Telos RX NAD+ Nasal Spray 

Product Details

What Is NAD+ Nasal Spray?

NAD+ Nasal Spray is a compounded, prescription-only intranasal solution containing nicotinamide adenine dinucleotide (NAD+), a coenzyme involved in cellular energy production and DNA repair. It is dispensed by a licensed US compounding pharmacy after a clinician reviews a patient’s online intake.

The manufacturer describes the intranasal route as a way to deliver NAD+ directly into circulation through the nasal mucosa, avoiding first-pass digestion. Because it is compounded rather than manufactured as a standardized over-the-counter supplement, formulation and dosing are determined on a patient-by-patient basis rather than fixed on a retail label.

Who May Consider NAD+ Nasal Spray?

According to the provider, this product is generally considered by adults who are interested in support for cellular energy, recovery, and cognitive performance as part of a broader wellness or longevity approach. Eligibility is determined through an online intake reviewed by a licensed clinician, not by self-selection.

This product is not intended for anyone who has not been evaluated and approved by a prescribing clinician. People experiencing ongoing or unexplained fatigue, cognitive changes, or other persistent symptoms should seek a full medical evaluation rather than relying on this product alone.

How May NAD+ Nasal Spray Support General Wellness?

NAD+ is a coenzyme involved in normal mitochondrial function and the metabolic reactions that produce cellular energy (ATP). The manufacturer positions intranasal delivery as a way to raise circulating NAD+ without the cost or logistics of IV infusion or the reduced bioavailability associated with oral precursors such as NR or NMN.

The provider states that NAD+ is also involved in DNA repair pathways and is used as a substrate by enzymes such as sirtuins and PARPs. These are general descriptions of NAD+’s known biochemical roles; they describe the coenzyme’s normal function in the body and are not claims that this specific compounded product treats, cures, or reverses any disease or condition.

Individual experience with compounded NAD+ formulations may vary, and response is not guaranteed.

Dosing and Formulation

Because this is a compounded prescription product rather than a standardized over-the-counter supplement, it does not carry a fixed Supplement Facts panel. Dose, spray volume, and frequency are set individually by the prescribing clinician based on the patient’s intake and ongoing care, and may be adjusted over time. Patients should follow the specific directions provided with their prescription rather than a generic dosing schedule.

Active Ingredient

NAD+ (Nicotinamide Adenine Dinucleotide)

NAD+ is a coenzyme present in every cell that participates in normal energy metabolism, mitochondrial function, and DNA repair processes. The compounded amount per spray is determined by the prescribing pharmacy and clinician for each patient rather than fixed at a single label strength.

Other Ingredients and Allergens

As a compounded prescription product, inactive ingredients (such as preservatives, buffers, or solution carriers) can vary by batch and by the specific compounding pharmacy fulfilling the prescription. Patients should ask their pharmacy or care team for the specific formulation sheet for their prescription, particularly if they have known allergies or sensitivities.

Potential Benefits

• Support normal cellular energy metabolism
• Contains a coenzyme involved in mitochondrial ATP production
• Designed to support recovery-related metabolic processes
• Support general cognitive and energy-related wellness goals
• Provides a needle-free, at-home intranasal delivery option

Important Limitations

• Clinical evidence for the finished intranasal formulation, as opposed to individual NAD+ research, is limited.
• Individual experiences and response to treatment vary and are not guaranteed.
• This product is only available by prescription following clinician review, and is not sold as a standalone retail item.

How to Use?

• Use only as directed by your prescribing clinician; directions are personalized rather than fixed on a standard label.
• Administered intranasally, typically as part of a daily routine.
• Follow the specific spray count, frequency, and technique provided with your prescription.
• Store as instructed on your pharmacy label, and keep out of reach of children.
• Contact your care team before changing your dose or frequency.

