What Is FluMist, The Nasal Flu Vaccine Spray And How Does It Work? (Image Credits: iStock)
With the U.S. Food and Drug Administration (FDA) recently approving the at-home use of the FluMist nasal spray vaccine, many are wondering if this new option is the best way to protect against the flu. FluMist will not be available for at-home use until the fall of 2025, but it's important to understand its benefits and limitations now to make informed decisions.
FluMist, originally approved for use by healthcare providers, is a live influenza vaccine that contains weakened strains of the flu virus. It covers the three prominent flu strains each season and is designed for children as young as 2 years old up to adults aged 49. Dr Pedro Piedra, professor of molecular virology, microbiology, and paediatrics at Baylor College of Medicine, explains that FluMist offers a needle-free alternative, providing a strong immune response via nasal administration. This method helps prepare the respiratory system to fend off flu viruses more effectively.
The nasal spray is particularly appealing to people who are needle-averse, such as children and adults who may prefer avoiding injections. According to Dr Piedra, the immune response generated by FluMist is robust for both children and adults. However, some people might experience mild side effects, such as a runny nose, sore throat, or a mild cold. These reactions occur because the live virus in FluMist replicates in the nasal passages.
While FluMist is an effective option, it’s not suitable for everyone. People with immunodeficiencies or compromised immune systems should avoid the vaccine. Additionally, children under 5 with a history of wheezing may experience wheezing after administration. Dr Piedra also advises that older children and adults with significant lung disease consult their doctor to explore alternatives that won’t increase the risk of respiratory issues.
For those considering FluMist, it's essential to avoid antiviral medications for at least two weeks before receiving the vaccine. Antivirals can counteract the weakened flu virus in FluMist and reduce the vaccine’s effectiveness. Parents should also ensure their children avoid taking aspirin shortly after vaccination, as this may increase the risk of Reye’s syndrome, a rare but serious condition affecting the liver and brain after flu infection.
While FluMist is safe for many, people who have had severe allergic reactions to any of the components in the vaccine should avoid it. If you’re uncertain about FluMist’s suitability for your family, it's best to consult with your doctor.
Once FluMist becomes available for at-home use in the fall of 2025, it will offer greater convenience. Families can administer the vaccine at their preferred time without disrupting their daily routines. However, Dr Piedra cautions that if there are immunodeficient people in the household, extra care should be taken to avoid potential complications from the live virus.
Ultimately, FluMist presents a flexible, effective option for flu prevention, but careful consideration of health factors is essential. Consulting with healthcare professionals is the best way to ensure FluMist is the right choice for you and your family.
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