ClearUP is a small, non-invasive bioelectronic, wireless handheld device. ClearUP provides drug-free relief from symptoms of sinus and nasal inflammation such as congestion, sinus pain, sinus pressure, and sinus headache. ClearUP is FDA approved, clinically proven, portable, reusable and rechargeable.

ClearUP detects optimal treatment points on top of the skin, and applies gentle bioelectronic microcurrents to the nerve fibers to help reduce symptoms of nasal inflammation. ClearUP works with the body’s natural pathways to directly target symptoms at the source. One treatment can provide relief for up to 6 hours!

What Is Microcurrent
Microcurrent is a safe and effective delivery of low-level electrical stimulation. Similar approaches have been used for decades by healthcare providers in implantable devices such as deep brain stimulators, pacemakers, and spinal cord stimulators. ClearUP is the first bioelectronic sinus device to use non-invasive microcurrent to relieve symptoms of inflammation such as sinus pain, sinus pressure, sinus headaches, and congestion.

ClearUP is a Class II medical device with FDA approval for over-the-counter use. It is intended for adults 18+ years of age experiencing symptoms of nasal and sinus inflammation, such as sinus pain, pressure, sinus headaches, and congestion due to cold, flu, or allergies. It may also be helpful for those who have trouble breathing through their nose during exercise or difficulty falling asleep,and/or for individuals with medication restrictions seeking a drug-free solution.

ClearUP is not recommended for individuals with seizure disorders, and it is not clinically indicated for users under 18 years old. For any other contraindications or concerns, we recommend consulting with your physician.

Tivic's ClearUP is an alternative to pharmaceuticals to alleviate symptoms of inflammatory sinus conditions without pills, drowsiness, or other medication side effects. No mess, no spray, no flush, and can be used as part of a daily regimen (the more you use it, the more consistent the relief). With proper care, you can expect your ClearUP to last for years!

We understand that treatments are personal and each experience is different. That's why every ClearUP purchased at Tivichealth.com comes with a 90-day trial. We're confident that you will experience relief, but if you don't, just let us know within 90 days of purchase and we'll pay for your return label!

ClearUP 2.0 delivers the same clinically proven sinus and congestion relief that ClearUP always has, but now with a new power management chip for faster charging and a longer lasting battery life.

Bioelectronic medicine uses device technology in conjunction with the body's own nerve pathways to help mitigate symptoms of inflammation and underlying causes of disease.

Bioelectronic medicine has compelling advantages over traditional drug-based interventions. Benefits of bioelectronic therapuetics include better diagnosis and prevention, precision targeting, personalization, and real-time optimization, which are a few factors that support the case for the field’s growth potential.

ClearUP emits a proprietary stimulation that has been developed specifically to reduce sinus pain and congestion, whereas other microcurrent devices have different stimulation parameters.

ClearUP is Tivic's first over-the-counter product. We are exploring the impact of bioelectronic therapy for other indications, including Vegas Nerve Stimulation. Sign up for our newsletter to keep up with the latest!

Tivic ClearUP purchases are automatically backed by a 90-day risk free trial, a 1-year warranty, and free returns! We now also offer extended warranty options. Please read our full policy terms and conditions in the links above.

Households typically spend $250-$300 annually on over-the-counter sinus remedies, often leading to rebound congestion, dependency, and waste. ClearUP, on the other hand, is a durable, reusable solution that can save you money over time. With proper care, your ClearUP can last for years!

While ClearUP may be a higher upfront investment, that’s because we prioritize quality. ClearUP is a Class II medical device made with surgical-grade stainless steel and biocompatible materials, meeting strict FDA standards for safety and efficacy. It also features proprietary microcurrent stimulation, specifically designed for your sinuses—The only clinically proven device of its kind.

Though our North American operations may contribute to a higher cost, they reflect our commitment to top-tier quality and supporting local economies. We offer flexible payment options and are always working to find ways to reduce costs while maintaining the excellence you deserve.

Yes! Some plans may require preapproval of your purchase, so you should contact your plan administrator for more information on how to acquire appropriate documentation. To pay with an HSA or FSA card, simply use your card at checkout.

ClearUP is currently available for purchase online. It can be found on several websites including Tivichealth.com, Amazon.com, FSAstore.com, HSAstore.com, Optum.com, Target.com, and others. Please see our policy regarding purchases from authorized resellers.

ClearUP is an over-the-counter product and not covered by insurance at this time.

You can find a replacement ClearUP charger and other accessories to purchase here

We currently only ship and distribute within the United States. We will be sure to publicly announce any updates to international shipping availability.

ClearUP has been clinically validated for safety and effectiveness with users 18 and older. The hand holding the device completes the electrical circuit, therefore, ClearUP must be self-administered and not applied to another person. Please only use as directed.

While many users experience sinus pain relief after the first use (74% report relief), the most significant symptom reduction typically occurs with regular use. For best results, we recommend using the device consistently 2-4 times a day for 2-4 weeks, followed by as-needed use. Each 5-minute treatment can provide up to 6 hours of relief. ClearUP works best when incorporated into your daily routine—the more you use it, the more consistent the relief.

We’re so confident in ClearUP’s effectiveness that we offer a 90-day trial period with free returns. If you don’t see the results you're looking for, you can return the device with no hassle. Please note that individual responses may vary, but many users find long-term relief with continued use.

