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Patients with uncontrolled blood pressure, unstable heart disease, untreated thyroid disease, current manic phase of bipolar disorder, or active psychotic (hallucinations or delusions) symptoms are not candidates for Ketamine therapy. Also, if you are currently misusing alcohol or illicit drugs, these need to be stopped prior to therapy. Ketamine can interact with these in a manner that produces unpredictable reactions and possibly psychosis.
Patients should continue to take all of their current medications. Before you come for your treatment, your medications will be reviewed by medical professionals at our clinic. The exception to this are benzodiazepines (Klonopin, Xanax, Restoril, Valium and Ativan) and narcotics. Patients should take these after they return home from their infusion. If a patient is taking Lamictal, that needs to be held as well.
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We ask that you stop eating for 6 hours and stop drinking for 2 hours prior to your scheduled infusion. You may drink clear liquids up until 2 hours before your infusion.
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All paperwork and payment will be completed prior to arrival at our clinic for your infusion. The day of your treatment needs to be as stress-free as possible. We ask that you use the restroom prior to coming to the clinic.
Once you get to your private room, you will take off your shoes, get weighed, and place your personal cell phone on the table where the provider will be during your infusion. The goal is to minimize distractions during the infusion for optimal effect. An IV will be placed and monitors applied. You will be offered a blanket, eye shields and noise-canceling headphones. There are lighting options in the room as well.
The infusion will run for 40 minutes. At the start of the infusion you may not experience any noticeable effects. As the infusion progresses, most patients experience a “dissociative” effect which is best described as a feeling of “lightness” or “floating”. You may have dream-like imagery where you see lights. After each infusion you will be monitored for at least 30 minutes. You will then be discharged with a responsible adult to drive you home.
We follow the recommendation of 6 infusions over a 2-3 week period of time that has research backing. Most patients report significant improvement by the third infusion and more than 80% report remission at the fourth infusion. Once patients complete the loading dose (6 infusions), they begin the maintenance phase of treatment. As a general guideline, patients can expect to return for maintenance infusion every 4-6 weeks depending on their symptoms.
