Relief is Possible. Discover Spravato® for Treatment-Resistant Depression
If traditional antidepressants haven't worked, you aren’t out of options. We offer FDA-approved esketamine nasal spray in a safe, supportive clinical environment.
When "Standard" Treatments Aren't Enough
Many of our patients feel like they’ve tried everything. They’ve cycled through different SSRIs for years with little to no relief.
Do you still feel heavy or "numb" despite your medication?
Have you tried two or more antidepressants without success?
Are you looking for a treatment that works differently than a daily pill?
Understanding Spravato® (Esketamine)
What is Spravato®?
A Breakthrough in Interventional Psychiatry…
Spravato® is the first FDA-approved nasal spray medication, taken in conjunction with an oral antidepressant, for adults with treatment-resistant depression (TRD) and depressive symptoms in adults with suicidal thoughts or actions.
While traditional antidepressants (like SSRIs or SNRIs) work by increasing levels of chemicals like serotonin or norepinephrine in your brain, Spravato works differently. It targets the NMDA receptor, which helps to "reboot" the pathways in the brain that affect mood and emotional regulation.
Key Facts at a Glance:
Targeted Action: It works on the glutamate system to help repair neural connections in the brain that have been damaged by long-term depression.
Fast-Acting: Because it is absorbed through the nasal passages, many patients experience relief much sooner than with traditional pills.
Medically Supervised: To ensure your safety, Spravato is only administered in a certified doctor’s office under the supervision of healthcare professionals.
Proven Results: In clinical trials, patients who took Spravato along with an oral antidepressant experienced a greater reduction in depressive symptoms compared to those who took a daily pill alone.
“What to Expect”
Step-by-Step:
Consultation: We review your history to ensure Spravato is the right fit.
Insurance Prep: Our team handles the prior authorization for you.
Treatment Day: You’ll relax in a private recliner for a 2-hour observation period while you self-administer the nasal spray.
Recovery: You’ll need a ride home, but you can return to your normal routine the next morning.
Frequently Asked Questions
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Spravato (esketamine) is a prescription nasal spray that is FDA-approved for adults with treatment-resistant depression (TRD) and depressive symptoms in adults with suicidal thoughts or actions. Unlike generic IV ketamine, Spravato is specifically regulated by the FDA, administered in a clinical setting, and is frequently covered by most major insurance plans.
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In many cases, yes. Because Spravato is FDA-approved, it is often covered by insurance providers, including many Medicare plans, for patients who have not found relief from two or more oral antidepressants. Our office can help you navigate the "prior authorization" process to determine your specific coverage and out-of-pocket costs.
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While every patient is different, many people begin to see an improvement in their symptoms within the first few sessions—significantly faster than traditional oral antidepressants, which can take 6 to 8 weeks to work.
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No. Spravato is designed to be taken in addition to your current daily oral antidepressant. It is a "booster" to your existing regimen, not necessarily a replacement.
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During your 2-hour observation, you may experience "dissociation" (feeling detached from your body or surroundings), dizziness, or a sense of relaxation. Our rooms are designed to be calm and comfortable. You will be monitored by our clinical staff throughout the process to ensure you are safe and supported.
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Spravato can cause a temporary increase in blood pressure or feelings of sedation. The FDA requires that all patients be monitored by a healthcare provider for at least two hours after administration to ensure these effects subside before you head home.
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No. Because of the sedative effects of the medication, you cannot drive or operate heavy machinery until the day after your treatment. You must arrange for a friend, family member, or car service to pick you up from our clinic.