: Is there a significant difference between Xhance vs generic (fluticasone propionate) nasal spray? I'm trying to find out what the difference is between Xhance and Flonase, generic (fluticasone propionate) nasal spray. For

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I do not recommend constructing your own device to administer fluticasone propionate. Although it is true that there are common mistakes in administration of fluticasone nasal spray, there are some other ways of improving administration and distribution other than using your mouth to blow it up into your sinuses - which raises hygiene/infection concerns. If I were ever to consider using or prescribing Xhance, I would certainly have to read about how it filters the exhaled air from the mouth. There have been rare but serious brain infections from using tap water for nasal irrigation that contained pathogens that were considered safe for oral ingestion, which spread from the nasal passageways into the brain. The venous/lymphatic drainage of some regions of sinuses drain to the dural sinuses, which is a potential portal for CNS infections.

There are a few ways to improve administration of fluticasone nasal spray.

Watch a video like this one on how to properly spray it. Many people are just coating their septum or lateral nasal passageways and not getting it into the sinuses.
Make sure you blow your nose well before using the spray.
Consider nasal irrigation prior to administering the fluticasone. Talk to your doctor about it - it's not for everyone, but it works great for most people with normal anatomy, and some people don't end up needing medications if they do it regularly combined with allergen avoidance. It needs to be done properly, so don't try it without educating yourself on it first.
Look into what your particular allergic triggers are, and consider methods of allergen avoidance to address the underlying problem. Triggers aren't always inhaled allergens; foods, soaps, perfumes, etc can also trigger nasal congestion.