SPRAVATO™ nasal spray is a different kind of medication taken with an oral antidepressant for adults with treatment-resistant depression – a first in decades approved by the FDA.

If you’ve struggled with depression and tried two or more antidepressants at full dose and for at least six weeks in your current episode without adequate relief, talk to us to see if you have treatment-resistant depression and if Spravato is an option for you.

We are a certified center for treatment with Spravato and hope to begin treatments by May 1, 2019.  

We will gather information to see if you are a potential candidate and then invite you for a formal evaluation by our team of a psychologist, psychiatrist and psychiatric nurse.  We will then tell you whether we recommend treatment with Spravato or suggest another treatment option.  If treated with Spravato, we will select an oral antidepressant to take with Spravato and monitor your level of depression at each visit.  Relaxation training, individual and family therapy are also available at our office.  

For treatment, you must have someone with you when you come for treatment and to drive you home.  You cannot drive or operate machinery until the next morning. 

It is likely that you will dissociate  (feel disconnected from yourself) during the treatment and may have some dizziness, nausea and sedation.  You cannot eat for two hours before the treatment and cannot drink for 30 minutes before the treatment.  Your mental state and blood pressure will be monitored in our office for two hours after each treatment.  

Spravato, like other treatments for depression, may increase the risk of suicidal thoughts or actions.  

Treatments consist of self-administered nasal sprays under medical supervision in our office and occur twice a week for the first two weeks and then generally once a week.  

The medication will be filled through your insurance and delivered to our office.  You are responsible both for the cost of the medication and for the professional services in our office.  

For more information, go to  

David A. Nover, M.D., P.C.  

1432 Easton Road, Suite 2-C  

Warrington, PA  18976  

215-491-7570