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FDA approves 1st needle-free alternative to EpiPens

An image showing the packaging of the nasal spray device
There's one dose of the medicine in each nasal-spray bottle. (Image credit: ARS Pharmaceuticals, Inc.)

The Food and Drug Administration (FDA) has approved the first needle-free treatment for the life-threatening allergic reaction anaphylaxis.

In a statement released Friday (Aug. 9), the FDA announced it had approved Neffy, a nasal-spray formulation of epinephrine. That's the same medication found in EpiPens.

"Today's approval provides the first epinephrine product for the treatment of anaphylaxis that is not administered by injection," Dr. Kelly Stone, the associate director of the Division of Pulmonology, Allergy and Critical Care in the FDA's Center for Drug Evaluation and Research, said in the statement.

"The availability of epinephrine nasal spray may reduce barriers to rapid treatment of anaphylaxis," Stone said. "As a result, neffy provides an important treatment option and addresses an unmet need."

Neffy is approved for adult and pediatric patients who weigh at least 66 pounds (30 kilograms). It's a single-dose spray intended to be administered into one nostril. Similar to products like EpiPens, a second dose of the spray can be given if a person's symptoms do not improve. The second dose would require a second Neffy spray bottle and it would be given in the opposite nostril as the first dose.

"Patients may need to seek emergency medical assistance for close monitoring of the anaphylactic episode and in the event further treatment is required," the FDA notes.

Some medical conditions, including a history of nasal surgery, may affect how well Neffy absorbs through the tissues of the nose. Because of that, the FDA says individuals with such medical histories should talk to a health care provider before using Neffy.

This article is for informational purposes only and is not meant to offer medical advice.

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Nicoletta Lanese
Channel Editor, Health

Nicoletta Lanese is the health channel editor at Live Science and was previously a news editor and staff writer at the site. She holds a graduate certificate in science communication from UC Santa Cruz and degrees in neuroscience and dance from the University of Florida. Her work has appeared in The Scientist, Science News, the Mercury News, Mongabay and Stanford Medicine Magazine, among other outlets. Based in NYC, she also remains heavily involved in dance and performs in local choreographers' work.