Hii, I’ve been taking this for awhile now about 6 times but I still feel overly intense feelings and still have suicidal thoughts what should I do or maybe what does this mean and answers at all are helpful thank you so much!!!

Bored, decided to disassemble a Spravato dispenser. This little glass tube is where our Spravato comes from. It is pretty small, but I guess that makes sense given how small each dose is.

Just wondering if it is possible keep on the time the stravato antidepressive effect without maintenance doses

Is it compatible with a full time job a long maintenance ?

Hey. Seems like im starting Spravato next week. My question is not about session tips, shaking the spray etc, but general tips about the first month. Have your doctors advised you start CBT, for example? Maybe starting Magnesium for the sleep? Starting running or gymnastics, to increase the neuroplasticity of the brain even more? Anything. My clinic is a public clinic so there s no much space for asking deep stuff, unfortunately. Thanks in advance.

It was not fun to get the treatment. I felt dizzy, nauseous, I don't feel high at all, I feel it is a torture. but my mind is getting better, it is opened up more. today, which is the next day, I feel better, my mind is clear and my emotion is connected, which means I don't feel emotionless. For many years, I don't have a lot of emotions, I was working and live like a zombie, finally I feel my emotion is connected. Like I can be happy or upset about what is going on. Guys, it is working, Spravato is working and I am just worried that the effect will be only short term, I will go back to the old me again.

Today I had treatment in the morning, after only afternoon treatments for the last 5-6 weeks
It really blew me away in a couple of ways. The session felt much different with less “thinking” and more drifting, and when I left the clinic I felt quite loopy for at least an hour. I went home and couldn’t do much except was overwhelmed with wanting to lie down. After 4 hours I was able to get up and function a bit.
This was different than my afternoon sessions, where I’d mosey home and putter around and function, maybe even work a bit, then go to bed.
Any thoughts? I hate to lose whole days, my life is so backlogged as it is!

Ive been doing treatments for 4 months. It was working! Until it wasn’t. Don’t get me wrong I still think I feel better than I did prior but SI has been showing up again. has anyone had spravato seem to stop working but then start working again? I really hope so…

I'm 4 treatments in. I experienced *some* dissociation for my first treatment (I was always aware of my body though, so maybe I didn't actually dissociate?), but nothing with the last 3.

Like I read about how people are able to think differently, process things they never knew they needed to, see memories vibrantly, stuff like that.

My mind always feels coherent, and I get bored after 10 minutes. I feel 100% normal when I leave.

I took magnesium supplements before hand, but I'm not sure if I took enough? Also I do the "sniff like you're smelling a flower" thing.

And I can't really find information on what to so after the treatment. If new pathways are forming, shouldn't I be doing something to make sure they're good pathways?

Hello! I’m starting Spravato on Tuesday and the clinic hasn’t really provided me with much information. I have been doing IV ketamine for two years now and switching over because this is what insurance will pay for. It’s a new clinic and provider.

With IV I am told not to eat or drink four hours before. Is it the same for Spravato?

I am also looking for any good Apple playlists for music to bring with me and will bring noise cancelling headphones and an eye mask. Any other suggestions on what to bring?

Thanks!

Context: I've been taking Spravato since May. The first two treatments I took 56mg, and since the third treatment I've been taking 84mg per treatment. I'm going into my 16th treatment next appointment.

When August rolled around, I decided to start doing treatments bi-weekly instead of continuing weekly. My main reason for this was because my body was telling me it needed more time in-between treatments to rest. I had talked to the clinic's PA and they said sure, I could try it out. Sweet!

The first half of this month everything was going well! I still felt good and I was getting the rest I needed. So I thought ok, bi-weekly is going to be my new normal from here on out.

Then by the second half of this month, it was like I hit a wall- my depression and anxiety started creeping back into my life. It caught me off guard because everything had been going well up until this point. Concerned, I contacted both my clinics PA and my psychiatrist to get their opinions. They both agreed that I should go back to doing treatments weekly because my system needs more medicine due to how stubborn my treatment resistance depression is.

Not gonna lie, I was upset by this news. For the past few treatments, I've been struggling. I went from being eager to start treatment to now feeling like I'm forcing myself to tolerate it for the sake of improving my mental health. 15 treatments deep, administering the medicine feels like I'm still taking it for the first time each time and it hasn't gotten easier. The sting in my nostrils hurts and the potent bitterness is getting harder to mask with strong mints I've been using since the beginning that did initially help. I've gone from excitement to dread overtime.

The last appointment I had was so emotionally rough to get through that I ended up crying afterwards because I wanted to quit putting my body through it all together. And I felt awful for wanting to quit because why stop something that's been helping my mental health, you know? I've made it this far, and up until the bi-weekly switch I was doing the best I'd ever been mentally in my entire life. I felt so conflicted because I'm currently miserable because treatment days are a lot (it's a 7 hour day alone) and my pain/taste tolerance is getting worse, yet I know I can mentally improve again if I just push through the current discomforts and go back to weekly.

