
In a groundbreaking development, the U.S. Food and Drug Administration (FDA) recently approved the first nasal spray for treating severe allergic reactions. This treatment, called Neffy, is the first needle-free alternative to traditional methods like the EpiPen. This new product is a big step forward in the treatment of life-threatening allergic reactions.

Understanding Severe Allergies
Allergies happen when the body's immune system overreacts to a harmless substance. This substance, called an allergen, can be found in foods, insect stings, medications, and more. While many allergic reactions are mild, some can escalate into anaphylaxis, a severe, potentially deadly condition. Symptoms of anaphylaxis include hives, swelling, itching, vomiting, difficulty breathing, and a sudden drop in blood pressure.
Anaphylaxis requires immediate treatment, usually with an injection of epinephrine, a medication that can quickly reverse the symptoms. Until now, this meant using an auto-injector, like the EpiPen, which delivers a dose of epinephrine through a needle. However, for many people, the fear of needles or the difficulty in administering the injection in a crisis can be a major obstacle.
How Common Are Severe Allergies?
Allergies are incredibly common in the United States. More than 100 million Americans experience different types of allergies each year, with nearly 1 in 3 adults and over 1 in 4 children affected. Among these, food allergies are particularly concerning because they can trigger anaphylaxis. It’s estimated that anaphylaxis from food alone leads to about 90,000 emergency room visits annually in the U.S. The most common triggers for severe allergic reactions include certain foods (like peanuts and shellfish), insect stings (such as bee stings), and medications.
Why the Approval of Neffy Is a Big Deal
The approval of Neffy is a major milestone in allergy treatment. Here's why:
- Needle-Free Option: Neffy provides the first needle-free alternative for treating anaphylaxis. This is particularly important for children and others who have a strong fear of needles. The nasal spray is simple to use and can be administered quickly, even in a high-stress situation.
- Increased Accessibility: By offering a more accessible and less intimidating option, Neffy could encourage more people to carry and use epinephrine when needed. Studies show that over 40% of the 6 million auto-injector prescriptions written each year are never filled, often due to fear or misunderstanding about how to use the device.
- Potential to Save Lives: Anaphylaxis is a medical emergency that can be fatal if not treated promptly. With Neffy, more people might be able to administer life-saving treatment quickly and effectively, reducing the number of severe outcomes.
The Road Ahead
While Neffy is a promising development, it’s just the beginning. Other needle-free epinephrine treatments are also in development, including additional nasal sprays and even an epinephrine film that dissolves under the tongue. These innovations could further transform how severe allergic reactions are treated, offering more options and improving outcomes for millions of Americans.

The FDA’s approval of this treatment is a significant step forward in the management of severe allergies. This needle-free, easy-to-use alternative has the potential to save lives. For the millions of Americans living with severe allergies, this is an important step in making emergency treatment more accessible and less intimidating. Signing up is free - click below to join PLM!
