My insurance approved me for Spravato (esketamine)!!! I start tomorrow!!!
It's inhaled (a spray) and then you hang out in a room for 2 hours. They said not to listen to music with words & that it peaks at about 40 mins. You aren't allowed to drive until the next day.
I've failed maybe 8 SSRI/SNRIs in my life and I'm currently on an off label (ie really fricking high) dosage of Prozac but still having acute suicidal ideation (SI).
Ketamine is an NMDA antagonist and works differently than SSRIs. A lot of people get relief from SI immediately after the first session but sometimes it takes a couple.
I'm so happy I finally might get some relief from my despair and suffering. I am really reaching “last resort” in terms of what's available to me. I have electro shock therapy left and that's about it. Hoping this works.
Has anyone else here done it?
Edit: I'm out of benefactor awards just fyi
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Spravato sucked for me. They're highly limited in terms of dosage they can give, and I have a large tolerance for most forms of drugs, so the 84mg dosage was not enough to induce the psychoactive effects that correlate with the medicine actually working. IV ket was way more effective, but the effects wear off faster and its prohibitively expensive. Ended up finding a doctor willing to write me a script for a higher dosage of nasal ketamine from a compounding pharmacy, and that's what ultimately did the trick for me.
That being said. Do not do ECT. Anything else before that. The long-term memory effects cost me three years of my life.
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Wow. Thank you for sharing. It sounds like you have been through a lot. Glad you were able to find a good doctor to help.
Well, going to try it. I am also on an off label dose of Prozac (double the max) and doing weekly therapy with a really great pdoc. I am hoping therapy helps me heal and Spravato helps with the SI. We will see. Like you I am also resistant to low doses of a lot of drugs. :/
I am pretty scared of ECT. Not planning on doing it.
Thank you so much for your input and sharing your experience. It is really helpful for me, truly. Sounds like we have a lot in common haha
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Fun goes to die for a reason.
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