Unlocking New Horizons with the Promise of SPRAVATO® Treatment in Chapel Hill, NC

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What is SPRAVATO®?

SPRAVATO® is an FDA-approved nasal spray that offers new hope for adults living with:
Trd

Treatment-Resistant Depression (TRD): For those who have tried at least two different antidepressants without finding relief.

Mdd

Major Depressive Disorder (MDD) with Acute Suicidal Ideation or Behavior: A fast-acting treatment option for individuals facing severe symptoms and urgent needs.

Unlike traditional antidepressants—which can take weeks to take effect—SPRAVATO® has been shown to deliver improvements in depressive symptoms in as little as 24 hours.

FDA-Approved

Insurance-covered

fast-acting

How Does SPRAVATO® Work?

SPRAVATO® uses an innovative mechanism for addressing depression. Under the supervision of a qualified healthcare provider, the nasal spray targets NMDA receptors in the brain, which can produce rapid and meaningful symptom relief.

Patients receive SPRAVATO® in a certified treatment center, where they remain under close observation for at least two hours after administration to ensure safety and comfort.

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What Our Patients are Saying

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4-Step SPRAVATO® Treatment Journey

Free consultation

Consultation & Evaluation

Your evaluation for Spravato begins with an initial face-to-face or virtual phone consultation with one of our healthcare providers, billed to your insurance. During this visit, we review your medical history and treatment needs to confirm eligibility for Spravato. If you are eligible, we then verify your insurance coverage and coordinate benefits with major providers.

For IV ketamine infusion therapy, the process is different. We offer a phone consultation to determine candidacy. Please note that IV ketamine is a fee-for-service treatment and is not billed to insurance.

Session scheduling

Session Scheduling & Administration

Once approved, your initial SPRAVATO® session is scheduled. Treatments are administered in our clinic under strict medical supervision. You self-administer the nasal spray in a calm, controlled environment and are monitored for at least two hours to ensure safety and address any side effects.

Tailored treatment plan

Tailored Treatment Plan

Your treatment plan begins with an induction phase, typically involving twice-weekly sessions. Over time, this transitions to a maintenance phase with less frequent treatments, customized to your unique mental health goals.

Ongoing support

Ongoing Support

Our team remains by your side throughout your journey, offering regular follow-ups to monitor progress and address concerns. We adjust your treatment plan as needed, coordinate with your referring provider, and ensure you have the resources for sustained mental health improvement.

Spravato® Treatment Timeline

Induction
Induction

Week 1-4
2 Treatments a Week

Maintenance
maintenance

Week 5-8
1 Treatments a Week

Ongoing care
ongoing care

Week 9+
1 Treatment a Week Every 1-2 Weeks

SPRAVATO®: A Rapid and Effective Alternative to Traditional Antidepressants

Response Rate: Traditional antidepressants typically show a response rate of 40–60%, while SPRAVATO® (esketamine) has demonstrated response rates of up to 70% in clinical trials (Popova et al., 2019, American Journal of Psychiatry).

Time to Noticeable Effect: Traditional antidepressants often take 4–6 weeks for noticeable improvements, whereas patients using SPRAVATO® (esketamine) may experience relief within 24 hours, as observed in clinical trials (BMC Psychiatry, 2022).

Sustained Remission Rate: Traditional antidepressants achieve sustained remission rates of approximately 15–30%, but SPRAVATO® has shown remission rates as high as 80% when combined with an oral antidepressant (Wilkinson et al., 2018, Nature Reviews Drug Discovery)

Response Rate

Response rate

Time to Noticeable Effect

Time to noticeable effect

Sustained Remission Rate

Sustained remission rate

Our Philosophy

Safety first

Safety first.

Other clinics may provide off-label ketamine treatments. At Ketamine Wellness Institute, we follow FDA-approved protocols exclusively—safe, effective, and uplifting.

Setting as cure

Setting as cure.

Your treatment environment is an important part of your recovery. Our clinics are designed to be welcoming and restorative.

Talking to your team

Talking to your team.

If you have a current mental health team, we keep them informed to ensure seamless, coordinated care.

Accessibility for all

Accessibility for all.

Wellness should be within reach. We focus on insurance-covered treatment options and handle the paperwork for you.

SPRAVATO® FAQs

What should I tell my healthcare provider before starting SPRAVATO®?
Inform your provider about your complete medical history, including mental health conditions, substance use, blood pressure issues, and whether you are pregnant, breastfeeding, or planning to be. Provide a full list of medications and supplements.
SPRAVATO® (esketamine) is FDA-approved and delivered as a nasal spray under medical supervision. IV ketamine is racemic ketamine, often used off-label for depression and administered by infusion.
No. It must be administered in a certified treatment center under supervision.
Use is not recommended unless clearly necessary. Discuss risks and benefits with your provider.
It may not be suitable for individuals with certain vascular conditions, aneurysms, or allergies to esketamine or ketamine. Your provider will assess safety.
You may notice improved mood, reduced symptoms, and better daily function. Progress is monitored with structured assessments.
Contact your treatment center to reschedule. Missing early sessions may affect results.
Yes. SPRAVATO® can influence other treatments or medications.
If results are limited, your provider may adjust the plan or explore other therapies.
Possibly. Blood pressure will be checked before and after each treatment.
Yes. Provide a full list of prescriptions to reduce interaction risks.
Avoid eating for at least two hours and drinking for 30 minutes before treatment.
Do not drive, operate machinery, or make major decisions for the rest of the day.
No. Wait until the following day after a full night’s rest and arrange transportation.

SPRAVATO® Resources

Download our comprehensive PDF guides to learn about SPRAVATO®, its benefits, uses, and other important safety information.

Get Started Today

If you or a loved one is ready to take the first step towards real relief, we invite you to call us and schedule a consultation today.