Nasal Esketamine can help treat patients with depression that is resistant to treatment. It is recommended for people who have tried and received no benefit from other antidepressant treatments. This nasal spray is also referred to as SPRAVATO®. Read on to find out how you should use it and what you should tell your health care provider before you take it.
Nasal Esketamine (SPRAVATO)
SPRAVATO is basically a prescription medicine. It is used together with an antidepressant taken by mouth for treatment-resistant depression (TRD). It is only recommended for adults. And SPRAVATO is not supposed to be used as a medicine to relieve or prevent pain. It is not known if it is effective as an anesthetic medicine.
How SPRAVATO is used
People are required to give themselves the nasal spray while being supervised by a health care provider. Some patients who take SPRAVATO experience nausea or vomiting. People are supposed to avoid eating about two hours before treatment. A person should also not drink liquids at least 30 minutes prior to treatment.
Several factors have to be considered before deciding how long to use it. These include how a patient responds to it and how stable that response is. A medical practitioner will determine the dosing frequency based on how a patient feels. A person is required to take it twice a week for the first month and then once a week during the second month. After that, it should be taken once every two weeks or once a week. A patient should continue taking the oral antidepressant as prescribed.
Precautions
It is important for people to take some precautions before taking the medicine. A health care provider should be fully aware of a patient’s full medical and depression treatment history. This medicine may be habit-forming. A person should, therefore, tell the doctor of any history of abusing prescription medications or street drugs. The health care provider is also required to know if the patient or any family member drinks or has ever drunk large amounts of alcohol.
People with particular conditions are not supposed to take it. These include a blood vessel disease and an abnormal connection between the blood vessels. It is also not recommended for patients who have a history of bleeding in the brain. People who are allergic to any of the ingredients in it should consider other options.
The health care provider should know if a person has any heart, brain or liver problems or psychosis. A woman who is pregnant or breastfeeding should not take it. It is also very important for the health care provider to know about all the medicines someone is taking. These include prescription and over-the-counter medicines as well as any vitamins and herbal supplements.
Takeaway
SPRAVATO is a good option for managing treatment-resistant depression. But it should be used in combination with another antidepressant. You should talk to a health care provider before using it. To find out more about SPRAVATO and if it may be right for you, speak to your psychiatrist today.
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