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Renloft Health will accept major insurance providers and many insurance providers cover Spravato. Coverage can vary depending on your plan and medical history.
Most insurers require documentation showing that you’ve tried at least two oral antidepressants without sufficient improvement.
Your provider can work with your insurance company to confirm eligibility and guide you through prior authorization if needed
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Response time varies from person to person. Some patients notice improvements in mood and energy within the first few weeks of treatment, while others take longer. Spravato is always prescribed alongside an oral antidepressant, which helps maintain stability as the treatment progresses.
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Spravato is only administered in a certified clinic. During each session, patients:
Self-administer the nasal spray under a clinician’s guidance.
Remain under observation for about two hours to monitor for side effects.
Must arrange a ride home afterward, as temporary dizziness or drowsiness can occur.
Sessions typically occur twice a week for the first month, with frequency tapering over time.
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The most common side effects include:
Dizziness or lightheadedness
Nausea
Increased blood pressure
Drowsiness or fatigue
Because of these potential effects, patients are observed during each session and cannot drive themselves home afterward. Most side effects resolve within hours.
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Spravato is FDA-approved for adults with treatment-resistant depression, meaning they have not responded adequately to at least two different antidepressants. It is not a first-line treatment and is prescribed only after traditional options haven’t provided enough relief.
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Unlike oral antidepressants, Spravato has short-term effects that must be monitored for safety. Administering it in a clinic ensures patients receive the right dose, are supervised by medical staff, and are supported in a safe, comfortable environment.
Frequently Asked Questions About Spravato®
If you’re considering treatment for treatment-resistant depression (TRD), you may have heard about Spravato® (esketamine). Because it works differently than traditional antidepressants, many people have questions before starting. Below are answers to some of the most common questions about Spravato.