Rapha Health LLC offers SPRAVATO® (esketamine) CIII nasal spray at our Springfield, Massachusetts office. Treatment is given in our office and supervised by our clinical team.
Indications: SPRAVATO® is a prescription medicine approved for adults with treatment-resistant depression (TRD), used alone or with an oral antidepressant. It is also approved, together with an oral antidepressant, for depressive symptoms in adults with major depressive disorder (MDD) who have acute suicidal thoughts or actions. SPRAVATO® is not approved for children.
Important Safety Information: SPRAVATO® has a boxed warning for sedation, dissociation, respiratory depression, abuse and misuse, and suicidal thoughts and behaviors. It is available only through a restricted program called the SPRAVATO® REMS and can only be given in a certified healthcare setting. Do not drive or operate machinery until the day after treatment, after a restful sleep. For full Important Safety Information and the Medication Guide, visit spravato.com.
About SPRAVATO® Treatment
SPRAVATO® is a nasal spray made from esketamine. It works differently from most oral antidepressants. It is an option for adults whose depression has not improved enough after trying other antidepressants.
You give yourself the nasal spray in our office while a member of our team watches. You do not take SPRAVATO® home.
Who May Be a Candidate
- Adults 18 and older with depression
- People who have tried at least two antidepressants without enough improvement
- Adults with major depressive disorder who are having suicidal thoughts or actions, under close medical care
A Rapha Health provider will review your history, current medications, and health conditions to decide if SPRAVATO® is a safe choice for you.
What to Expect
- Before treatment: We check your blood pressure. Avoid eating for 2 hours and drinking liquids for 30 minutes before your session.
- During treatment: You use the nasal spray under the direct observation of our staff.
- After treatment: You stay in our office so our team can monitor you until you are ready to go home.
- Getting home: Plan for someone to drive you. You cannot drive until the next day after a restful sleep.
Treatment Schedule
Treatment usually starts twice a week. After about a month, it often moves to once a week. Later, your provider may adjust it to once a week or every other week, depending on how you respond.
Insurance
Many insurance plans cover SPRAVATO®, and most require prior authorization. Our team will check your benefits and handle the authorization process with your insurance before you begin.
Frequently Asked Questions
Is SPRAVATO® the same as ketamine?
No. SPRAVATO® contains esketamine, which is related to ketamine. It is an FDA-approved nasal spray with its own safety program and is given only in certified healthcare settings.
Do I have to stop my current antidepressant?
Not necessarily. SPRAVATO® can be used with an oral antidepressant or, for treatment-resistant depression, on its own. Your provider will discuss what is right for you.
Can I keep my own therapist?
Yes. You can keep your current therapist and still receive treatment at Rapha Health.
Ready to Learn More?
Call us at (413) 579-8808 or contact us. We will go through all the information with you, and then you decide what is right for you.