If I were you, I'd stop rinsing the nose. That sounds incredibly uncomfortable and serves no purpose. The nebulizer kit that allows you to inhale the meds through the nose - ugh. That doesn't serve any purpose either, unless you simply prefer it that way. Rinse after the xopenix if you like, but there is no *reason* to do so - it's rinsing after the oral steroid (Advair for you) that's important...

Rinsing isn't a sure fire thing, but it definitely can work for some of us. I use Asmanex - oral steroid - at a very high dose (doctor recommended, btw). I am at high risk for thrush because of that, but the dentist just checked my mouth - no sign of thrush. I just rinse a few times each time I inhale (no gargling - ugh), but it does seem to work.