Jacke Posted August 2, 2022 Share Posted August 2, 2022 Hi, does anyone know if it is possible to get Esketomine ( also known as Spravoto) in Thailand, it can only be perscribed by a doctor. I can't get it on the NHS here in England and it's incredably expensive at a private clinic, at least £10,000 for a course of treatment. Any info much appreciated. Link to comment Share on other sites More sharing options...
Aqualung Posted August 2, 2022 Share Posted August 2, 2022 Have you exhausted all other means of treatment? I take it you suffer from depression maybe? Link to comment Share on other sites More sharing options...
Jacke Posted August 2, 2022 Author Share Posted August 2, 2022 Hi, yes that's correct, I've tried 2 different types of SSSRis and I seem to be drug resistant to the pills. I've read positive reports of Spravato and I hope to be retiring in Thailand from September. Link to comment Share on other sites More sharing options...
Aqualung Posted August 2, 2022 Share Posted August 2, 2022 Can I ask how old you are and what treatment you have received so far? I think spravoto hasn't been given the all clear in the UK yet because of doubts regarding its potential effectiveness and the prohibitive costs. I can't see that medicine being much cheaper in Thailand to be honest but I'm no expert. All the best to you. Link to comment Share on other sites More sharing options...
tommy dee Posted August 2, 2022 Share Posted August 2, 2022 in thailand if available it will be only available thru a hospital, as pharmacies wont carry it, based on the drug content. so you would need to register for treatment with a hosptial, and hope you can get it, or a generic version. Ketamine here as in the UK is a controlled substance Link to comment Share on other sites More sharing options...
Aqualung Posted August 2, 2022 Share Posted August 2, 2022 Jacke, Maybe a bit of background history will help other bms advise. They are a knowledgeable and helpful bunch here. Im assuming you have visited Thailand before yes? Link to comment Share on other sites More sharing options...
Jacke Posted August 3, 2022 Author Share Posted August 3, 2022 Thanks guys, I'm 73 and I've been to Thailand many times since 1971. Spravoto is cleared for use in the Uk but not approved for use by the NHS in England for various reasons the main one being the cost, however it has been accepted for NHS use in Scotland (go figure). private clinics offer treatment in the UK but at substantial cost. It is a derivative of Ketamine so as you say it will be a controlled substance, but I'm hoping some hospitals and clinics in Thailand will offer treatment at a lower cost than in the UK. In the past I've had dental work and some emergency hospital treatment in Bangkok and I think the facilites and care was first class. Link to comment Share on other sites More sharing options...
tommy dee Posted August 3, 2022 Share Posted August 3, 2022 7 hours ago, Jacke said: Thanks guys, I'm 73 and I've been to Thailand many times since 1971. Spravoto is cleared for use in the Uk but not approved for use by the NHS in England for various reasons the main one being the cost, however it has been accepted for NHS use in Scotland (go figure). private clinics offer treatment in the UK but at substantial cost. It is a derivative of Ketamine so as you say it will be a controlled substance, but I'm hoping some hospitals and clinics in Thailand will offer treatment at a lower cost than in the UK. In the past I've had dental work and some emergency hospital treatment in Bangkok and I think the facilites and care was first class. as with something I take, it will be hospitals only and not clinics. clinics prescribe and you go to a pharmacy here, the pharmacies wont carry it, but hospitals will or can order in. usually they have. Link to comment Share on other sites More sharing options...
Jambo Posted August 3, 2022 Share Posted August 3, 2022 8 hours ago, Jacke said: Thanks guys, I'm 73 and I've been to Thailand many times since 1971. Spravoto is cleared for use in the Uk but not approved for use by the NHS in England for various reasons the main one being the cost, however it has been accepted for NHS use in Scotland (go figure). private clinics offer treatment in the UK but at substantial cost. It is a derivative of Ketamine so as you say it will be a controlled substance, but I'm hoping some hospitals and clinics in Thailand will offer treatment at a lower cost than in the UK. In the past I've had dental work and some emergency hospital treatment in Bangkok and I think the facilites and care was first class. Good luck with finding a non-government hospital in Thailand that will offer low cost treatment. Even the government hospitals, which often have the same specialists as work in the private hospitals, are no longer a cheap source of treatment. A year ago a government hospital wanted me to pay 200K baht up front before they would accept me as an out patient to decide what treatment I needed, if any. 1 1 Link to comment Share on other sites More sharing options...
