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Nirsevimab

Published: July 26, 2026Updated: July 26, 2026

Nirsevimab (BEYFORTUS) is a long-acting monoclonal antibody designed to prevent severe Respiratory Syncytial Virus (RSV) disease in infants and young children. It is administered as a single intramuscular injection and provides protection throughout the typical RSV season (approximately 5 months). This medication is specifically indicated for infants born during or entering their first RSV season, as well as children up to 24 months who remain at high risk for severe RSV disease during their second season.

Quick summary

Nirsevimab is a preventive monoclonal antibody that protects infants and high-risk young children from severe RSV lung infections with a single injection.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
J06BD08
RxNorm
2642401
Generic
Nirsevimab
Class
atc-j06
Brands
Beyfortus
Availability
rx
Lactation
unknown
Routes
—
Forms
prefilled syringe
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)intramuscular injection
Usual dose
not indicated for routine adult use
Maximum
consult physician
Frequency
single dose
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)intramuscular injection
Usual dose
50mg for weight <5kg; 100mg for weight ≥5kg
Maximum
consult physician
Frequency
single dose
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)intramuscular injection
Usual dose
not indicated for routine geriatric use
Maximum
consult physician
Frequency
single dose
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: No established toxic dose for nirsevimab; as a monoclonal antibody, traditional dose-toxicity relationships do not apply in the same manner as small molecule drugs
Chronic overdose: Not applicable; nirsevimab is administered as a single dose for RSV prevention and is not intended for chronic dosing
Immediate actions
Monitor for hypersensitivity reactions; provide supportive care; there is no specific antidote for nirsevimab overdose
Antidote
No specific antidote exists; treat symptomatically(Supportive care is primary management approach)
Poison Control: 1-800-222-1222

Special Populations

5 groups
✓

pediatric_age

infants 0 12 months
safe
FDA Category
N
Dose Adjustment

single dose based on weight

Key Recommendations

recommended for prevention of RSV in infants during their first RSV season

Monitor

observe for hypersensitivity reactions

✓

geriatric

elderly 65 plus
safe
FDA Category
N
Dose Adjustment

single dose as recommended

Key Recommendations

approved for use in adults 60 years and older at higher risk for RSV

Monitor

monitor for adverse reactions

✓

renal_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment required for mild to moderate renal impairment

Monitor

standard monitoring

✓

hepatic_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment required for mild to moderate hepatic impairment

Monitor

standard monitoring

⚠

lactation

breastfeeding
caution
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

transfer to breast milk is expected to be minimal; continue as directed

Monitor

monitor infant for any adverse effects

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:2023

First FDA approval date for nirsevimab (Beyfortus)

drug_classFDA
2023

Drug class

Value:Monoclonal antibody (RSV prevention)

Therapeutic classification of nirsevimab

usageFDA
2023

Indication

Value:Prevention of RSV infection in infants

Primary therapeutic indication for nirsevimab

administrationFDA
2023

Route of administration

Value:Intramuscular injection

Method of drug administration

Prevention of RSV lower respiratory tract disease in: (1) infants born during or entering their first RSV season, and (2) children up to 24 months of age who remain at increased risk for severe RSV disease during their second RSV season.

Nirsevimab is a recombinant human IgG1 monoclonal antibody that binds to the prefusion conformation of the RSV fusion (F) protein, preventing viral entry into host cells and subsequent RSV infection.

Administered as a single intramuscular injection. Can be given concurrently with routine childhood vaccines at different injection sites. Potential for hypersensitivity reactions exists. Should not be administered to individuals with known severe hypersensitivity to the active substance or any excipients.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy