Esketamine (Spravato)
EMA-approved — practice limitedEsketamine is formally approved for Malta through the EMA’s centralized authorization(Dec 2019); no evidence of an established national Spravato practice yet — ask via psychiatric services.
Last updated 18 August 2026
Psychedelic Therapy Legal Landscape
Esketamine is formally approved for Malta through the EMA’s centralized authorization(Dec 2019); no evidence of an established national Spravato practice yet — ask via psychiatric services.
Ketamine-assisted psychotherapy runs at HIVE BIO on Gozo (San Lawrenz): a structured 3-1-3 programme (3 weeks online preparation, 1 week residential, 3 weeks integration), with a licensed anaesthetist as medical lead and a warranted psychotherapist — a real, medically-staffed KAP practice inside the EU.
No medical route.
No medical route.
Malta legalized adult use in December 2021, first in the EU: 7 g carry, 4 plants and 50 g stored per household, and non-profit Cannabis Harm Reduction Associations regulated by ARUC — the official registry lists 24 licensed associations.
No registered recruiting psychedelic trials found. Participation is free; screening is strict; never pay for “trial access”.