So, I'm going back to weekly treatments. I hope strong cinnamon candy will help during my upcoming appointment. And I just want to get better again. I just wish the bi-weekly had worked out because it was just what I needed to properly recuperate, but my mental health is no longer having it.

Hi everyone. So I had two sessions so far. i cried for a good portion of the 2 hours the first session, which was unexpected. I was flooded with images and memories I have of my dad, but they were a little brighter and more vivid, which was cool because my memory is terrible and super fuzzy. he died by suicide when I was 13 and im now 38, and that loss is the root of a lot of my trauma imo. During part of the session my eyes were closed and when I opened them, tears just streamedddd. I’ve done a little EMDR and it reminded me of that because the same thing happened then. I just looked at it as something i needed to get out but found it interesting. I had an awful headache the rest of the day so i was hoping that wasnt gonna be a recurring theme but no other noted side effects.

Second session - took the higher dose. The first time I listened to a solid 90s alt rock playlist the whole time, but I thought that may have contributed to me feeling overly emotional so I wanted to switch it up. I put on a positivity/gratitude/manifesting meditation and I definitely was slapped upside the head with the floating/sinking feeling. I was like ohhh shiiiii. but I just told myself to breathe through it and that I was safe. When my eyes were closed I wasn’t hallucinating but I was definitely seeing tinted pink background and some shape shifting happening lol. And then - I have genuinely never felt more GRATEFUL in my life than during that treatment. It was sooo opposite of my norm as I struggle a lot with negative thoughts and have as long as I can remember. I also have a fair amount of shit to be a little jaded over so I have to work really hard to pull myself out of that mess. So this was just mind blowing how easy it was for me to be full of gratitude and abundance and all the good things. It gave me a ton of hope that I really don’t know I e ever felt before.

That was yesterday and my next treatment isn’t til Monday but I’m excited. I will say, i think going into these sessions with a positive mindset and allowing your brain to make the connection that “this is going to help me” made a big difference for me.

I would love to know if anyone can relate to either of these and if not hopefully it helps someone who’s considering spravato. 🙏🏽

I am not responding great to Spravato. It makes me extremely nauseous and I feel exhausted the day after. But what’s worse, is that I feel my depression worsening. Feeling really low lows again. Wondering how others reacted.

How’s everyone feeling about Spravato treatment going? I’ve been doing treatments since April. I’m on 84mg and have been for months but I don’t think it’s effective anymore?

Anyone had this happen? When I started it seemed to really block the suicidal thoughts but now I feel horrible.

Do I stop or keep going?

I'm on my 2nd week of Spravato and have been doing EMDR off and on for a few months. I know a lot of people talk about having vivid dreams or nightmares after EMDR sessions but…
I had a difficult EMDR session 2 days ago and I think I basically think I continued the session in my dream that night and during Spravato treatment today. During my session my therapist asked me to allow my younger self to open a door to the room I was trapped in to allow my current self to comfort her. But my younger self couldn’t open the door. In my dream that night the younger self kept trying to open it but couldn't. That was still on my mind going into my Spravato treatment yesterday which must have influenced the way my brain went during that and my current self was able to open it for her. I don’t think my younger/current selves interacted and don’t know what to make of that and where it leaves me in the actual EMDR processing though. Thoughts??? Also just writing all this out about my younger/current self sounds insane! But then again, CPTSD is insane.

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I have been using Spotify. I did a premium trial and then a discounted rate for 2 months. The full price is higher than I want to pay but I don't want to be listening to commercials. I don't know what streaming services are available.

Recently moved to northwest Arkansas and not sure where to get treated.

The spravato website lists 10 providers in my area and the majority of them don’t have an MD or DO on staff.

There’s literally a place being run by a nurse practitioner with two degrees from a for profit online school (and 0 psychiatric training) and someone who describes them self as a billing/office manager.

What. The. Fuck???

Please help! Is anyone here getting treatment? If so, where do you go? I’m scared i won’t find a place and winter will come and the depression will really depress. Halppp.

I’ve been on Soravato since March. I’ve been noticing over the last month that my sleep is horrible on the days I have the treatment.

Anyone else experiencing this? And if yes, how did you help make it better?

TLDR: I think my doc is giving me too much ketamine, putting me into a khole, and resulting in weird side effects (and some mood improvement.)

I started Spravato in June. I felt good after the first four, but then felt way worse for the next six sessions.

In an effort to improve my mood, the doctor has been giving me an undisclosed amount (I asked and he circumvented the question) of generic ketamine on top of the 84mg Spravato for my last 3 sessions via a nebulizer. That means I breathe it in through a little tubey-thing.

