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FDA · Final action

FDA expands Spravato label to depressive symptoms in adults with acute suicidal ideation or behavior

The FDA approved a supplemental indication for Spravato covering depressive symptoms in adults with major depressive disorder who have acute suicidal ideation or behavior, used alongside an oral antidepressant. The approval did not establish that esketamine prevents suicide.

Written by: Ira ZootMedical review status: Pending clinical reviewLast updated: August 24, 2026Evidence: Primary government source

Record details

Agency
FDA
Jurisdiction
United States (federal)
Status
Final action
Published
August 3, 2020
Effective
August 3, 2020
Expires
Not applicable / not verified
Last checked
August 24, 2026

Why it matters

The indication addresses depressive symptoms in an acute-risk population, not suicide prevention itself — a distinction frequently blurred in marketing copy.

Primary source

FDA — Spravato prescribing information and approval history (Drugs@FDA)

Not legal advice
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About the author

Founder and publisher of Ketalux, based in Chicago, Illinois. Ketalux.com is owned and operated by iDigits LLC. Ira commissions and edits the site's articles and believes ketamine therapy — used responsibly — offers real hope for people living with depression, anxiety, PTSD, and chronic pain. Contact: ira@idigits.com.

Educational use only. The content on this page is provided for general educational purposes and does not constitute medical advice, diagnosis, or treatment. Ketamine and related therapies carry risks and are appropriate only under qualified medical supervision. Always consult a licensed healthcare professional about your individual situation. Information may change as research evolves.