Question 1

What is Spravato (esketamine)?

Accepted Answer

Spravato is a prescription nasal spray containing esketamine, approved by the FDA for treatment-resistant depression (TRD) and major depressive disorder (MDD) with suicidal ideation. It works differently than traditional antidepressants by targeting the NMDA glutamate receptor, potentially providing faster relief from depression symptoms.

Question 2

How is Spravato different from ketamine?

Accepted Answer

Spravato contains esketamine, which is a more potent form of ketamine. Unlike IV ketamine, Spravato is FDA-approved, administered as a nasal spray, and covered by most insurance plans. It goes through rigorous quality control and is given under strict medical supervision in certified treatment centers.

Question 3

Who is eligible for Spravato treatment?

Accepted Answer

Spravato is approved for adults with treatment-resistant depression (those who haven't responded to at least two different antidepressants) or major depressive disorder with suicidal ideation. A comprehensive evaluation with our psychiatrist will determine if Spravato is right for you.

Question 4

How quickly does Spravato work?

Accepted Answer

Many patients notice improvement within hours to days after their first treatments, which is significantly faster than traditional antidepressants that can take 4-6 weeks. However, individual responses vary, and a full treatment course is recommended for optimal results.

Question 5

What happens during a Spravato treatment session?

Accepted Answer

Each session takes approximately 2 hours. You'll self-administer the nasal spray under medical supervision, then remain in our comfortable treatment room while we monitor you. You may experience mild dissociative effects during this time. After monitoring, you'll need someone to drive you home.

Question 6

What are the side effects of Spravato?

Accepted Answer

Common side effects include dissociation, dizziness, nausea, sedation, and increased blood pressure. These typically occur during the treatment session and resolve before you leave. Our medical team monitors you throughout each session to ensure your safety and comfort.

Question 7

How often do I need Spravato treatments?

Accepted Answer

The typical schedule starts with twice-weekly sessions for the first month, then moves to weekly sessions, and eventually to once weekly or every two weeks for maintenance. Your treatment plan will be personalized based on your response to therapy.

Question 8

Is Spravato covered by insurance?

Accepted Answer

Yes, most major insurance plans cover Spravato treatment, including Medicare and many commercial insurers. We verify your benefits before starting treatment and handle prior authorization on your behalf. We also offer assistance with copay programs when available.

Question 9

How much does Spravato cost without insurance?

Accepted Answer

Without insurance, Spravato can be expensive due to the medication cost and required medical supervision. However, Janssen (the manufacturer) offers a savings program for eligible patients. We'll help you explore all available financial assistance options.

Question 10

Can I drive after a Spravato session?

Accepted Answer

No. You must arrange for transportation home after each session. The medication can affect your ability to drive safely, so you cannot operate a vehicle, machinery, or engage in hazardous activities until the next day after a restful sleep.

Question 11

Do I need to continue other antidepressants while on Spravato?

Accepted Answer

Yes, Spravato is used in combination with an oral antidepressant, not as a replacement. The combination therapy has been shown to be more effective than either treatment alone.

Question 12

Where is your Spravato treatment center located?

Accepted Answer

Our certified Spravato treatment center is located at 4145 Lawrenceville Hwy, Suite 100, Lilburn, GA 30047. We're conveniently located in the Atlanta metro area, easily accessible from Gwinnett County and surrounding areas.

Question 13

How do I get started with Spravato treatment?

Accepted Answer

Contact us to schedule an initial consultation. During this appointment, we'll review your treatment history, conduct an evaluation, verify your insurance benefits, and determine if Spravato is appropriate for your condition. If approved, we can often begin treatment within 1-2 weeks.

Question 14

Is Spravato safe for long-term use?

Accepted Answer

Clinical studies have evaluated Spravato for up to one year of treatment, showing it maintains effectiveness and has a manageable safety profile. Your doctor will regularly assess your treatment plan and make adjustments as needed.

Question 15

What should I do before my Spravato session?

Accepted Answer

Avoid eating for 2 hours before treatment and drinking liquids for 30 minutes before. Don't use nasal sprays or decongestants on treatment days. Let us know about all medications you're taking and any changes in your health.

Question 16

Can Spravato be used with therapy?

Accepted Answer

Absolutely. We encourage combining Spravato with psychotherapy for the best outcomes. The rapid antidepressant effects of Spravato may make you more receptive to therapeutic interventions and help you engage more fully in your recovery.

Question 17

What if I have anxiety along with depression?

Accepted Answer

Spravato is specifically approved for depression, but many patients with comorbid anxiety have found relief. During your evaluation, we'll assess all your symptoms and create a comprehensive treatment plan that addresses your complete mental health needs.

Question 18

How is your facility different from others offering Spravato?

Accepted Answer

Next Step Psychiatry is a certified REMS (Risk Evaluation and Mitigation Strategy) provider with extensive experience in Spravato treatment. Our comfortable, private treatment rooms and compassionate staff ensure you have a positive, supportive experience throughout your care.

Question 19

What are your hours for Spravato treatment?

Accepted Answer

We offer Spravato treatments during regular business hours. Please contact us to schedule sessions that work with your schedule. We try to accommodate our patients' needs while maintaining the supervised care requirements.

Question 20

Can I take Spravato if I'm pregnant or breastfeeding?

Accepted Answer

Spravato is not recommended during pregnancy or breastfeeding due to potential risks to the baby. If you're pregnant, planning to become pregnant, or breastfeeding, please discuss alternative treatment options with our team.

Frequently Asked Questions

Common Questions About Spravato