SPRAVATO® Ketamine for Depression

SPRAVATO® is FDA Approved for Treatment Resistant Depression

SPRAVATO® (esketamine) CIII Nasal Spray is indicated, in conjunction with an oral antidepressant (AD), for the treatment of treatment-resistant depression in adults.

It is currently covered by BCBS, Medicare, Aetna, United, Tricare, and Cigna often with as low as a $10 pharmacy co-pay for each treatment as well as your regular specialist physician co-pay/deductible.

For patients that do not have pharmacy coverage for Spravato® treatment, we offer in office, monitored compounded intranasal ketamine from Sweetgrass Pharmacy. We bill your insurance for the physician/APRN in office monitoring and you pay Sweetgrass Pharmacy directly for the medication (currently $75 from the pharmacy – call to confirm price).

Treatment protocol is 2x per week for 4 weeks followed by 1x per week for 4 weeks and maintenance treatments as needed. Patients are required to be in office and monitored by a physician for 2 hours during the treatments.

To start treatment, give the office a call and specifically request for a Spravato®/ketamine intake appointment or have your psychiatrist/therapist/primary care doctor fax us a referral to (877) 576-6793.

What does Treatment Look Like?

We strive to ensure that you have the best treatment session possible. To do this, we provide patients with a relaxing, therapeutic environment free from distractions and which is not overstimulating.

Our expert staff will be available throughout your 2 hour in office SPRAVATO treatment session to ensure that you receive the care and attention you need, as well as providing pre-care instructions, safety, and post-care advice.

Potential side effects include: increased blood pressure, nausea, sleepiness, fainting, dizziness, spinning sensation, anxiety, or feeling disconnected from yourself, your thoughts, feelings, space, and time (dissociation). These side effects may occur right after treatment and typically go away the same day.

SPRAVATO must be taken twice a week for the first four weeks. Treatment schedules will then shift to a weekly treatment every four weeks. Afterward, your healthcare provider will help you determine the best frequency for follow-up applications.

Preparing for Your Treatment

Pre-treatment preparation is one of the most important aspects of a successful SPRAVATO® session. Coming into the clinic with the proper mindset completed prep work will ensure your success.

Some helpful tips include bringing a book, tablet, or music with you to your session. Prepare a playlist of relaxing music that helps you get into the right mindset for treatment. Be open and honest with yourself about with objective for your session, setting your intentions for the session.

Prior to treatment:

• Get a full night’s sleep the night before.
• Set your intentions for the session.
• Advise your healthcare provider of any medications/vaccines/alcohol you may have taken before your SPRAVATO treatment session.
• Avoid eating two hours before treatment.
• Do not drink any liquids 30 minutes before your session.
• If applicable, nasal corticosteroids or decongestant medications, blood pressure medications, anti-nausea medications should be taken at least one hour before SPRAVATO treatments begin.

Learn More https://www.spravato.com/trd/preparing-for-treatment