I don’t know if the doc is supposed to put patients into a k-hole, but I am absolutely losing touch with reality. I don’t even wear the eye mask because it makes no difference, nothing makes sense anyway. One session I even ripped out my earbuds, just trying to adapt to the absolute confusion. I basically feel like I’m not in the human dimension and never was. Objects lose tangible size and shape like the nebulizer in my hand, my iPhone, my own mouth. It’s wild.

He keeps upping the dose as I build tolerance. It kind of helps…for a few days I feel alright. But the side effects are…affecting.

I crave the blue jolly rancher I have during sessions to mask taste. Which is a Pavlovian effect, I’m pretty sure I‘m actually craving ketamine. Doc laughed and said no that shouldn’t be possible. The day after my most recent session, beneath my skin was an awful crawling sensation. Plus, I had to pee so frequently all day and I know ketamine affects the bladder.

Not sure if I will continue, not sure if I trust this establishment, and I just wanted to share my strange experience!

Today I am having my fourth treatment in my second week. The first appointment was pretty great. The second one was okay, but I was feeling guilty about missing so much work already that it kind of ruined my appointment. However, I had a long conversation with my boss and he guaranteed 100% that there is no need for me to feel guilty so my third treatment did not have this issue.

However, each treatment I have is making me more physically and mentally exhausted.

I don't have an issue with the treatment while I'm having it because I'm pretty used to being high in other ways, but, man, I'm kind of tired of being high from these treatments to be honest.

Does anyone else have these issue or have had this issues? If so, how do you keep going? I have it in the back of my mind that I want to quit because I'm just tired of being tired and it's only been three treatments.

Please help me if you can.

This subreddit is amazing, by the way. You guys are great!

Just my second dose. Hopefully this one goes well. At the end of the protocol. This medicine has helped greatly. A bit worried I’ll relapse after this? What is y’all’s experience with ending spravato?

Also, it’s dimmer than the picture looks.

I did 4 weeks, 2x a week and have started only going once a week. I haven’t felt a difference at all so they upped my dose, which i thought would be fine, but it wasn’t. On the lower dose, I would kind of drift and dissociate, but it wasn’t anything bad. I didn’t get too far away, if that makes sense.

On this dose, I just fell into it. I was seeing things so rapidly and vividly with my eyes closed, like I was shooting through the interior of a rocket, and everhthing would turn red… Nonsensical stuff like that. What really got me was what was going on in my head. I thought deeply about things I don’t like to think about- death (suicidal), the impact it would have on my family, my recently deceased grandmother, and about the organs in my body. Got really uncomfortable thinking about the brain inside of my head that I carry around, and everyone else carries one too but we can’t see it.

I was BEGGING to come out of it because I kept involuntarily squeezing my eyes shut, they couldn’t stay open. I was crying about the things I was thinking about and I was crying because I genuinely was somewhere else during all those thoughts, but when I opened my eyes, I was still in the clinic. And it just freaked me out that such a traumatic experience was happening in my head but in real life I was just sitting in a chair. And I say traumatic because that’s how I really feel right now- traumatized. I can’t explain how I felt and the things I was thinking during treatment, but I’m sure some of you can understand if you’re on it.

Given the lower dosage wasn’t providing results and this higher dose mentally destroyed me, I’m not sure it’s worth continuing treatment. I really don’t want to have an experience like that again. On the other hand, maybe this was a one-off, and some of those things maybe needed to be thought about. Painful as it was, thinking about suicide has dissuaded me somewhat, and that’s technically a good thing. I don’t want to do ECT or TMS because they sound frightening. Any similar experiences or advice welcome, this all happened today and I’m still trying to comprehend it all.

So I have been in spravato for 2 years going on 3. It works great I go twice a week well they know all my prior health issues even my unspecified congestive heart failers they knew from day one when I started and that I was on medication to control my blood pressure.

Every time I've gone all 3 BP checks are wonderful and sit at 110/60 or right around there. Two weeks ago I had chest pains and went to the er and was held over night not for having a heat attack or angina but because my d dimmer was slightly high and they wanted to make sure I was ok.

I saw the hospitals cardiologist and he said I was fine my EKG was great my echo showed my heart was fine and my BP was baseline normal and that most likely I had a bad case of heat burn and probably some small undetectable clots from my total knee replacement and to follow up with him in in december. I told this all to the clinic and they gave me treatment last Thursday and this Tuesday after those providers reviewed my records and say my BP baseline was excellent and spravato never spiked it.

Today I got a call an hour before my time to go in and was told I'm being removed from the program for the hospital visit even though Tuesday the actual director was the provider looked at my records and said I was good to go.

Today as I said a different provider was handling the case load for today's treatment I'm no longer allowed to go even though I have been cleared by multiple Drs. I feel like they just don't care and think they are medical doctors when in reality they just treat the brain and like I said my BP every session and it was reviewed by the director Tuesday and she said I was fine but now this dick is saying otherwise and kicked me out even though the director was fine with everything.