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A combination therapy consisting of esketamine nasal spray and oral duloxetine. Esketamine is an NMDA receptor antagonist that provides rapid relief from depression symptoms, while duloxetine is a serotonin-norepinephrine reuptake inhibitor (SNRI) that offers longer-term management of depression. This combination is primarily used for treatment-resistant depression, with esketamine administered in a medically-supervised setting due to risks of sedation and dissociation.
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