If you are wondering, “How long can you stay on SPRAVATO?”, you are likely trying to plan around time, cost, and what maintenance really means. SPRAVATO, or esketamine, is rarely a single treatment. Instead, you will typically start with a more frequent treatment schedule and then adjust the frequency depending on your response and how stable you remain. Because each visit takes time and you will need a ride home, it can help your planning to understand the long-term treatment timeline before you begin.
Most people start their therapy timeline with an induction phase to build early momentum and determine if esketamine is helping. The maintenance phase follows, during which your clinician aims to find the least frequent treatment schedule that controls your symptoms.
Our clinicians routinely reassess your benefits after the first four weeks. If you are improving, we may transition you to maintenance visits spaced further apart. If you are not improving enough, we may adjust the plan, consider other treatment options, or discuss whether continuing is worthwhile.
There is no universal time limit. Some patients stay on SPRAVATO treatment for a few months, while others continue for longer if they maintain the benefit and tolerate the visits well. The decision depends on the individual, and we revisit it regularly.
Here are practical factors our clinicians will weigh when deciding whether you should continue SPRAVATO treatment:
If you are doing well, we may extend the time between sessions. If symptoms return as spacing increases, we could shorten the interval again. The goal is not to keep you on the most frequent schedule; it is to find what keeps you stable with the fewest sessions.
You and your clinician should revisit your continuation of esketamine therapy if you are not seeing meaningful improvement after the initial period, if side effects are hard to tolerate, or if the logistics of your treatment plan become too disruptive. In some cases, it may make sense to transition to a different strategy rather than continuing indefinitely.
A consultation will help you clarify how long you can stay on SPRAVATO. We will review the treatment phases you could expect, explain how we track your progress, and determine what success would mean for you before you commit to a long-term schedule.
Book your visit with us today and move forward with confidence.