Spravato® in Omaha, NE
Your First Spravato® Session: What to Expect
Starting a new treatment can feel uncertain. Here is what happens at a Spravato® visit at ORIGEN Healthcare, from the day before to the ride home.
- FDA-approved for adults
- Given and monitored in our clinic
- Psychiatric evaluation first
- Time in clinic
- at least two hours
- Starting schedule
- twice a week at first
- Driving
- not until the next day
Step by step
Before your visit
Your provider reviews your health history and checks your blood pressure. Do not eat for at least 2 hours or drink anything for at least 30 minutes before your dose, and arrange for someone to drive you home.
The nasal spray
You use the Spravato® nasal spray in the clinic while our healthcare team guides the process. Most patients sit in a comfortable chair and relax.
At least two hours of monitoring
You stay with us for at least two hours, until our team says you are ready to go. Medical staff check your blood pressure and watch for side effects the whole time.
Going home
Someone else drives you home. Take it easy and avoid work, driving or important decisions until the next day after a full night’s sleep.
Your safety at every visit
Spravato® is for adults, and every dose is given and watched in our clinic.
- Spravato® is only given in a certified clinic through the FDA safety program called REMS.
- Your blood pressure is checked before and after each dose.
- You stay with us for at least two hours after the nasal spray, until our team says you are ready to go.
- Arrange for someone to drive you home, and avoid driving until the next day after a full night’s sleep.
Common side effects
Dizziness, sleepiness, nausea, headache, higher blood pressure and feeling disconnected or dream-like. They usually start soon after the dose and ease within a few hours.
Serious risks to know
Strong sedation, dissociation, breathing problems, a risk of misuse, and, as with other antidepressants, suicidal thoughts in some young people. These are why every dose is given and watched in the clinic.
Who should not take it
People with an aneurysm or abnormal blood vessel connection (in the aorta, brain or limbs), a history of bleeding in the brain, or an allergy to esketamine or ketamine. Your provider checks this at the evaluation.
Before each dose: no food for at least 2 hours and no drinks for at least 30 minutes. This is a summary of the FDA Medication Guide for Spravato®. Ask your provider for the full guide, or read the Medication Guide.
How it may feel
During the monitoring time you may feel sleepy, dizzy or disconnected from yourself or your surroundings (dissociation), and sights, sounds or time may seem different. Our team stays with you the whole time. These effects are temporary and usually go away within a few hours. Common side effects are dizziness, sleepiness, nausea, headache, higher blood pressure and feeling disconnected.
Tips that help
- No food for 2 hours and no drinks for 30 minutes before your dose
- Arrange your ride home before the day of your visit
- Plan to rest for the rest of the day
- Tell your care team about any symptoms that concern you
When to get help right away
- Trouble breathing, severe chest pain, fainting or a severe allergic reaction: call 911.
- Thoughts of suicide or self-harm: call or text 988 (Suicide and Crisis Lifeline), or call 911 in an emergency.
- Worsening depression, sudden mood changes, strong confusion or dizziness that does not ease: call the clinic at (531) 571-3018.
Plan your Spravato® care
Questions patients ask
How long does a Spravato treatment session take?
A typical Spravato® treatment visit lasts at least two hours. After the medication is administered, patients relax comfortably in our clinic while our team monitors them to ensure everything goes smoothly.
How long do Spravato side effects last?
For most people, side effects begin shortly after treatment and improve within several hours. By the next day, many patients feel back to normal.
How often are sessions?
Most patients begin treatment twice per week for the first phase. After that, sessions may become less frequent depending on how the patient responds to Spravato therapy.
Your provider
Nazira Usmanova, DNP
Doctor of Nursing Practice, Board-Certified Nurse Practitioner, with more than 14 years of clinical experience. She sees children from age 2, teens and adults, and speaks English, Russian and Farsi.
- Psychiatric Mental Health NP (PMHNP-BC)
- Pediatric NP (CPNP-PC)
- Adult-Gerontology NP (AGNP-BC)
“True healing comes from listening, understanding, and walking alongside my patients in their journey to wellness.”
Nazira Usmanova
Insurance we work with
We work with most major insurance plans. Coverage depends on your plan and the service, so our team checks your benefits with you before your visit.
Insurance and costs
Take the first step toward feeling better
You don’t have to figure it out alone. Tell us what is going on, and our care team will call you to find the right visit.