Zoloft vs Spravato

A side-by-side look at two mental health medications advertised on TV. Informational only — not medical advice.

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Information reviewed July 24, 2026

US ZoloftUS Spravato
Generic namesertralineesketamine
Drug classSSRI (Antidepressant)NMDA Receptor Antagonist
TreatsDepression, anxiety, OCD, PTSDTreatment-resistant depression
CategoryMental HealthMental Health
ManufacturerPfizerJanssen
Year approved19912019
FDA warningBlack box warningBlack box warning
Est. TV ad spend$1M
Common side effectsNausea, Sexual problems, Insomnia, DiarrheaSedation, Dissociation, Abuse and misuse potential, Increased blood pressure

Frequently asked questions

Is Zoloft or Spravato better?

Neither is universally "better." Zoloft (sertraline) and Spravato (esketamine) are both used for mental health, but the right choice depends on your medical history, insurance and your doctor's guidance. This comparison is informational only.

What's the difference between Zoloft and Spravato?

Zoloft is a SSRI (Antidepressant) made by Pfizer, while Spravato is a NMDA Receptor Antagonist made by Janssen. See the table above for a side-by-side breakdown.

Which one spends more on TV ads?

Zoloft has the larger estimated TV advertising budget of the two.

TVPills

A reference tool to help identify prescription medications and supplements seen in television advertising. This is not medical advice. Always consult a healthcare professional.

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