How does neffy work?
neffy works in the same way as epinephrine injections, activating both alpha and beta receptors to narrow blood vessels. This helps to maintain blood pressure and heart function, and relaxes smooth muscles in the airways of the lungs to make breathing easier. neffy may also relax the smooth muscles of the stomach and intestine to relieve digestive symptoms often associated with anaphylaxis, such as nausea.
When used to treat life-threatening allergies, neffy:
- relaxes the airway muscles to help with breathing
- constricts blood vessels to maintain blood pressure
- reduces swelling, hives or itching that may occur around the face, eyes, or lips
- stimulates the heart (increases heart rate)
- prevents the release of histamine, which can further worsen allergies.
What is neffy?
neffy (epinephrine 2 mg/dose) is a nasal spray which may be given to treat a severe allergic reaction, including anaphylaxis, in adults and children who weigh 66 pounds (30kg) or more. It is needle-free and simple to administer. It is the first non-injectable treatment available for people with life-threatening allergic reactions and gained FDA approval on August 9, 2024.
neffy vs Epipen
neffy is a needle-free nasal spray that is sprayed into the nose whereas Epipen is an injection that is given into a big muscle, such as the thigh.
neffy contains 2mg of epinephrine per dose whereas an Epipen autoinjector contains 0.3mg per dose and an Epipen Junior auto-Injector, delivers 0.15 mg per dose. neffy delivers a higher dose than Epipen because it is being given via the nose rather than by injection, so a higher dose is needed for the same effectiveness because an injection delivers medicine to the bloodstream more effectively.
Epipen is available in two autoinjectors:
- Epipen for those who weigh at least 30 kg (approximately 66 pounds or more)
- Epipen Junior for children who weigh 15 kg to 30 kg (33 pounds to 66 pounds)
Each neffy nasal spray contains 2mg of epinephrine (one dose) and may be used in adults and children who weigh 66 pounds or more. One dose is sprayed into one nostril during an anaphylactic attack. If the first dose doesn't ease symptoms, then a second dose from a new neffy nasal spray should be given into the same nostril. People receiving neffy should be monitored closely after a dose, in case further treatment, including emergency medical help, is needed.
Research has also showed that people are more likely to use a nasal spray 18 minutes earlier than injectable epinephrine.
Related questions
References
- FDA Approves First Nasal Spray to Curb Anaphylaxis, An Alternative to Injections. August 11, 2024. https://www.drugs.com/news/fda-approves-first-nasal-curb-anaphylaxis-alternative-injections-120725.html
- Abbas M, Moussa M, Akel H. Type I Hypersensitivity Reaction. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560561/
- FDA Panel Recommends Approval of First Nasal Spray to Combat Severe Allergic Reactions. May 12, 2023. https://www.drugs.com/news/fda-panel-recommends-approval-first-nasal-combat-severe-allergic-reactions-112553.html
- ARS Pharmaceuticals Announces FDA Acceptance of NDA for neffy® (epinephrine nasal spray) for the Treatment of Allergic Reactions (type I) Including Anaphylaxis. Oct 21, 2022. https://www.biospace.com/article/releases/ars-pharmaceuticals-announces-fda-acceptance-of-nda-for-neffy-epinephrine-nasal-spray-for-the-treatment-of-allergic-reactions-type-i-including-anaphylaxis/
- neffy prescribing information. https://www.ars-pharma.com/wp-content/uploads/pdf/Prescribing_Information.pdf
- neffy package insert. https://www.ars-pharma.com/wp-content/uploads/pdf/Patient_Information_Leaflet.pdf
Read next
What's the mechanism of action for epinephrine?
Epinephrine works by activating both alpha and beta receptors found in your body in response to a severe allergy (called anaphylaxis). By acting on alpha receptors, it helps to maintain your blood pressure and heart function, and by acting on beta receptors, it relaxes your lung airways to help relieve shortness of breath and wheezing. Continue reading
Does epinephrine cause vasoconstriction?
Yes, epinephrine causes vasoconstriction (tightening of the blood vessels). This results in increased blood pressure. Continue reading
How much does Auvi-Q cost compared to EpiPen?
The cash price for a 2-pack of Auvi-Q autoinjector is around $300 compared to $650 for an EpiPen 2-pack. Prices can vary depending upon the pharmacy you visit and if you have any coupons or manufacturer discounts. Auvi-Q and EpiPen are brand names for epinephrine autoinjectors. Continue reading
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