What Is Spravato? Connect with Us Home Spravato What Is Spravato? What Is Spravato? Spravato is an innovative treatment for Major Depressive Disorder that has not responded to conventional therapies. If you have not found significant relief from your depression symptoms after trying at least two different antidepressants, this could be the next option for you! For the first four weeks, treatments are twice weekly, followed by four more weeks of weekly sessions. After eight weeks, you and Dr. David Wolff, M.D. will create an ongoing (maintenance) plan together. How It Works Spravato THE PROCESS Therapy tailored specifically for you 1 Free Consultation 2 Spravato Evaluation with Dr. Wolff 3 Begin Treatment Treatment Timeline Phase 1 (Weeks 1–4) two treatment per week Phase 2 (Weeks 5–8) one treatment per week. Phase 3 (Week 9 and Beyond) once every two weeks Phase 4 Talk next steps with Dr. Wolff At Shore TMS, we offer free initial screenings to determine if Spravato is the right treatment for you. During this consultation, we’ll review your symptoms and treatment history and talk through the next steps in your care. Our team is here to make the insurance process simple and stress-free. Once we determine that you are a candidate for Spravato, we will handle the insurance process for you. We will work with your provider to ensure that coverage requirements are met and help you begin treatment as smoothly and efficiently as possible. 1 Free Consultation A woman is sitting at a table talking to another woman while holding a tablet. A man in a blue shirt is standing in front of pink flowers Upon completion of your consultation, we will schedule an appointment for you to meet with Dr. Wolff for further evaluation and to discuss whether Spravato is the right treatment for you. 2 Spravato Evaluation with Dr. Wolff The Spravato treatment is self-administered through a nasal spray in two to three doses. Rest assured, Dr. Wolff medically supervises your care, and a staff member will be with you throughout your session to help you feel safe, supported, and comfortable. The self-administered nasal spray comes in three doses per session. You’ll start with two doses during your first visit to see how you respond, and if you respond well, future sessions will include all three doses. Please note that Spravato sessions last two hours for monitoring and safety purposes. We kindly ask that you arrange transportation home in advance. For your awareness, patients usually feel the peak effects around 40 minutes after the first dose. This will gradually subside as your session continues. To help you feel at ease, our office offers soothing music, mindfulness meditations, and aromatherapy. Patients are welcome to bring in their own entertainment. 3 Begin Treatment A woman wearing a white bandage on her head Temporary Side Effects of Spravato? Side effects can vary in intensity, and not everyone will experience the following effects: Sedation: This is the most commonly reported side effect. Many patients find themselves needing a nap after receiving Spravato, but this sedation typically lessens over time. Dissociation: Some individuals may feel a sense of disconnection from themselves, their thoughts, emotions, or their surroundings. Blood Pressure Changes: A temporary rise in blood pressure may occur and can last for about four hours following a dose. We will monitor your blood pressure throughout your treatment. Nausea: Some patients may experience nausea after administration of Spravato. Anxiety: A short-term increase in anxiety symptoms can occur in some individuals after taking Spravato. How Effective is Spravato? Short term vs long term research A short-term Treatment Response study indicated that Spravato is effective when used in combination with oral antidepressant(s). As shown in the chart, patients experienced more rapid, significant relief in contrast to taking antidepressants alone. Several patients reported improvement as early as 24 hours, and some even experienced full remission of symptoms within the first 4 weeks! Sustained Benefits Over Time Long-term data showed that those who continued Spravato treatment sustained their progress for 4 years! Spravato may also be utilized as a part of a continued care plan.