Do you or someone you know have severe allergies ? You've probably heard of a dangerous condition where you suddenly have difficulty breathing, feel dizzy, and have red eyes when you ingest something like a food or medicine. Doctors usually prescribe an injection to treat this condition. But now there's a new, easier-to-use alternative. It's a nasal spray called Neffy. Let's talk about it in a simple way today.
So how does this Neffy work?
Simply put, an allergy is an overreaction of our body's immune system to something that is actually harmless (for example, peanuts, shrimp, certain medications). The thing that causes this reaction is called an allergen .
Most of the time, these allergies are minor. They can cause things like watery eyes, runny nose, hives, and minor skin rashes. But sometimes, this condition can be much more serious than you think. This severe allergic reaction, which can even be life-threatening, is called anaphylaxis .
Anaphylaxis is a serious condition that requires emergency medical treatment , so it's important to recognize the symptoms.
Let's take a look at the main symptoms that can be seen in this condition of anaphylaxis.
| Main symptoms of anaphylaxis (severe allergic reaction) | |
|---|---|
| Feeling afraid or anxious, as if something bad is going to happen. | Dizziness or lightheadedness (vertigo or fainting). |
| Itchy rashes all over the skin (hives). | Severe stomach cramps, nausea, and vomiting. |
| Swelling of the lips, tongue, or throat, causing difficulty breathing . | Blood pressure dropping very quickly. |
The best way to prevent this is to avoid the allergen. However, it is essential to have an emergency medicine handy in case you accidentally get into the body.
This spray called Neffy contains a drug called epinephrine . This epinephrine acts on receptors in our body called alpha- and beta-adrenergic receptors , causing blood vessels to constrict. This then increases blood pressure, opens airways that are making it difficult to breathe, and reduces swelling. It also reduces the release of a chemical called histamine, which causes itching in the skin.
How to use this in an emergency?
Neffy is a medicine that should only be used in emergencies. Sometimes the person with the allergy can use it themselves. Or someone nearby can help. This spray can be used even if the patient is standing, sitting, or lying down.
Here are the steps to use the Neffy spray:
1. First, take the Neffy device out of its package.
2. Hold the device with the nozzle facing up. Place two fingers on either side of the nozzle and your thumb on the plunger underneath.
3. Now insert the nozzle into each nostril. Push it up until your fingers touch the bridge of your nose. The most important thing is that the nozzle should be pointing straight up towards your forehead . Do not let it hang down to the sides of your nose.
4. Now press the plunger at the bottom with your thumb until you hear a "click" sound. This will release a spray of medicine (one dose) into your nose.
5. The person who has taken the medicine should not breathe deeply or sniff it, either immediately or after taking it.
If symptoms continue to worsen after the first dose, a second dose may be needed. That is why every Neffy medicine box comes with two devices. The second dose should be administered at least 5 minutes after the first dose. The second dose should be administered in the same nostril as the first dose. However, your doctor will explain to you whether a second dose is needed or not, and whether you should seek medical advice after using the medicine.
Be sure to remember not to accidentally press the plunger before inserting the nozzle into your nose. Throw the used device in the trash.
Who can use this Neffy?
Neffy is only approved for people who weigh more than 30 kilograms (66 pounds) . If you or your child weighs more than 30 kilograms, Neffy may be a good option for severe allergies. If your child weighs less, an injection like an EpiPen will be needed.
Also, it has not been studied whether this medicine is absorbed properly in people who have had nasal surgery, have nasal injuries, or have conditions such as nasal polyps . If you have such a condition, tell your doctor about it. He or she will recommend the best option for you.
Special things to know when keeping this around
Since an allergy can strike anytime, anywhere, it is important to always have two doses of Neffy with you. Also, make sure that everyone who could help you in an emergency, such as your family, friends, teachers, and office staff, knows where it is and how to use it.
The Neffy device comes with a clear step-by-step instruction manual printed on the back of the package. It will be a great help in an emergency. Also, always check the expiration date. Then you can buy a new one before it expires.
How do I know if this works? Are there any side effects?
Although Neffy works very quickly, it can be difficult to tell right away if it is working. If symptoms continue to worsen 5 minutes after the first dose, a second dose may be needed. Some people may need other treatments in addition to this medicine. Therefore, you may need to go to a hospital's emergency department (ETU) right away . Your doctor will explain to you whether you need a second dose or whether you should go to the hospital right away.
Should you be afraid of side effects?
Since Neffy is a nasal spray, you may experience some discomfort in your nose or throat, a runny nose, or itching. Some people may also experience a headache. These are usually minor and will go away after a while.
The most important thing is that even if you have had side effects from epinephrine in the past, you should still use epinephrine in the event of a severe allergic reaction (anaphylaxis) because the risk of the allergic reaction is much greater than the side effects.
Are there any problems with other medications?
Some medications can affect the way Neffy works. However, no matter what medication you take, you should still use Neffy in case of anaphylaxis. Talk to your doctor about any other nasal sprays or medications you are using. He or she can help you develop a plan to use them safely.
Take-Home Message
- Neffy is an epinephrine nasal spray used in the emergency treatment of severe allergies (anaphylaxis).
- This can only be used by people weighing more than 30 kilograms.
- Always keep two doses of Neffy on hand in case of an emergency. Also, let family and friends know where it is and how to use it.
- If symptoms worsen after the first dose, a second dose (in the same nostril) may be needed after 5 minutes.
- Whether or not Neffy is used, it is very important to seek immediate medical advice or go to a hospital's Emergency Treatment Unit (ETU) if anaphylaxis occurs.
- Ask your doctor to clarify whether this medication is right for you and everything you need to know about it.


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