Is ketamine right for me?

You may be a candidate for IV ketamine infusions if you suffer from depression, certain anxiety disorders, or Post Traumatic Stress Disorder (PTSD.) This includes major depressive disorder, bipolar depression, and postpartum depression. Patients with recurrent thoughts of suicide, who need immediate mood stabilization, will often benefit from ketamine infusion therapy. For patients who have been diagnosed with treatment resistant depression, anxiety or PTSD and have not found relief with oral medications, ketamine may be an especially beneficial treatment. Some patients who wish to avoid side effects associated with more traditional treatments may also desire ketamine treatment.

What happens during an infusion?
An IV will be placed and the appropriate dose of ketamine will be administered over approximately 40 minutes. Your provider remains in the room during your treatment to monitor both your physical and mental response to the treatment. This allows your dose to be titrated to get the best results. Most patients report a relaxing and peaceful experience. You will remain awake during the infusion. Patients will also notice changes in their vision, a feeling of “lightheadedness” or “floating.” Many also report feeling somewhat disconnected and having slower thoughts. Most people can expect to be at the office for a total of 90 minutes with no side effects when discharged and none between treatments. You will need a trusted friend or family member to drive you home after your infusion. They do not need to stay with you during you entire infusion.
Do I need a referral?
Yes. All patients will require a referral from their provider before beginning infusion therapy.
What conditions might preclude me from receiving ketamine infusions?

Schizophrenia or acute mania
Uncontrolled hypertension or other cardiac conditions
Active alcohol or drug misuse or abuse
Allergic reactions to ketamine
Obesity (BMI ≥ 40), and
Other conditions based on clinical

Uncontrolled high blood pressure is the most common cause of delay or exclusion from receiving ketamine infusions. Please ensure that you have addressed this concern with you primary care provider.

Can I take ketamine orally or nasally?
Ketamine is absorbed by the body very differently and unreliably when taken orally or nasally and has not been shown to be as effective for depression. It is also difficult to get the levels high enough for the treatment to be effective when administered orally or nasally.
Should I stop my current medications?
There are very few medicines that cannot be taken in combination with ketamine. For treatment planning purposes, please contact us with any questions regarding interactions and clear any medication changes through your prescriber.
How many infusions will I need?
Typically, it will take just 1 or 2 infusions to know if ketamine will help you. If you are having positive results, it is recommended to have 6 total infusions within the first 2 weeks. After that, maintenance infusions may be scheduled to maintain response, usually after 3-5 weeks after completing the initial series of 6.

The total length of treatment is highly dependent on each individual. A series of 6 infusions may last anywhere from weeks to months, and often a single booster infusion when effects are wearing off can restore response.

There is research to suggest that in order for the effects of ketamine to be sustained, a maintenance regimen is needed. For those who have not had long-standing chronic depression, it may last much longer than that.

How well does ketamine work?
There is approximately a 70-80% response rate for patient with depression.
How much does it cost?
Initial phone consultation: free
In person consultation with labs (if needed): $75
Infusions: $425
Will my insurance pay for ketamine infusions?
Currently ketamine infusion therapy is NOT a covered benefit by any insurance plan since it’s an off-label use of this medication. We can only credit cards. We cannot accept checks. We require payment at the time of treatment. Financing is available to those who qualify.
When can I get my infusions?
Once we have completed your in person consultation and have a referral from your provider, your infusion can start immediately. We will work with you to schedule your initial series of six infusions. After that, you can schedule “booster” infusions on our patient portal whenever you feel you need them.