Spravato (esketamine) for treatment-resistant depression
Spravato is an FDA-approved nasal spray for adults whose depression hasn’t improved enough with antidepressants. Reign-Bow is preparing to offer Spravato alongside TMS, so adults with hard-to-treat depression can find more than one option in one place. Call now to join our list and have your insurance checked.
On the call we check your insurance benefits, answer your questions and book your consultation and brain map.
Prefer to write? Request a consultation or verify your insurance.
What is Spravato?
Spravato (esketamine) is an FDA-approved nasal spray for adults with treatment-resistant depression, used with an oral antidepressant. It’s given only at certified treatment centers, with at least 2 hours of monitoring after each dose. Reign-Bow Brain Treatment Center in Lombard, Illinois is preparing to offer Spravato alongside TMS for depression.
What Spravato is
Spravato is the brand name for esketamine, a medication related to ketamine. It’s given as a nasal spray and works differently from standard antidepressants. It is FDA-approved for adults with treatment-resistant depression, and for depressive symptoms in adults with major depression who have suicidal thoughts or behavior, together with an oral antidepressant.
How treatment works
- Given in the clinic only. You use the spray yourself under supervision. Spravato can’t be taken home.
- Monitored for at least 2 hours after each dose, because it can cause dissociation, dizziness, sleepiness and a rise in blood pressure.
- A set schedule. Usually twice a week for the first 4 weeks, then weekly, then weekly or every other week.
- Arrange a ride. You can’t drive or operate machinery until the next day after a restful sleep.
Spravato or TMS?
Both are options when antidepressants haven’t helped enough. TMS uses magnetic pulses, involves no medication and lets you drive yourself home. Spravato is a medication with a longer clinic visit and a ride home each time. Some people are a better fit for one than the other, and we’ll talk through both at your consultation. TMS for depression.
Insurance
Many plans cover Spravato for treatment-resistant depression, usually with prior authorization. We’ll check your benefits when you call. We work with Blue Cross and Blue Shield of Illinois, UnitedHealthcare, Cigna and Aetna.
If you are in crisis or thinking about suicide, call or text 988 (the Suicide & Crisis Lifeline) or call 911. Reign-Bow is an outpatient clinic, not an emergency service.
Common questions
Does Reign-Bow offer Spravato now?
Not yet. We’re preparing to offer Spravato and will announce the start date soon. Call to join our list and we’ll contact you when it’s available. TMS for depression is available now.
Is Spravato the same as ketamine?
They’re related but not the same. Spravato is esketamine, an FDA-approved nasal spray for depression. Ketamine treatment for depression usually means IV infusions, which are an off-label use. About ketamine.
Is Spravato covered by insurance?
Often, for treatment-resistant depression, usually with prior authorization. Coverage depends on your plan, and we check your benefits before treatment.
Can I drive after Spravato?
No. You need a ride home, and you shouldn’t drive until the next day after a restful night’s sleep.
Who can get Spravato?
Adults with depression that hasn’t improved enough after trying antidepressants. It isn’t right for everyone, including people with certain blood vessel conditions or a history of bleeding in the brain. Your clinician decides whether it’s safe for you.
Join our Spravato list
Call to be added to our list. We’ll check your insurance, answer your questions and call you as soon as treatment is available. Our team answers the phone during clinic hours.
What happens when you call
- Tell us who the care is for and what’s been going on. No records needed for the first call.
- We check your benefits with Blue Cross and Blue Shield of Illinois, UnitedHealthcare, Cigna or Aetna, or walk you through self-pay pricing. HSA and FSA cards are accepted.
- We book your consultation and qEEG brain map at a time that works for you.
Prefer to write? Request a consultation or verify your insurance.