NO NEED TOOTHPASTE!
Miswak contains natural properties that can clean and whiten teeth while the ceramic emits negative ions that smoothens tooth surface. You can brush effectively without using toothpaste.
If used 3 times a day, with 3 minutes of brushing each time, the toothbrush should perform at its best for a month. It is recommended to REPLACE the Miswak toothbrush MONTHLY to retain its effectiveness in cleaning teeth