Spravato® (esketamine) Nasal Spray for
Depression at Junction Brain Health

An FDA-approved intranasal ketamine treatment for adults with treatment-resistant
depression.

What is Spravato® (Esketamine) Nasal Spray?

Spravato® (esketamine) nasal spray is the first FDA-approved intranasal ketamine option for adults with treatment-resistant depression (TRD). It can also be used with an oral antidepressant to treat major depressive disorder (MDD) with suicidal thoughts or actions.

Who Can Benefit From Spravato® Treatment

Adults with treatment-resistant
depression after trying 2+
antidepressants

Adults with major depressive disorder (MDD) with suicidal thoughts (with oral antidepressant)

Patients seeking care at a certified Spravato® treatment center under full medical supervision

How Spravato® Treatment Works –
What to Expect

Before Treatment

  • Schedule a consultation at our Spravato® treatment center.
  • Our team reviews your medical history, treatment goals, and insurance.
  • No medication is given at the first visit.

Day of Treatment

  • You self-administer Spravato® intranasal ketamine under medical supervision.
  • Monitored for 2 hours (blood pressure, oxygen, side effects).

After Treatment

  • No driving or machinery until the next day.
  • Typical schedule: 2x/week (Month 1), 1x/week (Month 2), then adjusted with your provider.
  • Spravato® for depression cannot be self-administered at home.

Is Spravato® Covered by Insurance?

Our staff works directly with your insurance to verify coverage and
out-of-pocket costs before treatment begins.

Patient-Centered Care

Our doctors and nurses coordinate with your referring provider.

Continuous monitoring and personalized treatment adjustments.

A dedicated care team guiding you every step of the journey.

Frequently Asked Questions

Spravato® is an FDA-approved nasal spray for adults with treatment-resistant depression (when two or more antidepressants haven’t worked) and for adults with major depression with suicidal thoughts or actions, taken alongside an oral antidepressant.

You self-administer Spravato® as a nasal spray at the treatment center, always under the supervision of a healthcare provider. After each session, you’ll be monitored for at least 2 hours before going home.

Most patients begin with two treatments per week for the first month, then move to once per week in the second month. After that, you and your provider decide the right schedule for your ongoing care.

You’ll spray Spravato® yourself under supervision, then stay at the clinic for monitoring. Because of possible side effects like sleepiness or dizziness, you cannot drive until the next day after a full night’s rest, so arrange for a ride home.

The most common effects include dizziness, nausea, sleepiness, increased blood pressure, feeling “disconnected,” or a temporary drunk-like sensation. These usually happen soon after treatment and fade the same day.

No. Due to safety requirements, Spravato® can only be given in certified treatment centers under medical supervision.

Important Safety Information

Audiences and conditions, such as: 

Sedation, dissociation, respiratory depression risks

Contraindications: aneurysmal vascular disease, brain bleeding history, allergy to ketamine/esketamine

REMS program requirement

Common side effects: dizziness, nausea, sleepiness, increased blood pressure, headache

Sedation, dissociation, respiratory depression risks

Contraindications: aneurysmal vascular disease, brain bleeding history, allergy to ketamine/esketamine

REMS program requirement

Common side effects: dizziness, nausea, sleepiness, increased blood pressure, headache

Locations Offering Spravato®

Greenwood Village, CO | DTC

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5655 S. Yosemite
Suite 201
Greenwood Village, CO 80111

Colorado

Grand Junction, CO

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3150 N. 12th Street
Suite G122
Grand Junction, CO 81506

Colorado

Spokane, WA

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528 E. Spokane Falls Boulevard
Suite 503
Spokane, WA 99202

Washington

Toledo, OH

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ProMedica Flower Hospital
Medical Office Building One
Suite 212
Sylvania, OH 43560

Ohio

We're Here to Help

Have questions about our mental health treatments and how they can benefit you?

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