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NAD+ Nasal Spray
NAD+, a coenzyme involved in how cells produce energy. No needles.

- Quick daily spray
- Easy to travel with
- Pharmacy on your label
Compounded, needle-free NAD+
The same coenzyme your cells use to make energy, in a quick daily nasal spray. A good fit if you want NAD+ without needles.
- Form
- Nasal spray
- How often
- Daily
- Needles
- None
- Made by
- State-licensed compounding pharmacy
Choose your plan
No charge unless a provider approves · Start assessment
12-month price lock · Licensed providers · Pharmacy named on every label
Quick answer
NAD+ Nasal Spray at a glance
The same coenzyme your cells use to make energy, in a quick daily nasal spray.
How it’s taken: nasal spray, daily.
It starts at $129/mo at Surna, with provider care included.
A prescription from a licensed provider is required. It’s compounded by a state-licensed pharmacy and is not FDA-approved.
Updated
How NAD+ Nasal Spray works
NAD+ helps your cells turn food into energy, and levels naturally decline with age.
The spray is absorbed through the lining of your nose, so there are no needles and it takes seconds.
What to expect
Everyone responds differently. Your provider checks in and adjusts your plan along the way.
First week
Mild stinging or congestion is possible as you get used to it.
Weeks 2–4
Daily use becomes routine. Tell your care team how you’re feeling.
Ongoing
Your provider adjusts your dose based on how it’s working for you.
Is it right for you?
Your provider makes the final call after reviewing your health history.
Often a good fit
- People who want NAD+ without injections
- Busy schedules and frequent travel
- Looking to support daily energy and focus
Usually not a fit
- Frequent nosebleeds or recent nose surgery
- Pregnant or breastfeeding
- Allergy to any ingredient
Not a complete list. Tell your provider about all health conditions and medications.
Possible side effects
Most side effects are mild. Your care team is a message away if something doesn't feel right.
More common
Get medical help right away for
- Signs of an allergic reaction, like hives, swelling of your face or throat, or trouble breathing
- Nosebleeds that won’t stop
For a medical emergency, call 911.
How to take it
Always follow the directions on your label and from your provider.
Prime the pump
Before first use, pump a few times until a fine mist appears.
Spray as directed
Tilt your head slightly forward, spray as your label directs, and breathe in gently.
Store it properly
Follow the storage directions on your label. Some sprays need refrigeration.
NAD+ Nasal Spray questions
Spray or injection?
The spray is needle-free and used daily. Injections deliver a larger dose less often. Your provider can help you choose.
Does it burn?
Some people feel mild stinging at first, which usually eases with regular use. Tell your care team if it doesn't.
Is NAD+ nasal spray FDA-approved?
No. It is compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved or reviewed by the FDA for safety, effectiveness, or quality.
Related treatments
See if NAD+ Nasal Spray is right for you.
Answer a few questions and a licensed provider will review your options.
Important safety information
Last updated
NAD+ nasal spray can cause nasal irritation, congestion, headache, and flushing. Tell your provider about nasal conditions, pregnancy, or breastfeeding. Seek emergency care for signs of a serious allergic reaction.
Compounded medication, prepared by a state-licensed pharmacy for individual patients. Compounded drugs are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality. Prescribed only if your provider determines it is clinically appropriate for you.
This is not a complete list of risks. Talk with your provider and read the full prescribing information or medication guide.


