Not currently available to patients located in California.
Prescription required. If a provider decides treatment is not appropriate, you are not charged for treatment.
Product images are mockups for demonstration only. Your medication is prepared and dispensed by a licensed U.S. pharmacy, and its actual form, packaging and appearance may differ.
Losing muscle toneAfternoon energy crashLighter, choppier sleepSlower recovery after workouts
More you, more often.
Energy and aging-well care from licensed providers.
What is NAD+ nasal spray?
NAD+ nasal spray delivers nicotinamide adenine dinucleotide, a coenzyme your cells use to make energy, as a fine mist into the nose. People often ask about it because it skips the needle.
This spray is compounded by a licensed 503A pharmacy and is not FDA-approved. How much NAD+ is absorbed through the nose, and whether it changes how people feel, has not been well studied. Research is ongoing.
Infographic
How it works in your body
1Nasal deliveryThe spray is absorbed through the lining of the nose instead of an injection.
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2Coenzyme roleNAD+ supports the reactions that turn food into cellular energy.
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3Still being studiedAbsorption and effects of nasal NAD+ in people are not yet well established.
Video coming soon
NAD+ Nasal Spray in 60 seconds
A quick, plain-English explainer from the KIN Meds care team: what it is, who it may fit, and what to expect.
How your care works
What to expect
Step 1 of 4
Today
Answer a short online intake about your health, goals and current medications.
Step 2 of 4
Within 24 hours
A licensed provider reviews your intake asynchronously and may message you with questions.
Step 3 of 4
Expedited shipping
If prescribed, your medication ships from a licensed U.S. partner pharmacy.
Step 4 of 4
Ongoing
Message the care team any time, and check in so your provider can adjust or stop treatment.
Every cellNAD+ is a coenzyme present in every living cell and is central to energy metabolism.
24 hrsor less for a licensed provider to review your intake.
Adults interested in NAD+ who prefer a no-needle option
People building a wider plan around sleep, movement and nutrition
Probably not for you if
people who are pregnant or breastfeeding
anyone under 18
people with ongoing nasal problems, frequent nosebleeds or recent nasal surgery, unless a provider clears it
anyone with a known allergy to NAD+ or spray ingredients
Did you know
The numbers.
Every cell
NAD+ is a coenzyme present in every living cell and is central to energy metabolism.
Source: NIH
Your care team
Real providers. Real answers.
Every intake is reviewed by a licensed provider, not a bot. Physicians, nurse practitioners and physician assistants who know hormones, weight and healthy aging, and who treat you like a person.
Licensed in the state where you live
Review in 24 hours or less
Message your care team any time
Video visits for TRT and hormone care ages 35 to 39
Images show models.
Nurse practitioner
Physician
Physician assistant
Physician
Safety information
Possible side effects include nasal irritation, stuffiness, a runny nose, sneezing, headache and mild nausea or flushing. Stop using the spray and contact the care team if you have nosebleeds or significant irritation, and seek medical care for signs of an allergic reaction.
Full safety information
Compounded by a licensed 503A pharmacy. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness or quality.
Prescription required. A licensed provider decides whether treatment is appropriate, and if it is not, you are not charged for treatment.
No one knows yet. There is very little research directly comparing NAD+ nasal spray with injections, and how much NAD+ the nose absorbs is not well established. Some people choose the spray simply because it avoids needles. Compounded NAD+ nasal spray is not FDA-approved, and research is ongoing. Your provider can explain the tradeoffs and help you choose a form, if treatment is appropriate.
What are the side effects of NAD+ nasal spray?
The most common side effects are local: nasal irritation, stuffiness, a runny nose, sneezing or a mild burning feeling. Some people also notice headache, flushing or mild nausea. If you get nosebleeds, ongoing irritation or signs of an allergic reaction such as swelling or trouble breathing, stop using it and get medical help. Tell your provider about any nasal conditions before starting.
How do I use NAD+ nasal spray?
Your provider sets how many sprays to use and how often, and your pharmacy label includes the directions. In general, you gently blow your nose, keep your head upright, spray into one nostril while closing the other, and breathe in softly. Do not share your spray. Contact the care team if you have questions about dosing or technique.
Can I get NAD+ nasal spray online?
Yes, if a licensed provider decides it is appropriate. With KIN Meds, you complete an online intake, and a provider reviews it asynchronously, usually within 24 hours. If prescribed, the spray is compounded by a licensed 503A pharmacy and ships with expedited shipping. If treatment is not appropriate, you are not charged for treatment. Availability can vary by state.
Is NAD+ nasal spray FDA-approved?
No. NAD+ nasal spray is a compounded medication made by a licensed 503A pharmacy for an individual prescription. Compounded medications are not FDA-approved, which means the FDA has not reviewed them for safety, effectiveness or quality. A licensed provider reviews your health history before prescribing, and a prescription is required.
A few quick questions, then a licensed provider reviews your intake in 24 hours or less. If treatment is not appropriate, you are not charged for treatment.
General education, not medical advice. Prescription required. A licensed provider decides whether treatment is appropriate for you. Compounded medications are prepared by a licensed 503A pharmacy and are not FDA-approved. Product imagery is illustrative; actual medication form and appearance may differ.