We believe that it is in the best interest of our patients to prescribe and use only specialized nasal spray ketamine for treatment. Our preferred nasal spray carries the brand name Spravato.  However, if more appropriate, generic ketamine is an effective option.  

 

Our use of only nasal sprays is a deliberate choice.  We realize there is a misconception that IV ketamine is more effective than nasal spray to treat depression. In fact there is no difference in efficacy or outcome.  

 

Our preference is based on several additional facts. Spravato is the exclusive form of ketamine that has been evaluated and approved by the FDA to treat depression.  In addition, use of nasal spray is safer than IV, it is less invasive and painful, and the cost of treatment is superior to that of IV ketamine.