Neffy: A latest needle-free epinephrine

Anaphylaxis is a rapid-onset, potentially fatal allergic reaction requiring prompt administration of epinephrine. Until recently, epinephrine autoinjectors have dominated emergency treatment, but challenges, such as needle phobia, improper use, and poor carriage rates, reduce their real-world efficacy. Neffy (ARS-1; epinephrine nasal spray) introduces a needle-free, intranasal route for epinephrine delivery. This review examines the clinical evidence, pharmacological profile, indications, and safety data for Neffy and discusses implications for clinical practice.

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Publication Details

Journal
Saudi Journal of Anaesthesia
Published
2026-04-01
DOI
https://doi.org/10.4103/sja.sja_597_25
Primary Topic
Food Allergy and Anaphylaxis Research
Type
article
Field-Weighted Citation Impact
0.00
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article

Neffy: A latest needle-free epinephrine

Arun Mukesh, Ankur Sharma, Konica Chittoria
Saudi Journal of Anaesthesia
Food Allergy and Anaphylaxis Research
article

Neffy: A latest needle-free epinephrine

Arun Mukesh, Ankur Sharma, Konica Chittoria
article en

Abstract

Anaphylaxis is a rapid-onset, potentially fatal allergic reaction requiring prompt administration of epinephrine. Until recently, epinephrine autoinjectors have dominated emergency treatment, but challenges, such as needle phobia, improper use, and poor carriage rates, reduce their real-world efficacy. Neffy (ARS-1; epinephrine nasal spray) introduces a needle-free, intranasal route for epinephrine delivery. This review examines the clinical evidence, pharmacological profile, indications, and safety data for Neffy and discusses implications for clinical practice.

Saudi Journal of AnaesthesiaVol. 20(2)
All India Institute of Medical Sciences Jodhpur (IN), All India Institute of Medical Sciences (IN), University of Kalyani (IN)
No poverty
Openalex Percentile: Top 27%
Food Allergy and Anaphylaxis Research
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