antihistamines. These are usually available over the counter, but are contrary to the benefit of PatulEND. It is important that the prescribed positioning be maintained for 10-20 minutes to allow closure of the smaller, sensitive ET passages. This milder formula is also recommended for adults who have used the standard PatulEND® formula and experienced heightened sensitivity to the stinging sensation.