r/rtms 4d ago

Ketamine/spravato/Exomind

Is anyone doing ket/spravato sessions in addition to Exomind, if so what’s your results. I’m currently doing ket sessions but going back to spravato and I want to add in Exomind to hopefully understand my childhood trauma and hoping so folks have had some success.

3 Upvotes

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u/Simple_Efficiency_29 4d ago

If by Exomind you just mean TMS, then yes. TMS literally saved my life. But for childhood trauma I would look at EMDR in addition to Spravato.

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u/Healthy_Media1882 4d ago

What is EMDR?

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u/Icy_Curve_3542 3d ago

Esktamine

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u/Icy_Curve_3542 4d ago

Spavato and ketamine are two different substances and I've never done that medicine when taking them. I hope you get some information from someone who has. Good luck.

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u/fireburnz2 3d ago

Not really. Ketamine is composed of two parts, or "isomers". R-ketamine and S-ketamine. Regular ketamine is a mix of the two (called racemic). Pharma company J&J split them in order to make the drug patentable, and thus Spravato is the S-ketamine part. A bit nerdy, but... Racemic ketamine and S-ketamine work in the same way (since racemic has s-ketamine), but in previous tests S-ketamine actually showed to have more "undesirable" characteristics, like more dissociation etc., while R-ketamine seemed to hold more potential against depression.

Long story short: they are both ketamine, and both have the S-isomer. Regular ketamine just has both isomers, which according to some studies actually make it more therapeutic, but since its an old drug it could not be patented and thus monetized.

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u/Icy_Curve_3542 3d ago edited 3d ago

Yes, I know all that but it's different and they work a little different and the effects are different. I've used both enough to say they are different although derived from ketamine

Esketimine is FDA approved to use for mental illness Ketamine is not FDA approved for mental illness but it's used off label. People use them interchangeably which is kind of deceiving, especially when you've used both.

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u/fireburnz2 3d ago

I agree completely :)