Insurances do NOT cover ketamine infusion treatment.

We do not require a referral to get ketamine treatments.

• ID

• New Patient Paperwork

• Any recent labs you may have

Some patients may begin feeling better immediately after their first infusion. However, more infusions are required to provide the full benefit.

The doctor will discuss your treatment plan with you during your consultation appointment.

We recommend to begin with at least six infusions.

We are just beginning to learn and appreciate the full range of conditions that Ketamine can help. It has been known for years to treat forms of chronic neuropathic pain, and more recently, depression.

The number of conditions is vast and includes conditions such as:

• Depression

• Generalized anxiety

• Bipolar Disorder

• Post Traumatic Stress Disorder

• “Burnout syndrome”

• Pelvic Pain

• Neuralgia

• Migraine headaches

• Fibromyalgia

• Peripheral neuropathy

• Vulvodynia and pudenal

• Death anxiety (one infusion may be beneficial)

There is also research to support the beneficial effects in the treatment of Azheimer’s Disease, Parkinson’s Disease, and other neurodegenerative disorders. It should come as no surprise because we also have recently discovered that all of these conditions share many of the same neural pathways that ketamine targets.

While ketamine infusion therapy is a great option for treatment-resistant depression, you are not required to be “treatment resistant,” or to have failed previous treatments to receive and experience benefit from ketamine infusions.

Just like with any other medical therapy or procedure, some individuals with specific medical conditions would not be appropriate for this type of therapy. Individuals who should NOT get ketamine treatment are those with:

• Hypersensitivity or allergy to Ketamine

• Recent heart attack (less than six months ago)

• Recent stroke (less than one year ago)

• Psychosis

The use of some medications can interfere with obtaining the best possible result from the infusion. For example, patients taking large doses of benzodiazepines may have a reduced response to ketamine. (Medications such as Xanax, Ativan, Valium, and Klonopin). While, this does not prevent you from getting ketamine treatment, we may ask you to skip a dose 24-48 hours before starting your infusion, and wait until six hours past your infusion to resume your benzodiazepine.

There are currently three other medications which interfere with ketamine treatment: Lamictal, Risperdal, and Zyprexa. These medications are contraindications to therapy and may need to be reduced or discontinued before treatment.

We will discuss your medical history and medication list at your consultation appointment. Please DO NOT discontinue, or skip any medications without first consulting your prescriber.

You will be with us for approximately two hours, with the infusion itself being administered over 40 minutes. After the infusion, we will bring you to our lounge area where we ask that you stay for 15-30 minutes for recovery.

Ketamine addiction is very rare, and even more so when used under the direct supervision of a physician.

You may eat until six hours before the infusion. Then, please only consume clear liquids until two hours before your infusion.

To be determined. The average cost is $400-$500 per infusion.

We require that patients bring a driver to each infusion. Patients will not be allowed to drive themselves home after an infusion. It is recommended to not drive until 24 hours after the infusion.

There are several reasons why the effects of a ketamine infusion do not last very long. It is important to remember that the original ketamine infusion developed at Yale in 1994, which is now commonly used to treat some mood disorders, was never initially intended to treat depression or anxiety.

"All medications we use today come in different dosages – different conditions and different individuals respond best to certain amounts of medication but not others."

The majority of ketamine physicians lack the essential background and experience necessary to go beyond the basic infusion. They use the older, antiquated original protocol. Each patient is given 0.5 milligrams of ketamine for each kilogram of overall body weight, without any thought about the "optimal" or best dosage for that person or condition. After all, early reports suggested it worked better than any conventional medication that way, and so it was adopted as "good enough." But is it?

After years of working with hundreds of patients with difficult-to-treat conditions, we have identified many factors that either contribute to an infusion's effects or work against them. Often these issues are either not discovered or overlooked by many of those providing ketamine-based therapy. For example, many physicians are unaware of the significant effects and interactions of body mass, common medications, and genetic metabolism on the primary and secondary metabolism of ketamine.