NAD+ Nasal Spray

NAD+ Nasal Spray

longevitymental clarityPerformance
NAD+ is a coenzyme in every cell of your body. Our nasal spray delivers it rapidly into your bloodstream via the nasal mucosa, providing a fast-acting boost for mental clarity and energy.
Starting at$199.00
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We offer this treatment for patients to self-administer at home.

Yes. NAD+ Nasal Spray is prescription medication. When you place your order, you'll complete a health questionnaire that a licensed physician reviews. If approved, your prescription is sent to a licensed pharmacy, where your NAD+ Nasal Spray is compounded and shipped directly to you.

No. RIVA treatments do not require insurance and are not submitted to insurance providers. Your consultation, physician review, and prescription are included in the cost of your treatment.

Your body produces less NAD+ every year

NAD+ keeps your cells running. Energy, repair, metabolism. It's behind all of it.
The problem? Your body makes less of it every year, and at some point, you start to feel it.

Up to
50%

NAD+ decline with age

500+

cellular processes powered by NAD+

100%

of cellular energy depends on NAD+

Refuel your cells directly.

Begin replenishing your NAD+ levels instantly. Delivered through the nasal mucosa for rapid absorption, bypassing the gut to deliver energy right where you need it.

Riva Health NAD+ injection vial

Simple

A quick daily spray. No clinic visits, no IV chairs.

Direct

Bypasses your digestive system entirely, ensuring maximum intact absorption into your bloodstream.

Targeted

Nasal delivery provides a unique, rapid pathway to the brain, making it highly effective for clearing brain fog and mental fatigue.

Licensed U.S. 503A Pharmacy

Compounded to pharmaceutical standards, not sourced from research suppliers.

Ongoing Care Team

A dedicated team to guide dosing, protocols and questions along the way.

Patient-Specific Formulation

Dose and protocol tailored to your intake, not a generic starting point.

Everything Included

Bottles, supplies, and clear instructions in every kit.

Medical Oversight

Prescribed and monitored by licensed clinicians throughout your protocol.

For Individual Care

Made for one patient, one protocol, never bulk lab supply.

Every treatment follows a clinical pathway

From sourcing to your door, three non-negotiables that don't change regardless of which NAD+ treatment you're getting.

1
Licensed pharmacy

Licensed U.S. compounding pharmacies

Every NAD+ treatment is sourced from regulated U.S. pharmacies. Compounded to strict clinical standards for maximum purity and potency, with no gray market or overseas sourcing.

2
Care team

Online intake + care-team support

No protocol without a proper intake. Dosing and duration are built around your health history, not a forum thread or a generic starting point.

3
Delivered to you

Everything you need

Everything comes with your order: supplies, instructions, and video guidance. Nothing to source separately.

Why NAD+ Nasal Spray?

Why NAD+ Nasal Spray?

NAD+ is a coenzyme present in every cell that drives energy production, DNA repair, and cellular metabolism. After age 40, your levels can drop by up to 50%, leading to fatigue, slower recovery, and accelerated aging. Our nasal spray delivers NAD+ through the nasal mucosa, offering fast absorption without needles, making it an ideal option for those who prefer a non-invasive approach to restoring their NAD+ levels.

Infusion Clinic
~4–5 hours in a chair
~$750+ per infusion
Variable
RIVA at Home
1 minute
up to 60% less
Precision-metered

Physician-personalized dosing, designed to ease your body into treatment

Flexible adjustments to maximize results and minimize side effects

Ongoing support from your RIVA medical team, anytime

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From our Clients

Adding this to my morning routine has been a game-changer. Just a quick spray before I start my day gives me a clean, steady sense of focus without the jitters I usually get from drinking too much coffee. It’s by far the easiest habit to maintain.

David R.

I used to pay for NAD IV drips at a wellness clinic. They felt great, but taking two hours out of my week just wasn't sustainable. The nasal spray delivers that same 'lights turning on' feeling in my brain almost instantly. It’s now my go-to for busy days when I need to be completely dialed in and focused.

Alicia K.

I travel constantly for work, and the mental fatigue from back-to-back flights used to wipe me out. Traveling with injection kits isn't always practical, so this nasal spray has been a lifesaver. I use it when I land and it helps me snap right out of that travel haze.

James P.

I really wanted the benefits of NAD+ but I absolutely hate needles. This spray is the perfect solution. It’s incredibly quick, totally painless, and genuinely helps me feel more alert every morning.

Mark D.

I’ve tried everything for that heavy brain fog that hits me at 2 PM, from extra espresso to expensive oral supplements that did nothing. This nasal spray is completely different. Within minutes of using it, my head feels clear and I have the mental stamina to finish my workday strong. It’s small enough to keep in my desk drawer, and I love that I don't have to deal with needles or booking IV appointments just to feel sharp.

Sarah L.

You can't pause the clock. But you can refuel your cells.

You can't pause the clock.
But you can refuel your cells.

Replenish the vital coenzymes your body naturally loses over time. A personalized NAD+ treatment helps you regain mental sharpness, physical stamina, and the drive to feel like yourself again.

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How it Works

Access the Next Evolution in Wellness from the comfort of your house. Build your at-home treatment backed by Medical Experts.

1TODAY

Choose your treatment

Complete a secure health questionnaire so our licensed providers can review your eligibility.

24–7 DAYS

Personalized Review

Our medical team reviews your information and determines the right treatment for you.

37+ DAYS

Delivered to You

Once approved, your prescription is prepared by our pharmacy partner and shipped directly to your door.

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Frequently Asked Questions

Because the highly vascularized nasal mucosa allows for rapid absorption, many patients report a boost in mental clarity and focus within minutes of use. Long-term benefits, such as improved cellular function and overall stamina, compound over several weeks of consistent daily treatment.
Yes. Oral NAD+ supplements and precursors (like NR or NMN) are heavily broken down by stomach acid and the liver before they reach your bloodstream. The nasal spray bypasses the digestive tract entirely, delivering intact NAD+ directly into your system for maximum bioavailability and much faster results.
Since NAD+ stimulates cellular energy production and sharpens alertness, it is highly recommended to use your spray in the morning or early afternoon. Taking it late in the evening may cause excess energy and make it difficult to fall asleep.
Yes, NAD+ is routinely and safely stacked with other therapies to maximize longevity and performance benefits. Your prescribing provider will ensure your specific combination and schedule are optimized for your health goals.
NAD+ nasal spray is generally very well-tolerated. The most common side effect is a mild, temporary tingling sensation or slight irritation in the nasal passage immediately after spraying. Because NAD+ rapidly ramps up cellular activity, a few patients might experience a brief, mild headache, which typically subsides quickly.
Active cancer patients should avoid NAD+ therapy, as enhanced cellular energy could theoretically support unwanted cell growth. Pregnant or nursing women, and individuals with severe liver or kidney conditions, should also avoid treatment unless explicitly cleared by a physician.
It is administered intranasally. You simply prime the bottle, insert the nozzle into your nostril, and press down to release a fine mist, repeating for the other nostril as directed by your protocol. It is completely needle-free, takes only seconds, and can be easily done anywhere.
Unlike certain hormone therapies, NAD+ does not suppress your body's natural production, so strict "off" cycles are not strictly mandatory. However, your care team will design a specific dosing schedule tailored to your baseline health, lifestyle, and ongoing progress.