SPRAVATO®

Are you one of  the 16 million Americans who suffer from depression?  Approximately 40% of depression patients are resistant to current first-line SSRI medications. Montare Neuro Clinic offers New Evidenced-Based Treatment right in the comfort of your own home. Protocals that can offer you relief, giving you back your life.

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Spravato is the brand name of an FDA-approved nasal spray that uses the drug esketamine to treat depression. Esketamine is made from Ketamine, long used as an anesthetic, which also has anti-depressant actions, but usually has to be administered intravenously because it metabolizes too fast when given orally.

Intravenous delivery of ketamine has become popular in clinics around the country, however, this method of treatment is not FDA approved, and is usually not covered by health insurance.

Spravato offers a noninvasive and more potent option to patients. Because it is more potent, it can be used at a lower dose than ketamine IV therapy, and thus produce fewer side effects. Spravato delivers effective and rapid results, often within hours of administration. At least 5 short and long-term studies support both the safety and efficacy of Spravato.

The treatment must be done under a doctor’s supervision

 

 

COMMONLY ASKED QUESTIONS

FAQ’S

Are there any restrictions on eating or drinking on my SPRAVATO® treatment days?

Some patients taking SPRAVATO® may experience nausea or vomiting. Because of this, you should avoid eating two hours before, and drinking liquids 30 minutes before, treatment.

What should I tell my health care provider before starting treatment?

Before you take SPRAVATO®, talk to your healthcare provider about your full medical and depression treatment history, including if you have a history of abusing prescription or street drugs, or a problem with alcohol.

Do not take SPRAVATO® if you have a blood vessel disease (aneurysm), an abnormal connection between your blood vessels (arteriovenous malformation), a history of bleeding in the brain or if you are allergic to esketamine, ketamine or any of the ingredients in SPRAVATO®.

Be sure to tell your healthcare provider if you have heart, brain or liver problems; if you have psychosis; or if you are pregnant, planning to become pregnant, breastfeeding or planning to breastfeed. You should not take SPRAVATO® if you are pregnant. You should not breastfeed if you are taking SPRAVATO®.

Tell your healthcare provider about all the medicines that you take, including prescription and over-the-counter medicines, vitamins and herbal supplements.

 

Are there side effects?

Serious side effects reported with SPRAVATO® include sedation and dissociation, and there is a risk of abuse and misuse with SPRAVATO®.
There’s an increased risk of suicidal thoughts and behavior with SPRAVATO®.
Call your healthcare provider right away if you have new or sudden changes in mood, behavior, thoughts or feelings, or if you develop suicidal thoughts or behavior.
Other possible serious side effects include increased blood pressure, problems with thinking clearly and bladder problems.
The most common side effects include feeling disconnected from yourself, your thoughts, feelings and things around you (dissociation); dizziness; nausea; feeling sleepy (sedation); spinning sensation; decreased feeling of sensitivity (numbness); feeling anxious; lack of energy; increased blood pressure; vomiting; feeling drunk; and feeling very happy or excited.Because of the possibility of nausea and vomiting, you should avoid eating two hours before, and drinking liquids 30 minutes before, taking SPRAVATO®.

 

What is SPRAVATO® (esketamine) CIII nasal spray?

SPRAVATO® is a prescription medicine, used along with an antidepressant taken by mouth to treat:

  • Adults with treatment-resistant depression (TRD)
  • Depressive symptoms in adults with major depressive disorder (MDD) with suicidal thoughts or actions

How often do I need  SPRAVATO®?

You’ll take SPRAVATO® twice a week for the first month. During the second month, you’ll take it once a week. After that, you’ll take it once a week or once every two weeks. You’ll continue to take your oral antidepressant as prescribed.

How long will I need  SPRAVATO®?

You and your healthcare provider will decide how long you stay on SPRAVATO® based on how you respond to it and how stable that response is. Your healthcare provider will determine the dosing frequency based on how you feel.

What do I do if it does not work for me?

Not all patients will respond to SPRAVATO®. Your healthcare provider may decide that you complete the first four weeks of SPRAVATO® treatment to see whether or not you have had satisfactory improvement of depressive symptoms. If you’ve done this, talk to all of the healthcare providers involved in the management of your treatment about appropriate next steps. Do not stop your SPRAVATO® treatments without first discussing your reasons and concerns with your healthcare provider and formulating a treatment plan with them.

Can I take   SPRAVATO® if I have high blood pressure?

If you have high blood pressure, whether treated or not, you should discuss that specifically with your healthcare provider in deciding whether SPRAVATO® may be right for you.

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Montare Neuro Clinic

What do I need to know

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Not all patients will respond to SPRAVATO®.

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You should expect to have your blood pressure checked before starting treatment and periodically during the observation period, as some people treated with SPRAVATO® have a temporary increase in blood pressure after treatment.

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The observation period will last for at least two hours following a treatment

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You will need to plan for your rides on treatment days.

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It is recommended to do try SPRAVATO® for 4 -weeks to determine its effectiveness

For the first time,  I feel positive about the outcome of my treatment. I have hope.

John

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Main Office

17167 VENTURA BLVD #300
Encino, CA 91316-4004
Call: 877-390-2216

Monday to Friday : 9am – 5pm

Saturday : 12 pm – 4pm

 Our Treatment Resistant Depression programs are effective for managing depression, anxiety, bipolar, and post traumatic stress disorder.