Spravato is a prescription esketamine nasal spray. For adults with treatment-resistant depression, it is FDA-approved with or without an oral antidepressant. TMS of Austin offers consultations to review prior treatment and whether supervised Spravato care may be appropriate.
When contacting us, tell us which service you’re interested in and your preferred day and time. Our team will review your request and contact you to confirm the next step. Submitting a request does not book an appointment.
A consultation comes before treatment
Bring previous medication names, doses if available, how long you took them, and what helped or caused problems. Your clinician must review medical history, current medicines, blood pressure, substance-use history, and other safety considerations. Certain blood-vessel conditions, a history of bleeding in the brain, or allergy to esketamine or ketamine can make treatment unsuitable.
What happens at a treatment visit?
Spravato is administered under healthcare supervision through a restricted REMS safety program. You use the nasal spray in the clinic and are monitored for at least two hours afterward. Monitoring includes blood pressure and breathing. You cannot take Spravato home for unsupervised use.
Arrange transportation home. Do not drive or operate machinery until the next day after a restful sleep. Before treatment, ask the team about food, drinks, other nasal medicines, and your usual medications. Confirm arrival time and the total time to reserve, including check-in and observation.
Benefits and important limitations
The aim is improvement in depressive symptoms; response varies. Risks include sedation, dissociation, respiratory depression, increased blood pressure, and abuse or misuse. Ask how progress and side effects will be assessed throughout your course.
Spravato also has a separate indication, with an oral antidepressant, for depressive symptoms in adults with major depressive disorder and acute suicidal thoughts or behavior. It has not been shown to prevent suicide or reduce suicidal thoughts or behavior. Immediate danger requires emergency care, not an online appointment request.
Understand the schedule and cost before starting
The number and spacing of visits depend on the treatment plan and response. Ask for the proposed initial schedule, how continuation decisions are made, and whether your preferred office provides the treatment.
Costs may include the medication, supervised treatment visits, and evaluation. Medical and pharmacy benefits can differ. Ask which benefits apply, whether authorization is needed, and what your deductible, copay, or coinsurance means for each visit. A consultation does not guarantee insurance coverage.
Spravato questions
Can I drive myself home?
No. Plan a ride home after every treatment. Driving must wait until the next day after restful sleep.
Is Spravato the same as ketamine infusion?
No. Spravato is esketamine given as a nasal spray with its own FDA-approved indications and safety program. It is not an intravenous ketamine infusion.
How do I decide between Spravato and Deep TMS?
Start with a review of diagnosis, treatment history, safety, goals, and the time each option requires. These are different treatments; neither is automatically right for everyone.
Care at TMS of Austin
Our practice is led by founder and medical director Ramon Aragon, MD, FAPA. Psychiatric consultations, medication management, psychotherapy, and specialized services give you several options to discuss within one practice. Our offices are in South Austin and North Central Austin; confirm the provider, service location, and availability with the office.
Office locations and contact information
Explore related services
Planning your visit
Our South Austin office is at 1213 W. Slaughter Ln #110, Austin, TX 78748. Our North Central Austin office is at 1106 Clayton Ln #240W, Austin, TX 78723. Confirm the provider, service location, visit format, and appointment length with our team before traveling.
When requesting care, share your preferred day and time and ask which office provides this service. Confirm the consultation format and any in-person treatment or testing visits with our team. The team will review your request and confirm the details; submitting a request or selecting a preference does not book or hold an appointment.
New patients: completing the new-patient form helps the team prepare for benefits verification, appointment reminders, and confirmation. If you have already submitted it, ask the office to check receipt rather than sending another copy. Avoid putting detailed health information in ordinary email.
Take the next step
For immediate danger, call 911. For a mental health crisis, call or text 988. Website requests are not emergency care.
Information sources
Spravato: full prescribing information and Medication Guide
Spravato: preparing for treatment
Spravato: insurance coverage questions
Updated October 14, 2026. This information supports a conversation with your clinician and is not an individual diagnosis or treatment recommendation.