FDA Drops Age Limit for Neffy

Needle-free epinephrine expands access for younger children meeting weight criteria

By
Kathryn Wighton
March 27, 2026
2 min

MDSpire News

Objective:

To update the prescribing information for Neffy, an epinephrine nasal spray, expanding access to younger pediatric patients.

Approach:

Key Findings:

Neffy is now approved for pediatric patients weighing 33 to less than 66 pounds without a minimum age limit.
Caregivers often fear needle-based treatments, leading to delays in administering epinephrine.
Updated guidance emphasizes the importance of seeking emergency medical care after using Neffy.

Interpretation:

The removal of the age limit for Neffy enhances accessibility for younger patients at risk of anaphylaxis, addressing barriers to timely treatment.

Limitations:

The study does not address the long-term effects of using Neffy in very young patients.
Potential variability in patient response to nasal administration compared to traditional auto-injectors.

Conclusion:

The FDA's decision to drop the age limit for Neffy is a significant step in improving emergency treatment options for young patients at risk of severe allergic reactions.