Yesterday, 01:57 PM
I wanted to share some insights after discussing this with my psychiatrist last week, because I know a lot of people here are wondering who is a candidate for Spravato (esketamine). From what my doctor explained, this treatment isn’t for everyone — it’s specifically approved for adults with treatment-resistant depression. That means you’ve tried at least two other antidepressants without enough improvement.
Another key point is that Spravato is often considered for people who have major depressive disorder with suicidal thoughts or actions. It’s not meant as a first-line treatment, and it must be given in a certified clinic under medical supervision because of possible side effects like dissociation or increased blood pressure.
During my consultation, we talked about factors that might rule someone out — things like uncontrolled hypertension, certain heart conditions, or a history of substance misuse. Pregnant or breastfeeding individuals also usually aren’t eligible.
If you’re curious whether you qualify, your doctor will likely review your full mental health history, previous medication trials, and current symptoms. They may also check for any medical conditions that could make the treatment risky.
The bottom line from my experience? This is a powerful option for the right patients, but it requires careful screening and ongoing monitoring. If you’ve been struggling despite multiple treatments, it’s worth having a conversation with a psychiatrist who’s trained in Spravato administration.
Another key point is that Spravato is often considered for people who have major depressive disorder with suicidal thoughts or actions. It’s not meant as a first-line treatment, and it must be given in a certified clinic under medical supervision because of possible side effects like dissociation or increased blood pressure.
During my consultation, we talked about factors that might rule someone out — things like uncontrolled hypertension, certain heart conditions, or a history of substance misuse. Pregnant or breastfeeding individuals also usually aren’t eligible.
If you’re curious whether you qualify, your doctor will likely review your full mental health history, previous medication trials, and current symptoms. They may also check for any medical conditions that could make the treatment risky.
The bottom line from my experience? This is a powerful option for the right patients, but it requires careful screening and ongoing monitoring. If you’ve been struggling despite multiple treatments, it’s worth having a conversation with a psychiatrist who’s trained in Spravato administration.