Both may be options for certain people with depression, but they are very different treatments.
TMS uses magnetic pulses to stimulate areas of the brain. It does not involve medication or sedation.
Spravato (esketamine) is a prescription nasal spray given in a certified healthcare setting. Patients must be monitored after treatment because of risks including sedation, dissociation, and changes in blood pressure. Patients should not drive until the following day after a restful sleep. (fda.gov)
Which treatment is more appropriate depends on your symptoms, medical history, previous treatments, and personal needs.
