What SPRAVATO is used for
SPRAVATO contains the active substance esketamine. This belongs to a group of medicines called antidepressants and is used to treat depression in adults. Where and how can I buy Ketamine, Esketamine Nasal Spray (Spravato) online in uk.
SPRAVATO is a nasal spray used to reduce the broad range of symptoms of depression. This medicine can help improve the symptoms of your disease and reduce the chance of your symptoms coming back.
SPRAVATO is used in people who have tried other antidepressant medicines but have not benefitted from them.
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Your doctor may have prescribed it for another reason.
This medicine is available only with a doctor’s prescription.
Before you use SPRAVATO
When you must not take it
Do not take SPRAVATO if you have an allergy to:
any medicine containing esketamine or ketamine
any of the ingredients listed at the end of this leaflet.
Some of the symptoms of an allergic reaction may include:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
Do not take SPRAVATO if you have, or have had, any of the following medical conditions:
an aneurysm, this is a weak spot in a blood vessel wall where it widens or bulges out.
bleeding in the brain. Where and how can I buy Ketamine, Esketamine Nasal Spray (Spravato) online in uk.
This is because SPRAVATO can cause a temporary increase in blood pressure and in both these conditions, an increase in blood pressure can cause a serious medical condition.
Do not use SPRAVATO if you are pregnant.
If you are pregnant, think you may be pregnant or are planning to have a baby, tell your doctor before using this medicine. Tell your doctor if you are trying to make your partner pregnant.
Using SPRAVATO during pregnancy has not been studied and it is not known if SPRAVATO will harm your unborn baby.
If you are able to become pregnant you must use highly effective contraception during treatment – and up to 6-weeks after the end of treatment. Talk with your doctor about methods of contraception to use. Where and how can I buy Ketamine, Esketamine Nasal Spray (Spravato) online in uk.
Do not use SPRAVATO if you are breast-feeding.
The active ingredient in SPRAVATO may pass into breast milk and there is a possibility that your baby may be affected.
Your doctor will only prescribe SPRAVATO for your self-administration based on its indicated usage.
Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
If it has expired or is damaged, your doctor or other health care professional will arrange for its disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it. Where and how can I buy Ketamine, Esketamine Nasal Spray (Spravato) online in uk.
Tell your doctor if you have allergies to any other medicines, foods, or preservatives.
Tell your doctor if you have or have had any of the following medical conditions:
heart problems which are not well controlled such as: poor blood flow in the blood vessels of the heart frequently with chest pain (such as angina), high blood pressure, a recent heart attack, heart valve disease or heart failure
slow or fast heartbeats causing shortness of breath, palpitations or chest discomfort, feeling light-headed or fainting
problems with the blood supply to your brain (such as a stroke) Where and how can I buy Ketamine, Esketamine Nasal Spray (Spravato) online in uk.
a head injury or serious problems affecting the brain, particularly where there is increased pressure in the brain
problems with drug abuse – prescribed or illegal drugs – or a problem with alcohol
a condition called psychosis – where you believe in things that are not true (delusions) or see, feel, or hear things that are not there (hallucinations)
you have ever had a condition called “bipolar disorder” or symptoms of mania – where you are being very over-active or over excited
an overactive thyroid that is not properly treated (hyperthyroidism)
lung problems causing breathing difficulty (pulmonary insufficiency)
severe liver problems. Where and how can I buy Ketamine, Esketamine Nasal Spray (Spravato) online in uk.
If any of the above apply to you (or you are not sure), talk to your doctor before using SPRAVATO. Your doctor will decide whether you should use this medicine.
Tell your doctor if you are of Japanese or Chinese ancestry.
Taking other medicines. Where and how can I buy Ketamine, Esketamine Nasal Spray (Spravato) online in uk.
Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and SPRAVATO may interfere with each other. These include:
other nasal sprays. Do not use any other nasal spray within 1 hour of using SPRAVATO.
Central Nervous System (CNS) depressants (for example, benzodiazepines, opioids, medicines or beverages containing alcohol)
Psychostimulants (for example, amphetamines, methylphenidate, modafanil, armodafinil)
Monoamine oxidase inhibitors (MAOIs) medicines (for example, tranylcypromine, selegiline, phenelzine)
Some medicines may be affected by SPRAVATO or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines. Where and how can I buy Ketamine, Esketamine Nasal Spray (Spravato) online in uk.
Your doctor will have more information on medicines to be careful with or avoid while taking SPRAVATO.
How to take SPRAVATO
You will use the SPRAVATO nasal spray yourself – under the supervision of your doctor or other health care professional in the doctor’s office, clinic or hospital.
SPRAVATO is used together with another antidepressant.
Follow all directions given to you by your doctor or other health care professional carefully.
Your doctor or other health care professional will show you how to use the nasal spray device and you must also read the Instructions for Use leaflet provided in the SPRAVATO pack.
If you do not understand the instructions in the Instructions for Use leaflet, ask your doctor or other health care professional for help.
How much to take. Where and how can I buy Ketamine, Esketamine Nasal Spray (Spravato) online in uk.
One nasal spray device delivers two sprays (one spray per nostril).
Your doctor will decide how many nasal spray devices and how often you should come to the doctor’s office or clinic for the medicine.
SPRAVATO is taken twice a week for the first 4 weeks.
For some patients, after the first 4 weeks, SPRAVATO is usually taken once a week for a further 4 weeks.
For some patients, after this, SPRAVATO is usually taken either once a week or once every 2 weeks.
During and after each use of this medicine, you will be checked, and your doctor or other health care professional will decide how long to monitor you. Where and how can I buy Ketamine, Esketamine Nasal Spray (Spravato) online in uk.
This medicine may cause a temporary increase in your blood pressure after taking a dose. Your blood pressure will be checked before and after taking this medicine. Tell the medical staff right away if you get chest pain, shortness of breath, sudden severe headache, change in vision, or seizures after taking this medicine.
This medicine may cause sleepiness (sedation), fainting, dizziness, spinning sensation, anxiety, or feeling disconnected from yourself, your thoughts, feelings, space and time (dissociation). Tell the medical staff right away if you feel like you cannot stay awake or if you feel like you are going to pass out.
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