12/case directions: initially, depress pump until primed. Hold close to mouth & spray directly into mouth. Use three (3) times daily. Use additionally as needed. Adult dose: 3 pump sprays. Not intended as a substitute for standard medical care: intended to complement prescribed medication. Ingredients: aesculus hippocastanum, apis mellifica, benzoicum acidum, causticum, equisetum hyemale, lycopodium clavatum, phosphorus, plantago major, rhus aromatica, sepia. Each ingredient is in equal volumes of 10x, 30x, and lm1 potencies. Other ingredients: bio-energetically enhanced pure water, citric acid, potassium sorbate. 10/18/16