National Allergy Helpline
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Why is it best to use same nostril for repeat doses of neffy®?  

It is recommended to give a second dose of neffy® in the same nostril as the first dose. This is because the adrenaline is absorbed quicker due to the first dose containing Intravail®, which opens cells in the nose. However, if the second dose is given in the other nostril, neffy® will still be absorbed.