Spravato (Esketamine) Therapy in Brooklyn, NY

Unlike intravenous (IV) ketamine infusions, Spravato (esketamine) is FDA-approved and can be covered by most health insurance policies. 

Ketamine and esketamine are closely related. Esketamine is the "S" enantiomer of ketamine, meaning it's a left-handed reflection of the ketamine molecule. Because esketamine is essentially ketamine with a slightly different blueprint, it can be suspended in a fluid and administered nasally.

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In general, yes. The use of Spravato in patients with depression has been rigorously studied in clinical trials and is approved by the FDA. 

Although no medication is without some possible risks, the FDA has determined that for qualified patients, the benefits of treatment with Spravato for depression outweigh the risks. Combined with the expertise and supervision of a medical professional, the overall risks are low. 

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Your individual experience with the benefits of Spravato may vary, but here are some general guidelines:

• Patients must be evaluated and approved by a physician before starting treatment
• You will administer the nasal spray yourself under the supervision of your doctor
• After Spravato is administered, patients must remain in a healthcare setting for 2 hours of observation. During the observation period most patients like to relax, listen to calming music, and / or use a meditation app
• You will not be allowed to drive on treatment days 
• The general recommendation for most patients is to schedule treatments twice per week for the first 4 weeks. Then treatments will be weekly for the next 4 weeks. 
• After 8 weeks of treatments, you and your doctor will discuss how long you will stay on Spravato based on how you respond to it and how long symptoms remain in remission

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Compared to oral antidepressants, many patients report little to no significant side effects with Spravato. Some potential side effects that may occur right after the administration of Spravato include the following:

• Feeling a bit tipsy, happy, or excited 
• Drowsiness
• Dizziness
• Nausea
• Feeling disconnected from yourself, your thoughts, feelings and things around you (dissociation)

If you're feeling intense side effects, tell your doctor. They will continue to supervise you until you are ready to leave. These side effects tend to go away within a few hours of treatment.

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