“Increased Preference for Rapid-Acting Therapies and Non-Invasive Delivery”
- A significant and accelerating trend in the global intranasal antidepressant market is the growing preference for rapid-acting therapeutic options, especially for treatment-resistant depression (TRD) and major depressive disorder (MDD). This shift is driven by the need for fast relief in severe cases where conventional oral antidepressants are ineffective or too slow-acting
- For instance, the approval of esketamine nasal spray (Spravato) by regulatory bodies like the U.S. FDA has marked a pivotal advancement in depression treatment by offering relief within hours, compared to the several weeks required by traditional antidepressants
- The intranasal route bypasses the gastrointestinal tract and hepatic first-pass metabolism, enabling faster systemic absorption and onset of action. This makes it especially suitable for patients experiencing acute depressive episodes or suicidal ideation
- The non-invasive nature of nasal drug delivery also enhances patient compliance and ease of administration, especially in outpatient or emergency settings. It allows for self-administration under supervision, reducing the need for hospital-based interventions
- This trend toward faster, safer, and more convenient treatment modalities is fundamentally reshaping expectations in psychiatric care. As a result, pharmaceutical companies are increasingly investing in the development of novel intranasal formulations of existing and new antidepressants
- The demand for intranasal antidepressants is growing rapidly across both developed and developing regions as mental health becomes a prioritized public health issue. Government support, mental health awareness campaigns, and expanded insurance coverage are further accelerating adoption in clinical settings