Butch Posted August 3, 2022 Share Posted August 3, 2022 (edited) 10 hours ago, Jacke said: Thanks guys, I'm 73 and I've been to Thailand many times since 1971. Spravoto is cleared for use in the Uk but not approved for use by the NHS in England for various reasons the main one being the cost, however it has been accepted for NHS use in Scotland (go figure). private clinics offer treatment in the UK but at substantial cost. It is a derivative of Ketamine so as you say it will be a controlled substance, but I'm hoping some hospitals and clinics in Thailand will offer treatment at a lower cost than in the UK. In the past I've had dental work and some emergency hospital treatment in Bangkok and I think the facilites and care was first class. The problem with getting treated in Thailand is that it's not always the best or correct treatment. I know of at least two instances whereby the wrong meds were prescribed, and in one case being a far too high dose for the patient. The same patient was treated in the UK at a later date, presented his prescribed meds from Thailand to the Consultant in the UK who then took him off all of them and re prescribed a different course. It also transpired that one of the meds he was taking and getting from a Thai pharma under a generic name was in fact fake. You may well go into the Consultants office and say you need "X,Y,Z for my symptoms please write me a 'scrip" but he won't (or rather shouldn't) do that until he's assessed you himself and made his own conclusions, regardless of what treatment plan you may have been given in the UK if it has en element of controlled drugs in it. Also, your drug resistance, has it been investigated and shown 100% to be the case? - they should do this because it might be that other meds you are on are causing you to be resistant. Much like if a patient suffers a severe side effect to a drug, the first thing a GP or more so, a consultant would do is check the interactions with other prescribed medication, then offer an alternative which doesn't cause conflict. Given you may be drug resistant though, for whatever reason, there's no guarantee you will have any success with Spravato, as it may also contain elements and aspects of the other treatments that make you drug resistant or inhibit it's effectiveness. Also, how long were you on the other treatments?. Remember these treatments need to "stack", or build up to a level in the body over prolonged use in order to begin to be effective, and in some people that threshold is higher than others. Edited August 3, 2022 by Butch 1 Link to comment Share on other sites More sharing options...
Jacke Posted August 3, 2022 Author Share Posted August 3, 2022 Butch hi, thanks for the input but i wouldn't be posting if I hadn't already tried all my other options. I'm drug resistant to at least 2 SSSRi medications which is the criteria for receiving Spravato treatment in the US the UK and I suspect Thailand as well. I could be treated with Spravato at a private clinic in London but as I said it's very very expensive, and even though it wouldn't be cheap in Thailand it would still nbe cheaper than eleswhere. If anyone could give me the names of some hospitals in Bangkok I could contact which may offer treatment I would be very grateful. Link to comment Share on other sites More sharing options...
Jambo Posted August 4, 2022 Share Posted August 4, 2022 I very much doubt many if any members have personal experience of the treatment you are seeking. I would suggest you do what I have just done which was to google spravato treatment in Bangkok and a number of hospitals appear. One of those was Bumrungrad where I went for a second opinion on my knee. The specialist made me promise not to let Pattaya International operate on my knee as in his opinion I did not need an operation at the time. That was quite exceptional as most of the time in Thailand the private hospitals are far more interested in making money with customer needs coming a long way second. Generally, medical treatment in Thailand uses the "shot gun" approach to medication. Prescribe four or five different medications for any complaint hoping one of them will work. 3 Link to comment Share on other sites More sharing options...
Sangsom Posted August 4, 2022 Share Posted August 4, 2022 On 8/3/2022 at 7:29 AM, Jacke said: Thanks guys, I'm 73 and I've been to Thailand many times since 1971. Spravoto is cleared for use in the Uk but not approved for use by the NHS in England for various reasons the main one being the cost, however it has been accepted for NHS use in Scotland (go figure). private clinics offer treatment in the UK but at substantial cost. It is a derivative of Ketamine so as you say it will be a controlled substance, but I'm hoping some hospitals and clinics in Thailand will offer treatment at a lower cost than in the UK. In the past I've had dental work and some emergency hospital treatment in Bangkok and I think the facilites and care was first class. If it’s a new drug the chances of a cheap generic version being available via hospitals in Thailand are virtually nil. Link to comment Share on other sites More sharing options...
Jacke Posted August 5, 2022 Author Share Posted August 5, 2022 I'm not looking for a generic version, I don't mind paying for the genuine artical. Sparvato is in a nasal spray so it is self administered, a lot of the cost is down to the fact that after taking it the patient must be monitored for two hours due to the fact that it can cause hallucinations and the manufacturers don't want to be sued if somebody jumped out of a window thinking they could fly. I understand that about about 16 doses are need which means being monitored for about 30 hours, private clinics in London charge £100-£200 per hour for this, whereas I'm sure I'm not going to be charged that in Thailand. Link to comment Share on other sites More sharing options...
