Esketamine Therapy

 We are certified SPRAVATO® treatment center
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What is SPRAVATO?.

 it  is a prescription medicine, used along with an antidepressant taken by mouth, for treatment-resistant depression (TRD) in adults. 

First Nasal Spray for Depression

SPRAVATO is the first nasal spray medication, taken along with an oral antidepressant, for adults with treatment-resistant depression (TRD).

If you’ve struggled with depression and tried two or more antidepressants* in your current episode without adequate relief, talk to your healthcare provider to see if you have treatment-resistant depression.

*Of adequate dose and duration.

How Can I Get Spravato?

Indication For Spravato/Esketamine

 

• Treatment-resistant depression (TRD) in adults. 
• Depressive symptoms in adults with major depressive disorder (MDD) with
acute suicidal ideation or behavior.  

What to Expect During Your SPRAVATO® Treatment

Getting Started with SPRAVATO
  • Review your overall medical and depression treatment history. Be sure to tell u s if you have a history of abusing prescription or street drugs or a problem with alcohol
  •  Ask if adding SPRAVATO® to your overall treatment plan might be a next step for you
  •  You should not expect treatment on your first visit. A healthcare provider at the certified SPRAVATO® treatment center will do their own assessment to determine if SPRAVATO® may be right for you
Contraindications

if you have had medical conditions such as

  • blood vessel disease (aneurysm),
  • an abnormal connection between your blood vessels (arteriovenous malformation),
  • a history of bleeding in the brain or
  • If you are allergic to esketamine, ketamine or any of the ingredients in SPRAVATOngs.
Treatment Days
  • You’ll need to plan for rides to and from our clinic
  • You will not be able to drive, operate machinery or do anything where you need to be completely alert until the day after a treatment session, following a restful sleep.
  • You may want to bring a book, a relaxing playlist or another form of entertainment for the session because we will monitor you for at least two hours after treatment.
  • Avoid eating two hours before and drinking liquids 30 minutes before taking SPRAVATO
  • f you take a nasal corticosteroid or nasal decongestant medicine, take these medicines at least one hour before taking SPRAVATO
How to Use SPRAVATO Nasal Spray

You will administer SPRAVATO® yourself under the supervision of a healthcare provider, who will show you how to use the SPRAVATO  nasal spray device.

Learn More About Using SPRAVATO® Nasal Spray

SPRAVATO® Side Effects

There’s an increased risk of suicidal thoughts and behavior with SPRAVATO

The most common side effects that can occur during and after taking SPRAVATO® include:

  • Dissociation (feeling disconnected from yourself, your thoughts, feelings, space and time)
  • Dizziness
  • Nausea
  • Sedation (sleepiness)
  • Spinning sensation
  • Reduced sense of touch and sensation
  • Anxiety
  • Lack of energy
  • Increased blood pressure
  • Vomiting
  • Feeling drunk
Staying on SPRAVATO

You’ll take SPRAVATO® twice a week for the first month. During the second month, you’ll take it once a week. After that, you’ll take it once a week or once every two weeks. You’ll continue to take an oral antidepressant as prescribed.

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