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    FDA-Approved Esketamine EfficacyMedically Reviewed · Updated Jan 2024

    How Effective is SPRAVATO®?

    For adults who haven't found relief from traditional oral antidepressants, SPRAVATO® esketamine nasal spray offers rapid, targeted relief by working on glutamate receptors to rebuild brain connectivity.

    ~70% Clinical Response Rate
    FDA-Certified REMS Center
    SPRAVATO® Assessment

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    Clinical Trial Findings & Response Rates

    In pivotal FDA clinical trials, patients with Treatment-Resistant Depression (TRD) who added SPRAVATO® to an oral antidepressant demonstrated statistically significant improvement compared to those who took an oral antidepressant plus a placebo spray.

    ~70%
    Response Rate

    Experienced 50%+ reduction in depressive symptoms

    24 Hours
    Rapid Onset

    Many report initial symptom relief within hours

    51%
    Relapse Reduction

    Lower risk of depressive relapse during maintenance

    Why SPRAVATO® Works Differently Than Oral Meds

    Most standard antidepressants target monoamines (serotonin, norepinephrine, dopamine). SPRAVATO® uniquely targets glutamate, the brain's most abundant neurotransmitter. By boosting synaptogenesis and synapse connectivity in prefrontal circuits, SPRAVATO® repairs neural pathways damaged by chronic stress and depression.

    Frequently Asked Questions

    What is the success rate of SPRAVATO® esketamine nasal spray?

    Clinical trials demonstrate that approximately 70% of patients with treatment-resistant depression experience significant symptom reduction or remission when adding SPRAVATO® to an oral antidepressant.

    How fast does SPRAVATO® start working?

    Unlike traditional oral antidepressants that take 4 to 6 weeks, many SPRAVATO® patients report noticeable depressive relief within 24 to 48 hours following their initial doses.

    Is SPRAVATO® covered by health insurance?

    Yes. SPRAVATO® is FDA-approved for Treatment-Resistant Depression (TRD) and Major Depressive Disorder with suicidal ideation, and is covered by Medicare and most commercial insurance plans (BCBS, Aetna, Cigna, UHC).

    Why is two hours of post-dose observation required?

    FDA REMS safety guidelines require patients to remain in a certified healthcare setting for 2 hours post-dose to monitor for transient blood pressure changes or mild sedation.

    Related Resources

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