Spravato

Black Box Warning

Generic: esketamine

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Information reviewed July 24, 2026

Rank #98 in US TV Ads
Class: NMDA Receptor Antagonist

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What is it for?

A prescription nasal spray, given in a doctor's office, for adults with depression that has not responded to other antidepressants.

Primary Condition

Treatment-resistant depression

How it works

Derived from ketamine, it acts on NMDA receptors in the brain — a different pathway from standard antidepressants — to rapidly improve mood.

Common Side Effects

This is not a complete list of side effects. Always consult with a doctor.

  • Sedation
  • Dissociation
  • Abuse and misuse potential
  • Increased blood pressure
  • Dizziness

Spravato FAQs

What is Spravato used for?

Spravato (esketamine) is a prescription medication used to treat Treatment-resistant depression. A prescription nasal spray, given in a doctor's office, for adults with depression that has not responded to other antidepressants.

How does Spravato work?

Derived from ketamine, it acts on NMDA receptors in the brain — a different pathway from standard antidepressants — to rapidly improve mood.

What are the common side effects of Spravato?

Commonly reported side effects of Spravato include Sedation, Dissociation, Abuse and misuse potential, Increased blood pressure, and Dizziness. This is not a complete list — tell your doctor or pharmacist about any side effects you experience.

Does Spravato have any serious warnings?

Yes. Spravato carries an FDA Boxed Warning — the agency's most serious safety warning. Read the full prescribing information and talk to your doctor about the risks before starting or changing treatment.

What is the generic name for Spravato?

The active ingredient in Spravato is esketamine, which belongs to a class of medicines known as NMDA Receptor Antagonist.

Who makes Spravato?

Spravato is manufactured by Janssen. It was first approved in 2019.

How can I save money on Spravato?

You may be able to lower the cost of Spravato by using a free pharmacy discount card or by comparing prices across pharmacies before you fill your prescription. Savings vary by pharmacy and location.

Common questions about Spravato

Other Mental Health medications

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Quick Facts

Manufacturer

Janssen

Year Approved

2019

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