5 Critical Spravato Side Effects Every Patient Should Know Before Treatment

5 Critical Spravato Side Effects Every Patient Should Know Before Treatment

Published: February 24, 2025

Are you or a loved one considering Spravato for treatment-resistant depression? Understanding potential side effects before starting this breakthrough nasal spray therapy can dramatically improve your treatment experience and outcomes. At Spravato Treatment Centers of New Jersey, we believe informed patients achieve better results. This comprehensive guide reveals everything you need to know about managing Spravato side effects—information that could make the difference between treatment success and unnecessary discomfort.

What Exactly Is Spravato and How Does It Work?

Spravato (esketamine) works differently than traditional antidepressants by targeting the NMDA receptors in your brain. This FDA-approved medication offers hope for the 30% of depression patients who don’t respond to conventional treatments. Before discussing side effects, it’s important to understand that Spravato is always administered under medical supervision at certified treatment centers like ours in Chatham, New Jersey.

The 5 Most Common Spravato Side Effects You May Experience

Based on clinical studies and our extensive patient experience at Spravato Treatment Centers of New Jersey, these are the side effects most patients should be prepared for:

  1. Dissociation: Approximately 41% of patients experience feeling disconnected from reality or altered perceptions. This typically resolves within 1-2 hours after treatment.
  2. Dizziness and Nausea: Nearly 29% of patients report feeling dizzy or nauseated during or shortly after administration. Having a light meal before treatment can help minimize these effects.
  3. Blood Pressure Changes: About 17% of patients experience temporary increases in blood pressure, which is why monitoring is required during each treatment session.
  4. Sedation and Drowsiness: Around 23% of patients feel extremely relaxed or sleepy, which is why you’ll need someone to drive you home after treatment.
  5. Anxiety or Agitation: Some patients (13%) report temporary feelings of anxiety during the treatment experience.

Olivia’s Journey: From Treatment-Resistant Depression to Renewal

Olivia, a 45-year-old engineer from northern New Jersey, had battled treatment-resistant depression for over a decade. “I tried six different antidepressants and years of therapy with minimal improvement,” she recalls.

“I was skeptical about Spravato at first, especially after reading about the side effects online. But the team at Spravato Treatment Centers of New Jersey walked me through exactly what to expect. Yes, I experienced some dissociation during my first few treatments—it felt like I was floating outside myself—but the medical staff made me feel safe throughout the experience. By my third treatment, I noticed a significant improvement in my depression symptoms for the first time in years.”

Today, Olivia continues maintenance Spravato treatments and reports an 80% reduction in her depression symptoms. “The temporary side effects were a small price to pay for getting my life back,” she says.

How Our Medical Team Manages Side Effects

At Spravato Treatment Centers of New Jersey, our experienced medical team led by our Medical Director has developed protocols specifically designed to minimize discomfort during treatment:

  • Pre-treatment preparation guidance to reduce nausea
  • Comfortable, private treatment rooms with calming environments
  • Continuous monitoring by specialized healthcare professionals
  • Post-treatment recovery period with personalized support
  • Follow-up care to address any lingering side effects

Will Insurance Cover Spravato Despite Its Side Effects?

Many patients worry that insurance companies might deny coverage due to potential side effects. The good news is that most major insurance providers now recognize Spravato’s effectiveness for treatment-resistant depression. Visit our cost and insurance page to learn about coverage options and our assistance programs that make treatment accessible regardless of your financial situation.

Important Safety Information

Spravato carries a boxed warning for sedation, dissociation, and potential misuse. That’s why treatment can only be administered at certified facilities with proper monitoring. Our medical team conducts thorough evaluations to ensure Spravato is appropriate for each patient’s specific situation.

Frequently Asked Questions About Spravato Side Effects

Our patients often have specific concerns about side effects before starting treatment. Here are answers to the most common questions we receive at our Chatham clinic:

How long do the dissociative effects typically last?
Most patients find that dissociation resolves within 1-2 hours after treatment. By the time you’re cleared to go home (approximately 2 hours post-treatment), these effects have typically subsided significantly.

Can I drive after receiving Spravato?
No. Due to the potential for drowsiness and dissociation, you must arrange for someone to drive you home after each treatment session. You should not operate machinery or make important decisions until the following day.

Do side effects diminish with continued treatment?
Many patients report that side effects like dissociation and dizziness become less intense as they progress through their treatment course, though individual experiences vary.

Taking the Next Step in Your Treatment Journey

Understanding potential side effects is crucial when considering Spravato treatment, but it’s equally important to weigh these temporary discomforts against the potential for significant relief from treatment-resistant depression. At Spravato Treatment Centers of New Jersey, we’re committed to providing comprehensive support throughout your treatment journey.

Our experienced team has helped hundreds of patients like Olivia navigate Spravato therapy successfully, minimizing side effects while maximizing benefits. Ready to learn if Spravato might be right for you? Contact our Chatham office today to schedule a consultation and take the first step toward renewed mental wellness.

Author’s Bio

Dr. David Boguslavsky, MD, is a highly experienced family physician and medical acupuncturist with over two decades of clinical practice, who has emerged as a leader in mental health treatment, particularly in the field of depression. A graduate of Robert Wood Johnson Medical School, Dr. Boguslavsky is board-certified in both Family Medicine and Medical Acupuncture, showcasing his diverse medical expertise. His extensive experience spans a wide range of medical care, from acute illnesses to chronic condition management, with a particular focus on preventative care and pain treatment.

Notably, Dr. Boguslavsky has pioneered innovative approaches to depression treatment, having administered over 10,000 Spravato treatments, establishing himself as one of the foremost experts in this cutting-edge therapy. His unique blend of traditional Western medicine, Eastern acupuncture techniques, and advanced psychiatric treatments allows him to offer comprehensive, personalized care to his patients at PremierMD and Spravato Treatment Centers of NJ. Fluent in English and Russian, Dr. Boguslavsky brings a multifaceted approach to healthcare, combining the latest medical technologies with time-honored principles of doctor-patient relationships to address both physical and mental health needs.

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