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What is Covixyl nasal spray? An overview of its claims, ingredients, and regulatory status

4 min read

In February 2024, the FDA issued a warning letter to the manufacturer of Covixyl nasal spray, citing unapproved new drug violations for making unsubstantiated claims regarding the prevention of airborne viruses like COVID-19. This overview explores what is Covixyl nasal spray, its purported mechanism of action, and the critical regulatory context surrounding its marketing.

Quick Summary

Covixyl is an over-the-counter nasal spray that contains Ethyl Lauroyl Arginate HCl (ELAH) and other ingredients, marketed as a physical barrier against airborne pathogens. The FDA has issued a warning regarding its unapproved claims of preventing viruses. The spray is intended to complement, not replace, approved public health measures.

Key Points

  • Mechanism: Covixyl uses Ethyl Lauroyl Arginate HCl (ELAH) to create a physical barrier in the nose, trapping airborne pathogens and preventing their attachment to nasal cells.

  • FDA Status: The spray is not FDA-approved for preventing or treating diseases; the FDA issued a warning to the manufacturer for making unproven claims related to COVID-19 prevention.

  • Clinical Evidence: While laboratory and animal studies show positive results, robust, FDA-accepted clinical evidence of its efficacy in humans for preventing viral infections is limited.

  • How to Use: The recommended usage is two sprays in each nostril, typically up to three times a day, particularly before entering crowded or high-risk areas.

  • Safety Profile: The manufacturer claims no major side effects, but a temporary stinging sensation has been reported by some users. Allergic reactions are possible depending on the ingredients.

  • Regulatory Context: The FDA considers Covixyl an unapproved new drug because of its stated purpose to mitigate or prevent disease.

  • No Substitute for Vaccines: The manufacturer and health professionals emphasize that Covixyl is meant to be a complementary tool, not a replacement for vaccines, masks, or other official mitigation strategies.

In This Article

What Is Covixyl Nasal Spray?

Covixyl nasal spray is a consumer product marketed as a preventative tool against airborne pathogens. Unlike a medicinal drug that targets a virus systemically, the manufacturer describes Covixyl as a physical barrier that helps protect the user by trapping airborne contaminants within the nasal passages before they can take hold. The spray is sold over-the-counter and is intended for general use, especially in environments where exposure to others is higher, such as on public transportation or in crowded spaces.

The Role of Ethyl Lauroyl Arginate HCl (ELAH)

The primary active ingredient in Covixyl nasal spray is Ethyl Lauroyl Arginate HCl (ELAH). This compound has been used for decades in other applications, such as a food preservative and in mouthwashes for its antimicrobial properties. In the context of Covixyl, ELAH is claimed to act by creating a sticky, protective barrier in the nasopharynx, which is the area behind the nose. The spray’s ultra-fine mist coats the lining of the nasal cells to physically block the attachment of viruses and other particles.

FDA Warning and Unapproved Claims

Despite its marketing, Covixyl has not received approval from the U.S. Food and Drug Administration (FDA) for the prevention or treatment of any disease, including COVID-19. In February 2024, the FDA sent a warning letter to the product’s manufacturer, Salvacion USA Inc., for making unproven and unauthorized claims that the spray could protect against airborne viruses. The letter states that because the product is intended to mitigate or prevent disease, it is classified as a "new drug" under the Federal Food, Drug, and Cosmetic Act and cannot be sold without an FDA-approved application. The company's assertion that its ingredients are Generally Recognized as Safe (GRAS) does not apply to the final product's intended use and claims. This regulatory action is a critical point of concern for consumers considering the product.

Scientific Evidence and Clinical Studies

While the manufacturer points to some laboratory and animal studies, the body of robust clinical evidence for Covixyl’s efficacy in humans remains limited.

  • Laboratory and Animal Studies: In vitro and animal studies using the active ingredient, ELAH, have shown positive results, such as reduced viral load in hamsters and high viral inhibition in lab tests.
  • Human Trials: A study listed on ClinicalTrials.gov investigated the efficacy and safety of an ELAH formulation versus a placebo in subjects with COVID-19 to reduce viral load. Another study in healthcare workers during the Delta variant surge in India found a significant reduction in SARS-CoV-2 infection compared to a placebo, though it had limitations, including a change in the primary endpoint. It is important to note that the findings of these early or limited studies do not constitute FDA approval.

