What is TMS?
TMS is a non-invasive brain stimulation therapy that uses gentle magnetic stimulation on specific areas of the brain involved in mood regulation.
What is SPRAVATO®?
SPRAVATO® (Esketamine Nasal Spray)
How it works:
Esketamine targets glutamate, a brain chemical involved in mood regulation. It works faster than most traditional antidepressants, with patients often seeing improvement within the first few treatments
What to expect:
- Urine drug screening required prior to treatment
- Administered in our clinic under provider supervision
- Patients will be monitored for 2 hours by staff, with intermittent blood pressure checks
- Sessions begin as 2 times/week for the first month, then once weekly for the second month, then once every 2 weeks or once monthly for maintenance if recommended based on treatment response
- Due to sedative effects, designated driver is required to and from each appointment
Side effects:
- Dizziness, nausea, sedation, dissociation (feeling detached from reality)
- Short-term increase in blood pressure
Not recommended in patients with:
- Active substance use or abuse
- Aneurysmal vascular disease (including thoracic and abdominal aorta, intracranial and peripheral arterial vessels) or arteriovenous malformation.
- History of intracerebral hemorrhage.
- History of hypersensitivity to esketamine, ketamine, or related
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