Esketamine

Alternative Names: Spravato

Esketamine is a prescription nasal spray used for treatment-resistant depression, usually when several standard antidepressants have not worked well enough. It works differently than typical antidepressants and may help some people feel improvement faster, sometimes within days. Because it can cause dizziness, sedation, dissociation, and temporary increases in blood pressure, it must be given in a certified medical setting with monitoring afterward. It is usually used along with an oral antidepressant, not as a casual or first-line treatment.

Treatment Type: Prescription Medication

Treatment Class: N/A

Treatment Modality: Oral

Esketamine

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Breakdown by Category

Each categories are rated on a 1–5 scale, with 5 being the most favorable outcome and 1 being the least. These scores are averaged across all user reviews to provide a clear sense of how this treatment typically performs in each area.

Cost
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1 = Very Expensive 5 = Very Affordable

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Very Expensive
Relief Speed
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1 = No Relief 5 = Immediate Relief

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No Relief
Side Effects
0
1 = Intolerable Effect 5 = No Effect

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Intolerable Effect
Treatment Line
0
1 = Third-line or more 5 = First-line

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Third-line or more

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Cost
Very Expensive
$1000+
Expensive
$501 to $1000
Moderate Cost
$101 to $500
Affordable
$25 to $100
Very Affordable
$25
Relief Speed
No Relief
No noticeable improvement
Slow Relief
Several days to weeks
Moderate Relief
Within 1 - 3 days
Fast Relief
Within hours
Immediate Relief
Within minutes
Side Effect
Intolerable Side Effect
Caused treatment to stop or required hospitalization
Severe Side Effect
Difficult to tolerate, may require intervention
Moderate Side Effect
Noticeable, but manageable
Mild Side Effect
Minor, not bothersome
No Side Effect
Without any adverse effects
Treatment Line
Third-line or more
Used after second-line failed or multiple prior treatment
Second-line
Used after first-line treatment failed or was unsuitable
First-line
First treatment tried

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