What is Spravato (Eskatimine)? Spravato is a prescription nasal spray treatment provided under medical supervision. Spravato is FDA approved for:
- Treatment-resistant depression in adults (you have taken two or more oral antidepressants and still experience symptoms of depression)
- Depressive symptoms in adults with major depressive disorder with suicidal thoughts or actions
What does treatment with Spravato look like? Spravato is taken with an oral antidepressant. The recommended treatment plan is broken into three phases:
- Phase 1: 2 treatments per week for weeks 1-4
- Phase 2: 1 treatment per week for weeks 5-8
- Phase 3: 1 treatment per week or every two weeks for weeks 9+ as you transition into maintenance phase, based on remission of symptoms.
Is Spravato just another name for Ketamine? No, Spravato is the molecule that is found in Ketamine and administered via nasal spray vs. IV infusion. Studies have shown that Esketamine is more potent than Ketamine. Because it’s more potent, it can be used at a lower dose and may have fewer side effects when compared to Ketamine.
Will my insurance cover Spravato? Spravato is covered by most major insurance companies. Your provider will work with our in-house patient support specialists to complete the necessary insurance paperwork to help get Spravato covered.
What is the process to become a Spravato candidate for treatment? Schedule an initial appointment with our board certified Psychiatric Mental Health Nurse Practitioner to review your symptoms and medical history. It is helpful to bring a copy of your medical records for your depression treatment if you have received psychiatric treatment outside of GBCC/Oasis.
What should I expect during treatment? Your treatment will occur in a comfortable private office setting, seated in a reclining chair. You are able to bring items such as a blanket, electronic device with headphones, and/or a book or magazine to make your stay more comfortable. Many people prefer to rest quietly during their treatment. You will remain in the office for 2 hours for what is called an observation period.
Are there side effects? As with all medication treatments, there are possible side effects. The most common side effects are feeling disconnected from yourself, your thoughts, feelings, and things around you; dizziness; nausea; spinning sensation; decreased feeling of sensitivity; feeling sleepy; feeling drunk; feeling anxious; lack of energy; or feeling very happy or excited. If any of these side effects occur, they usually happen right after taking Spravato and go away the same day.
What should I expect after treatment? You should plan not to drive, operate machinery, or do anything where you need to be completely alert until the next day following a restful sleep. Our team will ask about your plan for getting home after treatment (e.g. getting a ride from a trusted friend or using a transport service) and perform a check-in when you arrive home.
Start your treatment journey today: Call 410-760-9079 to speak with our patient support specialists. You can also contact us HERE