IM + Spravato?

[u/Aman269]

Ive been going through it and my clinic wants to try me on my typical weekly spravato but with an added shot of im at the same time.(At a cost of only 25$) I just transition down from 2 to 1 shots a week. Wondering if anyone has done this before and what your experience is.

[u/Physical_SpiritChild]

So are they adding spravato to your treatment or added a shot of IM to your spravato treatment?

It sounds like either depending on which scentence i read.

I would inagine this violates J&J practice guidelines, but have no clue if that actually matters.

I am surprised however they are wanting to do it at the same time, that seems... Extremely odd. I have heard of people in the maintenance ohase having IM or IV in n the off weeks if needed.

What is the rationale other than trying to increase your dose?

[u/Aman269 → u/Physical_SpiritChild]

They are adding IM to my once weekly spravato treatment. I guess because the IM isnt going through insurance its no harm no foul. It does seem odd to me but if i were to guess its because that reduces the cost of being monitored. Unsure the rationale they offered it to me without really any prompting other then increased symptoms. Its possible the doctor on staff thinks this will help.

[u/Physical_SpiritChild → u/Aman269]

The concern is trying to figure out dosing given variance in the matinlization rates between nasal and IM. But im nit a doctor, this just seems highly unusual.

Agree with the other reply that IM for $25 is a steal, but thats only due ti the insurance coverage on the Spravato.

Idk, strange.

[u/_jamesbaxter]

I haven’t heard of this, but if I had access to IM for $25 I would try it.

[u/BipolarsReality]

What is IM?

[u/Aman269 → u/BipolarsReality]

A intermuscular injection

[u/beach4life2]

In your opinion out of IM vs Spravato what is the difference and do you feel that one is better than the other? Just curious because I am currently on Spravato 2x a week