
What neffy is
neffy® is a needle-free epinephrine nasal spray. Health Canada approved it in April 2026 for adults and children weighing 30 kg (66 lb) and up. There is a smaller 1 mg dose for children from 15 kg to under 30 kg, and it is not approved in Canada yet.
It is dispensed as a two-spray pack, and both sprays are meant to be carried together.
For when it reaches your pharmacy, neffy.ca is the manufacturer's own channel for that news.
Why it changes the pouch
An auto-injector is a tube. Two of them lie side by side and the pouch was built around that shape. A neffy pack is squarer, and two doses want a little more width than two EpiPens do.
Our older pouches are 7.5 cm across. Two neffy doses do go in, but tightly, and how tightly depends on the pouch. The liner, the interfacing and the fabric all take up room.
So we made it wider. The newer ones are 8 cm across and 21 cm long, not counting the strap, and two neffy doses sit in them perfectly. The rectangular shape of the pouch did not change and the belts are the same. It also still holds up to two of the same auto-injector, including EpiPen®, ALLERJECT®, AUVI-Q® and Emerade™ 0.3 mg, or a single Emerade™ 0.5 mg dose. You do not have to choose.
Which pouches fit neffy?
Our newer designs are a little wider, 8 cm across instead of 7.5, so two neffy doses go in and zip up without a fight. Each one has been checked with a neffy pack in hand.

Our older pouches are narrower, and whether two doses zip up easily depends on the print. The liner, the interfacing and the fabric all take up room. If you have your eye on one that is not on that page, get in touch and we will check it for you before you order.
If you already own one
It is almost certainly the 7.5 cm cut. Lay a neffy pack in it and see. If it is tight, that is the width, not something you are doing wrong.
Learn more about neffy
We wrote up what neffy is and why we made a wider pouch for it: Needle-Free Epinephrine Is Coming to Canada.
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