Description
Ketamine Nasal Spray
Understanding Ketamine Nasal Spray Availability in Australia
The availability of ketamine nasal spray in Australia is primarily centered around the prescription medication Spravato® (esketamine), which has been approved by the Therapeutic Goods Administration (TGA) for the management of treatment-resistant depression (TRD)5. As of May 1, 2025, this specific nasal spray was added to the Pharmaceutical Benefits Scheme (PBS), making it more affordable and accessible for the estimated 30,000 Australians living with TRD4,5. From April 1, 2025, only Ahpra registered psychiatrists are authorized to prescribe or supply this ARTG-registered nasal spray, and it must be administered under direct medical supervision in a healthcare setting with established monitoring procedures1. This means that for residents in cities like Sydney, Melbourne, Brisbane, Perth, and Adelaide, access to legitimate ketamine nasal spray requires a psychiatric referral and treatment at specialized clinics. For those exploring other substance options, auscoke.com provides additional information relevant to the Australian market.
The Legal Landscape and Alternative Options
While Spravato® represents the legal pathway for ketamine nasal spray treatment, it’s important to understand the broader context of ketamine access in Australia. Ketamine and esketamine are both classified as Schedule 8 substances, reflecting their controlled status and potential for dependence3. There are private specialized clinics around Australia that offer ketamine and esketamine treatments, but options remain limited for public patients, creating accessibility challenges8,9. The high cost of patented treatments like Spravato®, which can range from $600 to $900 per dose before PBS subsidy, has led researchers to advocate for Medicare subsidies on all forms of ketamine delivery, including lower-cost injections10. However, the lack of commercial incentives for existing non-patentable drugs like generic ketamine creates regulatory hurdles. Some online suppliers may claim to offer ketamine nasal spray internationally, but these operate outside Australia’s regulatory framework and legal medical channels7.





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