At iTrust Wellness Group, we believe in utilizing all available treatment options, including newer medications and modalities of treatment. iTrust Wellness Group is one of the first mental health practices in the Upstate to become a REMS-certified clinic to administer Spravato. Mental Health treatment is an ongoing journey. It can be very daunting if you haven't received remission in your symptoms, and iTrust Wellness Groups wants to instill hope back into your treatment.
Your current treating mental health physician must submit a referral for Spravato treatment on your behalf (see provider referral tab). Clients may continue to see their psychiatrist or psychiatric APRN that referred them for Spravato treatment. Once all the necessary paperwork is gathered and submitted, it may take a few weeks for insurance to finalize the approval.
If you do not have a current treating mental health physician, you can fill out the separate self-referral form under the New Clients tab to establish care with a mental health provider at iTrust Wellness Group. The request for and attendance of an initial consultation does not automatically begin your Spravato treatment. As part of establishing care with iTrust Wellness Group, your provider will evaluate your mental health symptoms to determine which medications are capable of providing you with relief to see an improvement in your mind, emotions, and behavior.
WHAT IS SPRAVATO?
SPRAVATO™ is a nasal spray that contains the FDA-approved medication Esketamine. Spravato must be taken with an oral antidepressant for adults with treatment-resistant depression.
Spravato™ can only be administered in a REMS certifies clinic under the supervision of a medical professional. The medicine is not to be dispensed directly for home use to the patients, it needs to be taken under the supervision of a healthcare provider. The healthcare provider decides the dosage and frequency of the medicine keeping your present condition in consideration. For the best results, it is important to stay on the schedule given by the doctor.
WHO IS SPRAVATO FOR?
Esketamine is for adults who have been treated for depression but haven’t experienced an improvement in their symptoms.
SPRAVATO is not for use as a medicine to prevent or relieve pain (anesthetic). It is not known if SPRAVATO is safe or effective as an anesthetic medicine. It is not known if SPRAVATO is safe and effective in children.
Do not take SPRAVATO if you:
have blood vessel (aneurysmal vascular) disease (including in the brain, chest, abdominal aorta, arms, and legs) • have an abnormal connection between your veins and arteries (arteriovenous malformation)
have a history of bleeding in the brain
are allergic to esketamine, ketamine, or any of the other ingredients in SPRAVATO. See the end of this Medication Guide for a complete list of ingredients in SPRAVATO.
WHAT SHOULD I EXPECT DURING TREATMENT?
A healthcare professional will monitor you for at least two hours. You won’t be able to drive or operate machinery that requires you to be completely alert until the next day, following a restful sleep. So you’ll need to plan for rides on treatment days. You’ll take SPRAVATO™ twice a week for the first month. During the second month, you’ll take it once a week. After that, you’ll take it once a week or once every two weeks. You’ll continue to take an oral antidepressant as prescribed.
See the video below to find out more!
DO I NEED A FAMILY OR FRIEND TO ACCOMPANY ME?
No, you do not need someone to accompany you. If you feel more comfortable with a friend or family member present you are certainly welcome to bring them. We require that patients do NOT drive for at least 12 hours following each infusion and therefore, transportation home must be arranged.
CAN I EAT OR DRINK THE DAY OF THE PROCEDURE?
Avoid food two (2) hours before treatment and do not drink liquids (30) mins before treatment.
What are the possible side effects of SPRAVATO?
The most common side effects of SPRAVATO when used along with an antidepressant taken by mouth include:
lack of energy
increased blood pressure
reduced sense of touch and sensation
If these common side effects occur, they usually happen right after taking SPRAVATO and go away the same day. These are not all the possible side effects of SPRAVATO. SPRAVATO click the link for more information.
WILL I CONTINUE CARE WITH MY CURRENT MENTAL HEALTH PROVIDER?
Yes. Spravato is meant to be an adjunct to your current psychiatric treatment regimen. We require that patients continue care with their current psychiatrist, therapist or other mental health provider while undergoing Spravato treatment.
HOW MUCH DOES IT COST?
Spravato costs vary based on a number of factors, including dose required and policy coverage for administration monitoring. Our office will submit a Janssen Benefits Investigation to have a better understanding of medication costs. Janssen CarePath provides information on insurance coverage, treatment support, and estimated out-of-pocket costs. The entire cost may not be covered by your insurance plan like other medical procedures. We do have payment plan options to make treatment financially feasible for you. We can also provide you with a Super Bill that you can present to your insurance to see if they will reimburse you for out of pocket costs.
This information and more can be referenced at this link to the Spravato website.
Initiating treatment with Spravato is a more involved process than some other treatment options, but iTrust Wellness Group is committed to helping you find relief in your depression symptoms. We encourage you to read through the following FAQs and view the links below to educate yourself to see if Spravato may be the right treatment option for you.