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Ensure that internal wing-tip cap has been placed on canister.
Hold canister in an upright position and shake vigorously for 20-30 seconds.
Withdraw the plunger slowly until it stops at the catch line. This is the dotted line near the top of the applicator barrel (see diagram). It's not the fill line.
Hold applicator by barrel. With index finger, hold plunger in place (see diagram). Holding canister in an upright position, place applicator tip over wing-tip cap and push down gently so that applicator is firmly attached.
Press gently down on the wings of the internal cap to release the foam. Only a short press is needed to do this. If needed, repeat until foam reaches fill line (see diagram).
Remove applicator from canister, leaving some foam on applicator tip. Hold applicator by barrel and gently insert applicator tip into the anus and then push plunger to release foam and complete treatment.
To clean, pull applicator and plunger apart and wash with warm tap water after each use. The wing-tip cap should be removed from the canister. The wing-tip cap and stem rising from the canister should be rinsed with warm tap water after each use.
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