Evidence map›Paper›PMID 41675867›Full record

ArticleAnnals of medicine and surgery (2012)2026

Epinephrine nasal spray for anaphylaxis: a preferred needle-free self-treatment.

Ahmar Jan Qureshi, Kinza Raza, Hibba Iftikhar, Raghabendra Kumar Mahato

Abstract readEditorial
In one paragraph

Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ahmar Jan QureshiDepartment of Medicine, CMH Multan Institute of Medical Sciences, Multan, Pakistan.
Kinza RazaDepartment of Medicine, Bakhtawar Amin Medical and Dental College (BAMDC), Multan, Pakistan.
Hibba IftikharDepartment of Medicine, People's University of Medical and Health Sciences (PUMHS), Nawabshah, Pakistan.
Raghabendra Kumar MahatoDepartment of Medicine, Gandaki Medical College Teaching Hospital and Research Center, Pokhara, Nepal.ORCID https://orcid.org/0009-0009-9434-1650

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anaphylaxis is a rapid-onset, potentially fatal allergic reaction that requires immediate epinephrine administration. Traditional intramuscular auto-injectors can be hindered by needle phobia, incorrect use, limited availability, and injection-related injuries. Neffy, the first FDA-approved intranasal epinephrine spray, provides a needle-free, rapid, and user-friendly alternative. Its nasal formulation allows swift absorption, producing pharmacodynamic effects within one minute, comparable to conventional auto-injectors. By eliminating needles, Neffy reduces the risk of lacerations, ischemic complications, and accidental injuries, while enhancing adherence among patients or caregivers hesitant to use injections. Early data indicate effective management of anaphylaxis with this device, though further studies in broader populations are warranted. Adoption of nasal epinephrine may improve timely treatment, increase accessibility, and offer a safer, patient-centered approach to emergency allergic reactions.

Indexed as

anaphylaxis treatmentepinephrine auto-injector issuesepinephrine nasal sprayFDA-approved Neffyneedle-free alternative

Identifiers

PMID41675867
PMCPMC12889291

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.