Services / Spravato
Spravato
SPRAVATO®, a nasal spray that is believed to work differently than traditional antidepressants. Cycling through medications can be frustrating. If two or more antidepressants haven’t worked for you, ask us about SPRAVATO®.
Schedule an AppointmentAbout this service
A different mechanism entirely, which is why it can work when conventional antidepressants have not.
Esketamine acts on the glutamate system rather than on serotonin, and for some patients that difference is the whole point.
Approved and regulated
Spravato is FDA-approved for treatment-resistant depression and can only be given in a certified clinic under supervision.
You administer it, we monitor
You spray the doses yourself under our observation, then stay with us for two hours while blood pressure and alertness are checked.
Always part of a plan
Spravato can be used to replace anti-depressants or work in conjunction with them.
Someone drives you home
You cannot drive for the rest of the day, so arrange a lift or a ride before each visit.
How a visit works
Spravato
Each visit follows the same shape. You arrive, we check your blood pressure, and you self-administer the nasal spray in divided doses while we observe. For the next two hours you rest in a quiet room with monitoring at intervals. Dissociation and a rise in blood pressure are expected during this window and settle before you leave. A clinician reviews how you responded before you go, and the frequency of visits steps down over the course as the response holds.
Approved and Used For
- Treatment-resistant depression
- Depression with suicidal ideation
- Lack of response to 2 or more medications for depression
Who this is for
- Adults whose depression has not responded to two or more antidepressants
- Patients who need a faster-acting option than a standard medication trial
- People able to attend in-clinic visits and arrange transport home
What to know before you start
- Every dose is given in the clinic. There is no take-home prescription
- Dissociation, dizziness and nausea during the monitoring window are common
- No driving for the rest of the day, and nothing to eat for two hours before
- Not suitable in pregnancy or with certain cardiovascular and neurological conditions
How it works
Step 1
Psychiatric review
We confirm the diagnosis, the medication history and that Spravato is appropriate for you.
Step 2
Engage insurance
We take care of your prior authorization upfront so you know your responsibility upfront before service gets started.
Step 3
First dosing visit
A lower starting dose, self-administered, with two hours of monitoring afterwards.
Step 4
Weeks 1-4
Two visits a week, with dose adjusted to response and side effects.
Step 5
Taper
Weekly, then every other week, guided by how well the response holds.
What it costs
What you pay depends on the plan we build with you and on your insurance coverage. Your exact fee is always confirmed before you book.
Find out more about costReach out to schedule consultation.
Often Combined With
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