ClearUP may arrive with a partial charge. Before first use, fully charge the device with the provided charger.

1. Turn the device on and select the Comfort Level you desire. We recommend starting your first treatment at Level 1 and changing at your preference. The difference in Comfort Levels does not impact effectiveness.

2. Start on the outside of your cheekbone. Place the steel tip on your face using mild pressure. Glide the tip very slowly inward along the cheek toward the nose. Stop gliding when unit vibrates. Try not to lift the steel tip off of the face when gliding. Make sure your fingers are in contact with the metal plating on the device at all times during treatment.

Hold the tip on the treatment point until the vibration stops. The device is also transmitting microcurrent to this point. After a few seconds ClearUP will stop vibrating, prompting you to resume gliding it along the designated areas. It is normal for treatment points to vary between each person, and even each treatment. (Search Treatment Point FAQ).

3. Repeat. Treat both sides of the face for 2.5 min, then concentrate on areas of pain.


Please refer to our 'How To' video and full User Guide and Quick Start Guide.

You may feel a small vibration, a tingle, or a prickling sensation. For the best experience, maintain device contact with a clean face and apply gentle pressure as you glide. See our Quick Start Guide

While many users experience sinus pain relief after the first use (74% report relief), the most significant symptom reduction typically occurs with regular use. For best results, we recommend using the device consistently 2-4 times a day for 2-4 weeks, followed by as-needed use. Each 5-minute treatment can provide up to 6 hours of relief. ClearUP works best when incorporated into your daily routine—the more you use it, the more consistent the relief.

We have not studied use of the device for treatments longer than 5 minutes at a time. Please use as directed in our User Guide

ClearUP has only been studied when applied to the cheek, nose, and browbone area. The recommended treatment area and frequency was used in our clinical trials, is FDA approved, and has been deemed safe and effective.

We recommend using the device as directed within our User Guide and Quick Start Guide

Treatment points are areas on the skin where the device detects optimal locations to target nerve fibers and help alleviate symptoms of inflammation. The vibration you feel indicates that the device has found one of these treatment points. It’s important to note that the vibration doesn’t necessarily correspond to areas of visible congestion or pain, but rather signals the best places to focus treatment. The number and location of treatment points can vary from person to person and even between treatments. For best results, treat the entire sinus area for 5 minutes, then focus on the specific areas where you feel the most discomfort.

ClearUP may detect treatment points in other areas due to the device detecting where it can easily pass microcurrent through the skin. However, ClearUP is only FDA approved for treatments in the sinus area.

ClearUP is intended to treat symptoms of nasal and sinus inflammation including congestion, sinus pain, sinus headaches, and sinus pressure.

ClearUP has been shown to be clinically effective for treating congestion and can help with your symptoms even if you do not suffer from sinus pain, and vice versa.

It's important to only use the USB-C charger provided. ClearUP is powered by a lithium battery, which is rechargeable using the accompanying USB-C charger.

You should charge the device prior to first use and as necessary thereafter. With regular use, a single charge can typically last 1-3 weeks. ClearUP will be disabled while it's charging. Be sure to use only the charger that came with the device packaging. Other chargers are not authorized and may damage the device. If you ever misplace your charger, you can find a replacement charger here

The device will indicate it needs to be charged when the battery light slowly blinks orange. It will slowly blink green during charging, and become solid green once fully charged. Please see the User Guide for full charging instructions.

Yes! ClearUP is a Class II medical device with FDA approval for over-the-counter purchase. ClearUP has passed all required safety testing. Please use as directed.

ClearUP is FDA-Approved! The FDA's De Novo classification process is a regulatory pathway that allows the agency to classify new medical devices as class I or class II, instead of the default class III

Absolutely! ClearUP is clinically proven and doctor recommended. Results from our clinical trial showed that 3 out of 4 users achieved rapid sinus pain relief just 10 minutes after treatment, and 82% preferred ClearUP to their current treatment. In a second clinical trial, ClearUP was shown to reduce congestion in 88% of users.

For more clinical proof, visit the Science page of our website and explore key highlights from the clinical studies.

ClearUP is safe to use with non-active implants. If you have an active implant, such as a pacemaker or cochlear implant, we recommend that you consult your physician before use. You can find all of our Safety Information in the User Guide.

You may feel a small vibration, a tingle, or a prickling sensation. For the best experience, maintain device contact with the face and apply gentle pressure as you glide. However, if you experience any persistent discomfort or negative impact that does not resolve on its own, we recommend changing treatment frequency, consulting with your physician, and/or contacting customerservice@tivichealth.com.
Be sure to read the Safety Information in our User Guide

Users report the most significant reduction in symptoms with regular use. If after 4 weeks of consistent use (2-4 times per day) you are still not experiencing relief, consult with your physician regarding your symptoms to determine what other treatments may be appropriate. Reach out to Tivic Customer Service for post-purchase support options.

If you experience any issue with your device, please check our Support page.

If you need further assistance, contact our Customer Support team at customerservice@tivichealth.com or leave us a voicemail at 1-888-276-6888. A representative will respond within 24 hours (Mon-Fri).

Email us at customerservice@tivichealth.com or leave us a voicemail at 1-888-276-6888. A representative will respond within 24 hours, Monday-Friday 7am – 4pm PT.