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Esketamine for Depression - Rosedale Maryland Clinic

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Esketamine, a stems from Ketamine, it has been approved for use in treating treatment-resistant depression and is being explored for its potential in treating addiction. Here at the Epec Clinic we utilize Esketamine for addiction and depression. Here is some helpful information, however, should you have any questions, please call us directly 443-559-8354


Esketamine for Depression


How It Works

  • Mechanism: Esketamine acts on the NMDA receptor in the brain, which is involved in mood regulation and pain perception. Unlike traditional antidepressants, which can take weeks to become effective, esketamine often works within hours.

  • Administration: It is administered as a nasal spray under medical supervision, typically in a certified clinic. Patients must stay at the clinic for a couple of hours post-administration for monitoring.

Benefits

  • Rapid Onset: Offers quick relief from depressive symptoms.

  • Efficacy: Effective for individuals who have not responded to other treatments.

Considerations

  • Side Effects: Can include dizziness, dissociation, increased blood pressure, and sedation. These are usually transient.

  • Monitoring: Patients must be monitored for potential side effects, particularly immediately after administration.

Esketamine for Addiction

Potential Use

  • Research: Early studies suggest esketamine might help reduce cravings and withdrawal symptoms in people with substance use disorders. It may also address underlying depression and anxiety,

which are common in individuals with addiction.

Mechanism

  • Neuroplasticity: Esketamine may promote neuroplasticity, helping the brain to reorganize and reduce the reinforcing effects of addictive substances.

  • Mood Regulation: By alleviating depressive symptoms, it can help improve overall mental health, making it easier for individuals to engage in addiction treatment.

Outpatient Esketamine Treatment Services

  1. Initial Assessment: A comprehensive evaluation to determine if esketamine is suitable for the patient.

  2. Administration: The nasal spray is administered in a clinical setting, with the patient being monitored for a couple of hours post-administration.

  3. Follow-Up: Regular follow-up visits to assess the effectiveness and adjust the treatment plan as necessary.

Locations Offering Outpatient Esketamine Treatment

  • Ketamine Clinics: Specialized clinics focused on ketamine and esketamine treatments.

  • Behavioral Health Centers: Some centers may offer esketamine as part of their depression and addiction treatment programs.

  • Major Health Systems: Hospitals and larger healthcare systems often have outpatient services for esketamine treatment.

Finding Esketamine Treatment Services

  1. Local Mental Health Clinics: Check with local clinics that specialize in mental health and addiction treatment to see if they offer esketamine.

  2. Online Directories: Websites like the American Society of Ketamine Physicians, Psychotherapists, and Practitioners (ASKP3) provide directories of certified providers.

  3. Referrals: Ask your primary care physician or psychiatrist for referrals to outpatient programs offering esketamine.

Considerations for Choosing a Service

  • Certification and Accreditation: Ensure the facility and providers are certified to administer esketamine.

  • Comprehensive Care: Look for programs that offer integrated care, including psychotherapy and support for underlying issues.

  • Insurance Coverage: Verify if the treatment is covered by your insurance or if there are financing options available.


Esketamine Treatment Providers


  1. MindPeace Clinics (multiple locations)

  2. Actify Neurotherapies (multiple locations)

  3. Ketamine Wellness Centers (multiple locations)

  4. Spravato® REMS: This program ensures that esketamine (marketed as Spravato) is used safely and effectively by certified providers. Check their website for a list of certified treatment centers.

Other than The Epec Clinic, Here are a few places that may be able to help you!

  1. Baltimore Ketamine Clinic: Offers esketamine for depression and is exploring its use for addiction.

  2. Psych Associates of Maryland: Provides comprehensive mental health services, including esketamine treatments.

  3. Annapolis Integrative Medicine: Known for using innovative treatments like esketamine for depression and other conditions.




In addiction to Esketamine treatment for depression and addiction, we also utilize Suboxone. For an online suboxone doctor appointment or to schedule an in-person visit at one of our Rosedale Maryland Suboxone clinics call us 443-559-8354

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