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Serving Maryland • Baltimore office • Telehealth for medication management & therapy • Call 472-248-6144 • Patient Portal
A different treatment pathway
What is Spravato?
Spravato, also called esketamine, is an FDA-approved prescription nasal spray used for certain adults with depression. It works differently from traditional antidepressants by acting on the brain’s glutamate system.
Treatment is administered only in a certified healthcare setting. At Heart Own Medical Services, each dose is self-administered under clinical supervision and followed by an observation period.
Quick Facts
Prescription nasal spray administered in the office
Prescription nasal spray administered in the office
At least two hours of monitoring after each dose
Eligibility and insurance coverage must be reviewed first
How treatment works
A structured, monitored experience.
Spravato is not taken at home. Your care plan includes a clinical evaluation, a personalized treatment schedule and monitoring by our team during every visit.
01 / ADMINISTRATION
Nasal spray
You self-administer Spravato under the direct supervision of a trained healthcare professional.
02 / MONITORING
Observed care
Your blood pressure and response are monitored. You remain in the office for at least two hours after treatment.
03 / FOLLOW-THROUGH
Ongoing review
Your provider reviews your response and adjusts the frequency of visits based on your individual needs.
Depression diagnosis
You have been diagnosed with major depressive disorder.
Previous treatment
You have tried at least two antidepressants without enough relief.
Clinical review
Your medical and psychiatric history supports safe treatment.
Visit requirements
You can attend in-person visits and arrange transportation home.
GETTING STARTED
From consultation to treatment.
Our team guides you through the clinical, insurance and scheduling steps before your first dose.
01.
Request
care
Tell us you are interested in Spravato treatment.
02.
Clinical
evaluation
Your provider reviews your symptoms, history and medications.
03.
Coverage
review
Our staff verifies benefits and helps coordinate authorization.
04.
Complete
forms
Finish your intake, identification and consent documents.
05.
Begin
treatment
We schedule your first monitored in-office session.
Typical treatment schedule
Care changes as treatment progresses.
Your exact schedule is determined by your provider. A common treatment course is organized into three phases.
Weeks 1–4
Twice weekly
The induction phase begins with more frequent monitored visits.
Weeks 5–8
Once weekly
Visits may decrease as your provider evaluates your response.
Week 9 and beyond
Weekly or every two weeks
Maintenance frequency is based on clinical need and response.
This schedule is general information only. Your treatment plan may differ.
Your appointment
What happens on treatment day?
Plan for a calm, unhurried visit. Our team will explain each step and monitor you before you leave.
01
Check in and assessment
We review how you are feeling and check your blood pressure.
02
Self-administer your dose
You use the nasal spray while a clinician supervises.
03
Rest and monitoring
You relax in the treatment area while our clinical team observes you for at least two hours.
04
Discharge with your driver
You may leave after your provider determines it is safe. You cannot drive yourself home.
BEFORE YOUR VISIT
How to prepare
Do not eat for at least two hours before treatment.
Do not drink liquids for at least 30 minutes before treatment.
If you use a nasal medication, follow your provider’s instructions about timing.
Arrange for a responsible adult to drive you home.
Plan to avoid driving, operating machinery or making important decisions until the next day after restful sleep.
Care at Heart Own
A space designed for monitored care and personal comfort.
Our Baltimore practice combines required clinical oversight with the warmth of a smaller, patient-centered setting. We explain what to expect, protect your privacy and make room for your questions.
Certified treatment setting following required REMS protocols
Respectful, LGBTQ+ affirming care
Convenient location inside the Professional Johnston Building
Ongoing psychiatric medication management available
Safety and FAQs
Know What
to Expect
Your provider will review the benefits, risks, side effects and medication guidance with you before treatment begins.
Spravato may cause serious side effects and is available only through a restricted REMS program. This page is educational and does not replace an evaluation by a qualified healthcare professional.
TAKE THE NEXT STEP
Let’s find out whether Spravato may be an option.
Request a consultation with Heart Own Medical Services. Our team will review your information and guide you through eligibility, insurance verification and scheduling.
If you are in emotional distress or experiencing a mental health crisis, call or text 988. If you or someone else is in immediate danger or experiencing a medical emergency, call 911. Appointment requests are not monitored for emergencies.