fforest Posted August 5, 2022 Share Posted August 5, 2022 (edited) 7 hours ago, Jacke said: I'm not looking for a generic version, I don't mind paying for the genuine artical. Sparvato is in a nasal spray so it is self administered, a lot of the cost is down to the fact that after taking it the patient must be monitored for two hours due to the fact that it can cause hallucinations and the manufacturers don't want to be sued if somebody jumped out of a window thinking they could fly. I understand that about about 16 doses are need which means being monitored for about 30 hours, private clinics in London charge £100-£200 per hour for this, whereas I'm sure I'm not going to be charged that in Thailand. I will throw my 1.5 cents in here.... I dont know this for a fact but I bet anything Sparvato is almost exactly like Ketamine....But since its a rare derivative of Ketamine they can charge astronomical prices for it and make a killing.... Ketamine is dirt cheap to make....They were selling nice sized vials of Ketamine in Vet shops over the counter in Mexico in the 90s for 8-9 dollars then... So the expensive price for Sparvato sounds like a big scame to me... Ketamine is a dissociative.....If you ever wondered what its like to die while still being alive....A Ketamine trip will teach you this real fast....Ketamine dissociates a greater part of you from the you who has a name and lives their life on the planet earth in the 2022........ Notice I did not say it helps you deal with problems....Ketamine dissociates you from your problems, kind of like alcohol but on a much much deeper level..... So in my honest opinion.....Ketamine will give you a rapid fire mini vacation from being human but its a very very poor tool to use for working on the deeper levels of yourself to resolve problems..... And I am calling the whole Ketamine/Sparvato therapy thing a big F-ing Scam.. Ketamine can be a very interesting experience, But for F sake people should not try and make it out to be something its not... Make the sheep pay out the azz for a treatment that nums but does not cure....Yawn Ayahuasca or Ibogain or even mushrooms I think could be more helpful...But hey that's just my opinion.....And I did say I was going to add my 1.5 cents worth here....lol......So there you go..... Edited August 5, 2022 by fforest Link to comment Share on other sites More sharing options...
Jambo Posted August 5, 2022 Share Posted August 5, 2022 7 hours ago, Jacke said: I'm not looking for a generic version, I don't mind paying for the genuine artical. Sparvato is in a nasal spray so it is self administered, a lot of the cost is down to the fact that after taking it the patient must be monitored for two hours due to the fact that it can cause hallucinations and the manufacturers don't want to be sued if somebody jumped out of a window thinking they could fly. I understand that about about 16 doses are need which means being monitored for about 30 hours, private clinics in London charge £100-£200 per hour for this, whereas I'm sure I'm not going to be charged that in Thailand. I don't know why you seem to have it fixed in your head that Thailand's hospitals are an option for low cost medical treatment. Many of the private hospitals, particularly in Bangkok, give the superficial impression of being 5* hotels and charge 5* prices. I am not saying the treatment is not good (most of the time) but making profits comes first by a long, long way. Link to comment Share on other sites More sharing options...
Jacke Posted August 5, 2022 Author Share Posted August 5, 2022 3 hours ago, fforest said: I will throw my 1.5 cents in here.... I dont know this for a fact but I bet anything Sparvato is almost exactly like Ketamine....But since its a rare derivative of Ketamine they can charge astronomical prices for it and make a killing.... Ketamine is dirt cheap to make....They were selling nice sized vials of Ketamine in Vet shops over the counter in Mexico in the 90s for 8-9 dollars then... So the expensive price for Sparvato sounds like a big scame to me... Ketamine is a dissociative.....If you ever wondered what its like to die while still being alive....A Ketamine trip will teach you this real fast....Ketamine dissociates a greater part of you from the you who has a name and lives their life on the planet earth in the 2022........ Notice I did not say it helps you deal with problems....Ketamine dissociates you from your problems, kind of like alcohol but on a much much deeper level..... So in my honest opinion.....Ketamine will give you a rapid fire mini vacation from being human but its a very very poor tool to use for working on the deeper levels of yourself to resolve problems..... And I am calling the whole Ketamine/Sparvato therapy thing a big F-ing Scam.. Ketamine can be a very interesting experience, But for F sake people should not try and make it out to be something its not... Make the sheep pay out the azz for a treatment that nums but does not cure....Yawn Ayahuasca or Ibogain or even mushrooms I think could be more helpful...But hey that's just my opinion.....And I did say I was going to add my 1.5 cents worth here....lol......So there you go..... Fforest hi, thats more than 15 cents worth, give yourself a $. In the 70s I was a hippy, bumming my way around Europe & Asia so I was on a nodding aquaintence with most of the hallucinogenics around at the time. I'm a bit more careful what I put in my mouth these days so I've no first hand experience of Ketamine, although I might have drank some Ayahuasca a few years ago in Peru. Ketamine is not a natural substance so it's not as if the drug companies are messing with one of natures remadies,, don't get me wrong I'm not a fan of big business and I don't think they know what a moral conscience is but on the way to making money they have found treatments for many of the worlds ills, eg Covid 19. Biotech is one one the worlds leading cutting edge sciences so I don't think Jenssen (Spravato maker) has just bulked out Ketamine with baking powder to make a profit so I wouidn't call it a scam however they are happy to keep the price skyhigh, and let many be suffer, just to make an obscene profit. Link to comment Share on other sites More sharing options...
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