News|Articles|September 21, 2026

Anaphylm Is Back at the FDA: A Clinician FAQ on Needle-Free Epinephrine

Fact checked by: Tim Smith

Aquestive has resubmitted its needle-free epinephrine film after an FDA rejection over usability, not efficacy. This FAQ covers what changed.

On September 17, 2026, Aquestive Therapeutics resubmitted its New Drug Application (NDA) to the US Food & Drug Administration (FDA) for Anaphylm (dibutepinephrine) sublingual film, a needle-free epinephrine product for type I allergic reactions, including anaphylaxis.¹ The resubmission follows a Complete Response Letter (CRL) the FDA issued on January 30, 2026, one that centered on how patients handled the product, not on whether it worked.²

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