Importance of epinephrine use

In the event of an allergic reaction,

Many patients are not prepared with an epinephrine needle injector on hand1-4

  • 3.2 million patients filled or refilled
  • 3.3 million patients did not fill or refill
A white silhouette of a person that is half filled with dark blue and the other half is a green-teal gradient

Of the ~6.5 million patients prescribed epinephrine

50%

did not fill or refill their prescription1*

55–60%

of patients do not consistently carry epinephrine2-4†

A two section pie chart with the larger section filled with a green-teal gradient and the smaller section filled with dark blue

40–45% do carry

Bubble Blue Gradient
Bubble Blue Gradient
Against an allergic reaction,

Many patients and caregivers don't use epinephrine promptly2,5,6

~40%

of patients and caregivers

do not administer epinephrine at all2‡

>50%

of parents

are afraid or somewhat afraid to administer their child’s epinephrine

A white and dark blue icon of a clock with a 10-minute section overlaid on top and filled in with a green-teal gradient

Patients and caregivers who hesitate to use epinephrine wait an average of over 10 minutes6||

FOR PATIENTS WITH An allergic reaction,

A needle-free device is more likely to be carried and used sooner6,7

Based on 2 surveys, each with 100 patients6,7:
A white circle with a green-teal gradient background and two blue hands almost touching in the center of it

76% of patients would be more likely to carry it

A white circle with a green-teal gradient background and a blue "RX" in the center of it

47% of patients would be more likely to fill a prescription7#

A bar chart depicting the average time (in minutes) consumers take to use their current device vs a needle-free device

Patients and caregivers said they would use it ~45% sooner

*Based on 2023 IQVIA claims data.1

Based on two surveys (917 adults and parents of children and adolescents who had been prescribed an epinephrine auto-injector and 35 pediatric patients with a documented history of food allergy) and an analysis of 587 food allergic reactions resulting from ingestion.2-4

Based on a survey of 917 adults and parents of children and adolescents who had been prescribed an epinephrine auto-injector.2

§Based on a survey of 1209 parents of children who had been prescribed an epinephrine auto-injector.5

|| Based on a survey of 100 patients and 100 caregivers who used an epinephrine auto-injector within the 12 months prior to participating in the survey.6

Based on a 20-minute, double-blind, web-based survey which included 100 caregivers and 100 qualifying patients who used an epinephrine injectable device within the 12 months prior to participating in the survey.6

#Based on a survey of 100 patients who had been diagnosed with severe or potentially life-threatening allergies.7

References: 1. Data on file. IQVIA Claims Data. ARS Pharmaceuticals Operations, Inc. 2023. 2. Warren CM, Zaslavsky JM, Kan K, Spergel JM, Gupta RS. Epinephrine
auto-injector carriage and use practices among US children, adolescents, and adults. Ann Allergy Asthma Immunol. 2018;121(4):479-489.e2. 3. Brooks C, Coffman A, Erwin E, Mikhail I. Diagnosis and treatment of food allergic reactions in pediatric emergency settings. Ann Allergy Asthma Immunol. 2017;119(5):467-468. 4. Curtis C, Stukus D, Scherzer R. Epinephrine preparedness in pediatric patients with food allergy: an ideal time for change. Ann Allergy Asthma Immunol. 2014;112(6):560-562. 5. Chad L, Ben-Shoshan M, Asai Y, et al. A majority of parents of children with peanut allergy fear using the epinephrine auto-injector. Allergy. 2013;68(12):1605-1609. 6. Kaplan H, Rooney E, Tanimoto S, et al. Presented at the Annual Scientific Meeting of the American College of Allergy, Asthma and Immunology; November 11, 2022; Louisville, KY. 7. Kaplan H, Rooney E, Tanimoto S, et al. Presented at the American Academy of Allergy, Asthma & Immunology (AAAAI) Annual Meeting; February 24, 2023; San Antonio, TX.

INDICATION AND IMPORTANT SAFETY INFORMATION

INDICATION

neffy is indicated for emergency treatment of type I allergic reactions, including anaphylaxis, in adult and pediatric patients aged 4 years and older who weigh 15 kg or greater.

IMPORTANT SAFETY INFORMATION

It is recommended that patients are prescribed and have immediate access to two neffy nasal sprays at all times. In the absence of clinical improvement or if symptoms worsen after initial treatment, administer a second dose of neffy in the same nostril with a new nasal spray starting 5 minutes after the first dose.

neffy is for use in the nose only.

Advise patients when to seek emergency medical assistance for close monitoring of the anaphylactic episode and in the event further treatment is required.

Absorption of neffy may be affected by underlying structural or anatomical nasal conditions.

Administer with caution to patients who have heart disease; epinephrine may aggravate angina pectoris or produce ventricular arrhythmias. Arrhythmias, including fatal ventricular fibrillation, have been reported, particularly in patients with underlying cardiac disease or taking cardiac glycosides, diuretics, or anti-arrhythmics.

The presence of a sulfite in neffy should not deter use.

neffy may alter nasal mucosa for up to 2 weeks after administration and increase systemic absorption of nasal products, including neffy.

Patients with certain medical conditions or who take certain medications for allergies, depression, thyroid disorders, diabetes, and hypertension, may be at greater risk for adverse reactions.

Epinephrine can temporarily exacerbate the underlying condition or increase symptoms in patients with the following: hyperthyroidism, Parkinson’s disease, diabetes, renal impairment. Epinephrine should be administered with caution in patients with these conditions, including elderly patients and pregnant women.

Most common adverse reactions are nasal discomfort, headache, rhinorrhea, dizziness, nausea, vomiting, throat irritation, nasal congestion, paresthesia, sneezing, upper respiratory tract congestion, epistaxis, rhinalgia, nasal dryness, dry throat, fatigue, and feeling jittery.

These are not all of the possible side effects of neffy. To report suspected adverse reactions, contact ARS Pharmaceuticals Operations, Inc. at. 1-877-MY-NEFFY (877-696-3339) or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please see full Prescribing Information for neffy.