How to Use Covixyl Nasal Spray

For those who choose to use the product, the manufacturer provides clear instructions for application.

  1. Shake the Bottle: Begin by shaking the bottle well before each use.
  2. Prime the Pump: For the first use, or if the spray hasn't been used in a while, prime the pump by spraying a few times into the air until a fine mist appears.
  3. Insert and Spray: Insert the nozzle tip into one nostril, aiming the spray backward and slightly outward, away from the center of the nose. Spray twice into each nostril.
  4. Repeat as Needed: The spray is said to be effective for up to six hours and can be reapplied as needed, especially in high-risk areas. Reapplication is also recommended after sneezing or blowing your nose.

A Comparison of Barrier Nasal Sprays

Covixyl is part of a category of barrier nasal sprays that includes other products with varying ingredients and mechanisms. The table below compares Covixyl with some of these alternatives, though none should be considered a replacement for FDA-approved medical interventions or vaccinations.

Feature Covixyl Xlear Povidone-Iodine Sprays Saline Sprays
Active Ingredient Ethyl Lauroyl Arginate HCl (ELAH) Xylitol Povidone-Iodine Sodium Chloride (Salt Water)
Mechanism Creates a physical barrier in the nasopharynx to block viral attachment. Flushes and cleanses nasal passages, may disrupt viral activity. Antiseptic properties intended to inactivate pathogens. Clears mucus, moisturizes nasal passages.
FDA Status Not FDA-approved for claimed use; received a warning letter. Not FDA-approved for viral protection; received FTC controversy. Some products warned by FDA over unproven claims. Generally recognized as safe for flushing and moisturizing.
Claimed Protection Blocks airborne viruses and pathogens for up to 6 hours. Reduces viral load, improves mask comfort. Limited studies suggest effectiveness as nasal rinse. No claims of blocking or killing viruses.

Safety and Potential Side Effects

The manufacturer of Covixyl states that the product is non-addictive and does not have known major side effects. The ingredients are generally recognized as safe (GRAS) by the FDA for other applications. However, some users have reported a slight stinging sensation upon application, which is attributed to the formula's slightly acidic nature. Pregnant women and children under 12 are advised to consult a healthcare provider before use. As with any topical product, allergic reactions to ingredients, such as lavender, are possible.

Conclusion

What is Covixyl nasal spray? It is an over-the-counter product marketed as a physical barrier to help protect against airborne pathogens using the active ingredient Ethyl Lauroyl Arginate HCl (ELAH). While some early studies suggest a potential benefit, it is not an FDA-approved drug for this purpose, and the FDA has explicitly warned the manufacturer against unproven claims related to virus prevention. Covixyl should not be considered a substitute for vaccination, masks, or other established public health measures. Consumers should carefully consider the regulatory status and limited clinical evidence before relying on this product for protection against viral illnesses. For reliable medical advice and proven preventative strategies, always consult with a healthcare professional and refer to official guidance from regulatory bodies like the FDA and CDC.

Frequently Asked Questions

No, Covixyl nasal spray is not FDA-approved for preventing or treating any disease. The FDA issued a warning letter to the manufacturer, Salvacion USA Inc., for promoting the product with unsubstantiated claims.

The primary active ingredient in Covixyl nasal spray is Ethyl Lauroyl Arginate HCl (ELAH), which the manufacturer claims creates a physical barrier in the nasal passages.

The manufacturer states that Covixyl works by forming a fine, protective mist inside the nasal passages that acts as a physical barrier, trapping airborne viruses and preventing them from attaching to nasal cells.

No, there is no FDA-accepted evidence to support the claim that Covixyl can prevent COVID-19. The FDA explicitly warned the manufacturer against making such claims, and the product should not be relied upon for protection.

Some users have reported a slight, temporary stinging sensation upon application due to the product's acidity. Allergic reactions to ingredients, such as lavender, are also a possibility for sensitive individuals.

According to the manufacturer's instructions, Covixyl is effective for up to six hours and can be reapplied as needed. It is typically recommended for use up to three times daily or more frequently in high-risk situations.

Absolutely not. The product is intended to be complementary to, not a replacement for, established public health measures like vaccination and mask-wearing. It does not provide antibodies or systemic protection.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.