Spravato (esketamine) is a nasal spray used to treat severe depression and suicidal ideation in adults. Because it's a powerful medication with potential side effects, understanding what to do after treatment is crucial for maximizing its benefits and minimizing risks. This guide covers post-treatment care, potential side effects, and important considerations.
What are the common side effects of Spravato?
Spravato can cause various side effects, some mild and temporary, others more serious. Common side effects include:
- Dissociation: This is a feeling of detachment from reality, often described as feeling "unreal" or "disconnected." It's a common side effect and usually subsides within a few hours.
- Sedation/Drowsiness: Feeling sleepy or sluggish is frequent after treatment. Avoid driving or operating machinery until the effects wear off.
- Nausea and Vomiting: Some patients experience nausea or vomiting. Your doctor might recommend taking anti-nausea medication beforehand.
- Increased Blood Pressure: Spravato can temporarily raise blood pressure. Your doctor will monitor this during your sessions.
- Headache: Headaches are a relatively common side effect.
- Dizziness: Feeling dizzy or lightheaded is possible.
How long do Spravato side effects last?
The duration of side effects varies significantly between individuals. While dissociation, sedation, and other effects often resolve within a few hours, some individuals might experience lingering fatigue or mild headaches for longer. It's essential to discuss any prolonged or concerning side effects with your doctor.
What should I avoid after Spravato treatment?
To ensure your safety and maximize the effectiveness of the treatment, it's crucial to avoid certain activities after your Spravato session:
- Driving or operating heavy machinery: The sedation and dissociation can significantly impair judgment and coordination. Wait until you are fully alert and free from any lingering effects before driving.
- Drinking alcohol: Alcohol can intensify the side effects of Spravato, including sedation and dissociation.
- Engaging in activities requiring high concentration: Avoid tasks that require focus and precision until you feel completely back to your normal self.
- Using other medications without consulting your doctor: Interactions with other drugs can be unpredictable and potentially dangerous. Always discuss any other medications you are taking with your doctor before starting Spravato.
What should I do if I experience severe side effects?
Severe side effects are rare but can occur. If you experience any of the following, seek immediate medical attention:
- Severe nausea or vomiting
- Severe dizziness or lightheadedness
- Difficulty breathing
- Chest pain
- Seizures
- Suicidal thoughts or behaviors (though Spravato is often used to combat these, paradoxical reactions can occur)
Your doctor should provide you with a contact number to reach them in case of an emergency.
What is the aftercare plan for Spravato?
Your aftercare plan will be individualized based on your response to the treatment and your medical history. It might include:
- Regular follow-up appointments: Your doctor will monitor your progress and adjust your treatment plan as needed.
- Continued therapy: Spravato is typically used in conjunction with psychotherapy, which is crucial for long-term success.
- Medication management: Your doctor might prescribe other medications to address specific side effects or to complement the Spravato treatment.
How long does it take to see results from Spravato?
The time it takes to see results varies widely among individuals. Some people experience improvements within a few weeks, while others may take longer. Consistent treatment and adherence to the aftercare plan are crucial for maximizing the chances of a positive outcome.
Can I drink alcohol after Spravato?
No, it is strongly advised to avoid alcohol after Spravato treatment. Alcohol can interact negatively with Spravato, exacerbating side effects like sedation and increasing the risk of adverse reactions.
This information is for educational purposes only and should not be considered medical advice. Always consult with your doctor or healthcare provider for personalized guidance regarding your Spravato treatment and aftercare plan. They can answer specific questions and address any concerns you might have.