Warnings and Precautions

• For use only by the patient to whom it is prescribed, following clinician evaluation.
• Disclose pregnancy or breastfeeding status to your clinician before starting treatment, as safety in these populations has not been established.
• Not evaluated for use in children.
• Tell your clinician about all prescription and over-the-counter medications you take, as interactions have not been fully characterized for this compounded formulation.
• Disclose any existing medical conditions, including cardiovascular, liver, or kidney conditions, before starting.
• Discuss any known allergies with your care team, as inactive ingredients can vary by compounding batch.
• Tell your care team if you have surgery planned.
• Do not use if the packaging or nasal applicator appears damaged or compromised.
• Store according to your pharmacy’s instructions and keep away from children and pets.

Possible Side Effects and Interactions

Tolerance to intranasal NAD+ can vary between patients. The provider notes that mild nasal tingling or flushing are among the more commonly reported early effects and are generally described as temporary. Because this is a compounded formulation, a complete, standardized side-effect profile has not been established the way it would be for an FDA-approved drug. Patients taking other medications, or managing an existing medical condition, should discuss potential interactions with their prescribing clinician or pharmacist before starting and should report any unexpected reaction to their care team.

Manufacturing and Quality Information

This product is compounded in the United States. Fulfillment is handled by compounding pharmacy partners, including VialsRX (Houston, TX) and, in eligible states, F&F Pharmacies Inc dba Jungle Jim’s Pharmacy (Fairfield, OH). Jungle Jim’s Pharmacy does not dispense sterile compounds and is not licensed in California, Nevada, New Jersey, North Carolina, Texas, Massachusetts, Mississippi, New Hampshire, West Virginia, or Delaware, so pharmacy assignment may vary by patient location.

Pros

• Needle-free intranasal delivery format
• Prescription reviewed and dosed by a licensed clinician rather than self-directed
• Ongoing care team access for dose adjustments
• Transparent, flat subscription pricing with no hidden fees stated
• FSA/HSA payment eligibility

Cons

• Not available without an online intake and clinician approval
• Not a fixed-dose, shelf-stable retail supplement; formulation can vary by compounding pharmacy
• Requires an ongoing subscription rather than a single one-time purchase

Pricing and Subscription Terms

Price depends on plan length and clinician approval; costs and terms below reflect the official website at the time of review.

• Listed price: as low as $116 per month
• Billing: subscription-based, not a single flat bottle price
• Shipping: free 48-hour shipping if approved
• Cancellation: cancel-anytime policy stated by the provider, with no penalty described
• Approval: prescriptions and pricing tier depend on clinician review and are not guaranteed for every applicant

Pricing and availability were checked on August 22, 2026 and may change on the official website.

Pharmacist Note

Because this is a compounded, personalized prescription, patients should confirm their full medication list with their care team before starting, including any overlapping ingredients from other supplements or prescriptions. Always follow the specific dose and frequency provided on your prescription label rather than a general schedule, and report any unexpected reaction promptly.

FAQs

1. What type of product is NAD+ Nasal Spray?

It is a compounded, prescription-only intranasal solution containing NAD+, dispensed through a licensed US telehealth provider and compounding pharmacy after clinician review of an online intake.

2. How is dosing determined?

Dosing is personalized. There is no fixed retail dose; your prescribing clinician sets the spray frequency and amount based on your intake and follow-up care.

3. Can it be taken with prescription medication?

Possible interactions have not been fully established for this compounded formulation. Disclose all medications to your prescribing clinician or pharmacist before starting.

4. Is it suitable during pregnancy or breastfeeding?

Safety in pregnancy or breastfeeding has not been established. Disclose this status to your clinician, who will determine whether the product is appropriate.

5. Where can it be purchased?

It is available only through Telos Rx’s online intake process, following review and approval by a licensed clinician, not as a standalone retail purchase.

6. What is the cancellation policy?

The provider states patients can cancel their subscription at any time through their online portal, with no described penalty or retention requirement.

Medical Disclaimer

This product is not intended to diagnose, treat, cure or prevent any disease. Compounded medications are not FDA-approved, and prescriptions are never automatic or guaranteed. Consult a qualified healthcare professional before using this or any prescription product, particularly if you are pregnant, breastfeeding, taking medication, or managing a medical condition.

Sources and Product Review Information

• Official product page
• Provider-disclosed pharmacy and clinical group information as listed on the official page
• General NAD+ biochemical role information consistent with recognized physiology references
• Date product information was checked: August 22, 2026

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