fbpx
Quick summary: Matthew Mitnz, MD, writes about how severe depression is a serious medical disease, and that pills are often not enough. Ketamine and nasal esketamine offer new hope to patients with treatment resistant depression.
(As is true for all of our articles, below is not medical advice. Please discuss any health issue, or treatment, with your own doctor, before initiating treatment)

Depression is a serious medical disorder that affects many people, and increases the risk of suicide.

Fortunately, most patients are able to be successfully treated with medication, therapy, or both.

However, there is a not insignificant subset of patients who have tried multiple medications to treat their depression, and nothing has worked.  This is known as treatment resistant depression.

As it name implies, treatment resistant depression is difficult to treat.  However, there is a new FDA approved treatment called Spravato that may help a lot of patients with treatment resistant depression.

 

Ketamine is an anesthetic agent that has been used for many years.

For some time now, we have known that in lower than normal doses, ketamine given intravenously can significantly and quickly (after one treatment) reduce depressive symptoms.

In fact, ketamine infusion clinics are popping up all over the country.

However, because IV ketamine is not an FDA approved treatment for depression, most insurance companies will not pay for this.

Thus, this potentially effective treatment for severe patients may be out of reach for most, as IV ketamine can cost up to $1000 for just one dose.

 

This potentially effective treatment for severe patients may be out of reach for most, as IV ketamine can cost up to $1000 for just one dose. #health Click To Tweet

 

Spravato is a form of ketamine (esketamine) that is given intra-nasally.

Unlike IV ketamine, Spravato is approved for treatment resistant depression.

For most patients who have commercial insurance, Spravato (usually with prior authorization and a co-pay coupon card) costs only $10 a dose.

Because of some of its side effects (sedation, nausea, increase in blood pressure) as well as its risk for abuste (ketamine is also used as a street drug), Spravato can only be administered under the supervision of a certified doctor in their office.

Patients are monitored for 2 hours after each dose, and they must find someone else to drive them home.

Here is video that explains more.

Tweet this out

EARN CME

This learning experience is powered by CMEfy - a platform that brings relevant CMEs to busy clinicians, at the right place and right time. Using short learning nudges, clinicians can reflect and unlock AMA PRA Category 1 Credit.

Ad from SoMeDocs.

SoMeDocs Front Page Header

Marketing physician voices uniquely!

Our Venture Amplifies Healthcare Voices.

Ad from SoMeDocs.

SoMeDocs Front Page Header

Marketing physician voices uniquely!

Our Venture Amplifies Healthcare Voices.

Matthew Mintz, MD

Dr. Mintz in an Internal Medicine and Primary Care Physician who incorporates alternative treatments for depression and pain in his medical practice.

SoMeDocs

SoMeDocs, short for Doctors on Social Media, is a physician-created & led health media company that aims to build a beautiful catalogue of verified online healthcare voices. Our goals are to teach educated professionals tools for personal success, and to showcase them to the world, and facilitate the connections needed to grow. Join us.

Negotiation series header: David Norris

Negotiate as a Physician and Win

Catch this 8-part series, hosted by physician & business consultant David Norris, MD, MBA & produced by Dana Corriel, MD. Learn to be a stronger negotiator with these important tactics.

Conversations with Shem: Season 2

Medical literature icon Samuel Shem, author of “The House of God” returns for season 2 of conversation, in order to discuss the broken healthcare system. This time, he’s brought the guests!

Doctors on Social Media Teach Podcasting Header Image

Doctors On Social Media Teach Podcasting

Today’s health experts are sharing their expertise in audio format using podcasts. Join us as we explore how we do this and bring on the innovators who are giving it their all.

George Mathew, MD, MBA

George Mathew, MD, MBA

Trying to learn as much as I can about healthcare and the business of healthcare, to try to create access to care for all patients

Roberata E Gebhard D.O.

Roberata E Gebhard D.O.

I am passionate about Gender Equity in Medicine, and I help physicians who have experienced workplace injustice!

Heather Signorelli, DO

Heather Signorelli, DO

Physician executive and entrepreneur on a mission to help physicians through a reliable medical billing service.

Mimi Zieman M.D.

Mimi Zieman M.D.

We all have inner voices that need to be listened to, and stories to tell. Voices speaking up for women and justice are needed now more than ever.

Meridith Grundei

Meridith Grundei

Perfection is highly overrated. It’s time to start getting comfortably uncomfortable and start sharing your voice with the world!

JD Gershbein

JD Gershbein

“Linkedin is like a raffle; you must be present to win.”

Ann M. Richardson, MBA

Ann M. Richardson, MBA

“The Doctor Whisperer” – Healthcare systems transformation consultant and fierce physician, care team, and patient advocate.

SoMeDocs Logo

The Healthcare Connection Hub

Disclaimer: SoMeDocs assumes no responsibility for the accuracy, claims, or content of the individual experts' profiles, contributions and courses. Details within posts cannot be verified. This site does not represent medical advice and you should always consult with your private physician before taking on anything you read online. See SoMeDocs' Terms of Use for more information.

Grow with us.

We take rolling applications for regular contributors

We had a fantastic turnout and brought a large number of physician contributors on board our 1st & 2nd rounds. If you’re interested in being considered for a future round, submit an application now and we’ll be in touch when it opens. Regularly contributing means you share your thoughts, stories, opinions, or advice on our website, and we make it pretty/circulate. It’s essentially our large effort to collectively market health experts and grow thought leaders. We also consider applications for our “Experts for Health Experts” section, depending on the pitch. Are you ready to join us? If you prefer immediate access & want to build yourself space now, consider becoming a member.

Play Video
Our Founder Answers Your BURNING Question

SoMeDocs

“Why should I become a member of SoMeDocs if I already have my own space online?”