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SPRAVATO™  (Es Ketamine) nasal spray is a different kind of medication taken with an oral antidepressant for adults with treatment-resistant depression – a first in decades approved by the FDA.

Alfredo Arellano, PMHCNS-BC, PA

Certified Spravado treatment center located in El Paso Texas and serving all of El Paso, Horizon City, Sunland Park, and Fort Bliss. 

Most common side effects of SPRAVATO™:

  • Dissociation, dizziness, nausea, sedation, spinning sensation, reduced sense of touch and sensation, anxiety, lack of energy, increased blood pressure, vomiting and feeling drunk.
  • 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™ Click here to learn more


  • SPRAVATO® is taken with an oral antidepressant
  • You administer SPRAVATO® nasal spray yourself under the supervision of a healthcare provider at a certified SPRAVATO® treatment center
  • SPRAVATO® is taken twice a week for the first four weeks
  • After the first four weeks, SPRAVATO® is taken once a week for a month
  • After this, SPRAVATO® is usually taken either once a week or once every two weeks

Safety and Tolerability

  • SPRAVATO® nasal spray was evaluated for safety in both short- and long-term clinical trials of adults diagnosed with treatment-resistant depression
  • Do not take SPRAVATO® if you have a blood vessel disease (aneurysm), an abnormal connection between your blood vessels (arteriovenous malformation), a history of bleeding in the brain or are allergic to esketamine, ketamine or any of the ingredients in SPRAVATO®. Talk to your healthcare provider to learn more