Patients with treatment-resistant depression may benefit from either TMS therapy or Spravato treatment.
Our team will help determine the most appropriate treatment for your needs.
Spravato (esketamine) is an FDA-approved nasal spray used for adults with treatment-resistant depression, especially when traditional antidepressants have not been effective. Unlike standard medications, Spravato works on different brain pathways and can provide rapid improvement in depressive symptoms, often within days to weeks. Treatment is administered in a certified medical setting under supervision to ensure safety and effectiveness. At iChange Wellness Center, we offer Spravato treatment in West New York, NJ, as part of a comprehensive, personalized approach to depression care.

There are two FDA-approved indications for esketamine. According to the esketamine package insert, “SPRAVATO®esketamine) is indicated, in conjunction with an oral antidepressant, for the treatment of treatment-resistant depression (TRD) in adults and depressive symptoms in adults with major depressive disorder (MDD) with acute suicidal ideation (SI) or behavior”
The treatment recommended for Treatment Resistant Depression is twice per week for four weeks followed by weekly by four weeks. Patients are monitored and supervised during treatment for 2 hours and must remain in the treatment facility. Patients must have a documented safe ride home. Patients cannot drive until a full night's rest.
1. No liquids 30 minutes prior to administration
2. No food for 2 hours prior to administration
3. No nasal decongestant spray / steroid
4. No operation of machinery or vehicle until patient had a good nights rest, may need to be with some one upon discharge
If you have any questions or concerns, don't hesitate to contact us. Our friendly staff are always here to help. You can reach us via phone, email, or by filling out our online contact form.
Please reach us at info@njpremierpsych.com if you cannot find an answer to your question.
Spravato® (esketamine) is an FDA-approved nasal spray for adults with treatment-resistant depression (TRD) or depression with suicidal thoughts.
Unlike traditional antidepressants, Spravato works on the glutamate system, helping the brain form new connections and improve mood more rapidly.
Most antidepressants affect serotonin or norepinephrine and may take weeks to work.
Spravato:
Treatment is done in-office under medical supervision:
You may experience:

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