Answer
Esketamine is the S-enantiomer, or one mirror-image component, of racemic ketamine. They are related but are not identical licensed products.
Sources for this answer
- Spravato 28 mg nasal spray, solutionemc · SmPC Current selected SmPC · Version 12
- Esketamine 25 mg/ml solution for injection/infusionemc · SmPC Current selected SmPC · Version 4