NeuroStar® TMS Therapy
FDA-cleared, non-medication depression treatment
(855) 940-4867
Medically reviewed on 11/20/2020 by
Dr. Steven Harvey
St. Louis Regional Medical Director
Obsessive-Compulsive Disorder (OCD) is a more common condition than you might think, affecting approximately 2.2 million Americans. People with OCD experience recurring intrusive obsessions (thoughts or images) and/or compulsions (urges to carry out certain repetitive behaviors). These symptoms can cause considerable disability and suffering. In 2018, the FDA approved Transcranial Magnetic Stimulation (TMS) as a treatment for OCD. A 2019 American Journal of Psychiatry study showed that TMS therapy for OCD significantly improved patient symptoms. If you're struggling with this disabling disorder, you may want to consider TMS for OCD.
For people with OCD, obsessions and compulsions are part of their daily lives and consistently consume a great deal of their time and energy. OCD isn't just a personality quirk; it's more than wanting your pencils arranged just so or habitually locking and unlocking the front door. The obsessions and compulsions of those who suffer from OCD can be extreme, and can get in the way of everything in your life, including work, school, social activities, and relationships.
One familiar example of OCD is an obsession with contamination. Unfounded fears of germs or disease might trigger overpowering feelings of fear, disgust, or doubt. Those with OCD may try to ensure they are germ-free by compulsively washing their hands until they bleed. Or, cleaning their house repeatedly. Other common obsessions include the fear of losing control, not getting things perfect, or causing harm by failing to do something. As a result, individuals with OCD may repeat behaviors again and again to try to maintain a feeling of control. They may compulsively organize things in particular, precise ways to create a sense of orderliness. Or they may hoard items they think might come in handy in emergencies. They may constantly check if they turned off the stove or if their children are still in bed. Other well-documented obsessions include having unwanted sexual or violent thoughts, or feeling guilty of moral failure.
We don't know exactly what is the cause of OCD, but we do know that certain medications are often a big help. About 40 to 60 percent of patients with OCD experience relief from their symptoms when using these medications. If they do help, the medications typically take many weeks before they start alleviating symptoms. They are known to cause side effects in some people as well. Among these are insomnia, weight gain, headaches, sedation, high blood pressure, sexual dysfunction, and gastrointestinal problems as such nausea and diarrhea. Another treatment for OCD is a type of cognitive behavioral therapy called exposure and response prevention (ERP). ERP involves systematically exposing a patient to whatever triggers their obsessions and compulsions under the guidance of a trained therapist or psychologist, teaching the patient incrementally how to mitigate their anxieties and to better tolerate the exposure.
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TMS therapy for OCD is another treatment proven to be effective. While it can complement other treatments, TMS fills a crucial gap for people who don't see results from medications. TMS therapy is a non-invasive, drug-free outpatient treatment in which patients sit in a comfortable chair, awake and alert, while a device near their scalp delivers gentle magnetic pulses, similar to those in an MRI scan. The pulses stimulate changes in brain chemical signaling that can alleviate OCD symptoms. Although TMS for OCD has been approved by the FDA, it is not yet covered by most health insurance providers. To learn more about whether TMS therapy could be right for you, schedule a no-cost consultation. You deserve to break that exhausting cycle of obsessions and compulsions, so take the time to find a treatment that gets you back on track.
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NeuroStar Adult Indications for Use
The NeuroStar Advanced Therapy System is indicated for the treatment of depressive episodes and for decreasing anxiety symptoms for those who may exhibit comorbid anxiety symptoms in adult patients suffering from Major Depressive Disorder (MDD) and who failed to achieve satisfactory improvement from previous antidepressant medication treatment in the current episode.
The NeuroStar Advanced Therapy System is intended to be used as an adjunct for the treatment of adult patients suffering from Obsessive-Compulsive Disorder (OCD).
NeuroStar Adolescent Indications for Use
NeuroStar Advanced Therapy is indicated as an adjunct for the treatment of Major Depressive Disorder (MDD) in adolescent patients (15-21).
Important Safety Information
NeuroStar Advanced Therapy is only available by prescription. A doctor can help decide if NeuroStar Advanced Therapy is right for you. Patients’ results may vary.
The most common side effect is pain or discomfort at or near the treatment site. These events are transient; they occur during the TMS treatment course and do not occur for most patients after the first week of treatment. There is a rare risk of seizure associated with the use of TMS therapy (<0.1% per patient).
Visit neurostar.com for full safety and prescribing information.
Important Safety Information
What is the most important information I should know about SPRAVATO®?
SPRAVATO® can cause serious side effects, including:
Do not take SPRAVATO® if you:
If you are not sure if you have any of the above conditions, talk to your healthcare provider before taking SPRAVATO®.
Before you take SPRAVATO®, tell your healthcare provider about all of your medical conditions, including if you:
Tell your healthcare provider about all the medicines that you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. Taking SPRAVATO® with certain medicine may cause side effects.
Especially tell your healthcare provider if you take central nervous system (CNS) depressants, psychostimulants, or monoamine oxidase inhibitors (MAOIs) medicine. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.
How will I take SPRAVATO®?
What should I avoid while taking SPRAVATO®?
Do not drive, operate machinery, or do anything where you need to be completely alert after taking SPRAVATO®. Do not take part in these activities until the next day following a restful sleep. See “What is the most important information I should know about SPRAVATO®?”
What are the possible side effects of SPRAVATO®?
SPRAVATO® may cause serious side effects including:
See “What is the most important information I should know about SPRAVATO®?”
Increased blood pressure. SPRAVATO® can cause a temporary increase in your blood pressure that may last for about 4 hours after taking a dose. Your healthcare provider will check your blood pressure before taking SPRAVATO® and for at least 2 hours after you take SPRAVATO®. Tell your healthcare provider right away if you get chest pain, shortness of breath, sudden severe headache, change in vision, or seizures after taking SPRAVATO®.
Problems with thinking clearly. Tell your healthcare provider if you have problems thinking or remembering.
Bladder problems. Tell your healthcare provider if you develop trouble urinating, such as a frequent or urgent need to urinate, pain when urinating, or urinating frequently at night.
The most common side effects of SPRAVATO® include:
If these common side effects occur, they usually happen right after taking SPRAVATO® and go away the same day.
These are not all the possible side effects of SPRAVATO®.
Call your doctor for medical advice about side effects. You may report side effects to Johnson & Johnson at 1-800-526-7736, or to the FDA at 1-800-FDA-1088.
What is SPRAVATO® (esketamine) CIII nasal spray?
SPRAVATO® is a prescription medicine used:
SPRAVATO® is not for use as a medicine to prevent or relieve pain (anesthetic). It is not known if SPRAVATO® is safe or effective as an anesthetic medicine.
It is not known if SPRAVATO® is safe and effective for use in preventing suicide or in reducing suicidal thoughts or actions. SPRAVATO® is not for use in place of hospitalization if your healthcare provider determines that hospitalization is needed, even if improvement is experienced after the first dose of SPRAVATO®.
It is not known if SPRAVATO® is safe and effective in children.
Please see full Prescribing Information, including Boxed WARNINGS, and Medication Guide for SPRAVATO® and discuss any questions you may have with your healthcare provider.
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