Spravato is intranasal esketamine, an NMDA receptor antagonist indicated in adults for treatment-resistant depression (as monotherapy or with an oral antidepressant) and for depressive symptoms in major depressive disorder with acute suicidal ideation or behavior. The label notes administration under healthcare supervision with REMS controls. U.S. labeling lists initial approval as 1970 (ketamine).
- Drug Class
- Non-competitive NMDA receptor antagonist
- Approval Status
-
FDA approved (label lists Initial U.S. Approval: 1970 [ketamine])
- Mechanism of Action
- Esketamine is a non-selective, non-competitive NMDA receptor antagonist; antidepressant mechanism is unknown.
Indications
- \Treatment-resistant depression in adults (as monotherapy or with an oral antidepressant)\
- \Depressive symptoms in adults with major depressive disorder with acute suicidal ideation or behavior (with an oral antidepressant)\