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. 2023 Feb 27;75(2):249–265. doi: 10.1007/s43440-023-00463-7

Table 2.

Nasal sprays for treatment of SARS-CoV-2

Nasal spray name Organization Mechanism Effect References
NONS (Nitric oxide nasal spray) SaNOtize, United Kingdom Inhibit SARS-COV-2 replication and reduces palmitoylation of nascently expressed spike protein Pulmonary dilation and reduction of infections [91]
Taffix spray Nasus pharma, Israel Reduces penetration of SARS-COV-2to into nasal mucosa Prevention of infection in respiratory tract and reduction of symptoms [62]
Anti-COVID-19 nasal spray University of Birmingham, Birmingham Forms mucoadhesive layer of polysaccharide on the nasal mucosa Protection of the upper respiratory pathways and infections [45]
Inhaled mRNA antibodies Neurimmune and Ethris Local antibodies neutralize the SARS-CoV-2 virus Pulmonary dilation [70]
Alvesco inhaler Covis Pharma, Luxembourg During viral biogenesis interacts with viral NSP-15

Dilation of Respiratory tract

Reduction in cough

[89]
Ivermectin nasal spray Medical biochemistry research, Egypt Reduction of viral RNA Reduces biochemical parameters to normal values [93]
Antibody laden nasal spray IGM bioscience California IgM antibody neutralize variants of SARS-CoV-2. IgG antibody works against viral infection Controls rate of infection and stop the spread of infection through the upper respiratory system [90]
Astrodimer sodium 1% nasal spray Aspen Pharmacare, South Africa and Starpharma, Australia Reduces viral genome copies and release of pro-inflammatory cytokines to protect against cytokine storm Protects brain from infection [56]
Mometasone furoate nasal spray Research Department of Biostatistic, Iran Reduces olfactory dysfunction with direct administration through nostrils Restores smell [92]
Chlorpheniramine maleate nasal spray Larkin healthcare Florida,Unites States Reduces normal symptoms of SARS-CoV-2 Improvement in symptoms including mild to non-existent congestion [84]
PH94B neuroactive nasal spray VistaGen Therapeutics, United States Stimulates nasal chemosensory neurons and olfactory bulb neurons at the brain center Regulation of fear and anxiety. Modulation of inhibitory neurotransmitters [85]