Frequently Asked Questions
Ketamine At-Home Treatment
What is sublingual ketamine therapy?
Sublingual ketamine therapy involves placing a small dose of ketamine under the tongue, allowing it to dissolve and absorb directly into the bloodstream. This method is often used to treat conditions like depression, anxiety, PTSD, and chronic pain.
What conditions can sublingual ketamine treat?
Sublingual ketamine is commonly used for treatment-resistant depression, anxiety, PTSD, and chronic pain. It may also help with mood disorders and provide relief for those experiencing suicidal ideation.
What are the potential side effects of sublingual ketamine therapy?
Common side effects include dizziness, mild nausea, or a slight increase in blood pressure. Some patients may experience mild dissociation or a floating sensation. These effects usually subside within a few hours after treatment. Your provider will discuss ways to manage these side effects if they occur.
Is sublingual ketamine safe?
Yes, sublingual ketamine therapy is considered safe when administered by a trained medical professional. It is important to undergo treatment under medical supervision to ensure safety, particularly for those with certain health conditions.
Will I feel 'high' during sublingual ketamine therapy?
Some patients report mild dissociation or altered perceptions during treatment, but these effects are typically milder with sublingual administration than with intravenous ketamine. You will remain conscious and aware throughout the session, and these sensations usually fade shortly after the treatment ends.
Can I drive after a sublingual ketamine session?
It is not recommended to drive or operate heavy machinery immediately after a session due to the potential lingering effects of ketamine. It’s best to have someone available to help you get home or wait until the effects have completely worn off.
How do I know if sublingual ketamine is right for me?
Your healthcare provider will assess your medical history, current symptoms, and treatment goals to determine if sublingual ketamine is a suitable option for you. It is typically recommended for individuals who have not responded to traditional treatments for depression, anxiety, or PTSD.
What should I expect during a sublingual ketamine session?
During a sublingual ketamine session, you’ll place the ketamine tablet or lozenge under your tongue, where it will dissolve over several minutes. You may experience feelings of relaxation, mild dissociation, or a dream-like state. Your provider will guide you through the session, and you’ll have a quiet, comfortable environment to process the experience.
Will I need follow-up care after sublingual ketamine therapy?
Yes, follow-up care is an important part of ketamine therapy. Your provider will schedule follow-up appointments to monitor your progress and adjust your treatment plan as needed. Ongoing communication is key to ensuring the best possible outcome from your treatment.
What happens if I miss a sublingual ketamine dose?
If you miss a scheduled session, contact your healthcare provider for guidance. It’s important not to self-administer ketamine without supervision, as your treatment plan is carefully structured to ensure safety and effectiveness.
How soon will I notice improvements in my condition after starting sublingual ketamine therapy?
Many patients report feeling improvements in mood, anxiety, or pain within the first few sessions. However, the timeline for noticeable benefits can vary depending on the individual, condition being treated, and the overall treatment plan.
Can I eat or drink before a sublingual ketamine session?
It’s generally recommended to avoid eating heavy meals or consuming alcohol for a few hours before your session. Water or light snacks may be acceptable, but your provider will give you specific guidelines based on your treatment plan.
How does sublingual ketamine work?
Ketamine works by interacting with NMDA receptors in the brain, which play a role in regulating mood, cognition, and pain perception. Sublingual administration allows for slower absorption compared to intravenous methods, providing a gentler onset of effects, which can be more comfortable for some patients.
How long does a sublingual ketamine session last?
The effects of sublingual ketamine typically last between 30 minutes to 2 hours. The experience may vary depending on the dosage and individual response, but it allows for a more controlled and manageable therapeutic process compared to other forms.
How many sublingual ketamine sessions will I need?
The number of sessions depends on your specific condition and response to treatment. Many patients notice improvements after a few sessions, while others may need ongoing maintenance treatments. Your provider will tailor a plan to suit your individual needs.
Can I take sublingual ketamine at home?
Yes, under the guidance of a licensed provider, sublingual ketamine can be administered at home. However, it’s essential to follow the prescribed protocol and maintain regular communication with your healthcare provider.
How do I prepare for a sublingual ketamine session?
Your provider will give you specific instructions, but generally, it’s a good idea to avoid eating heavy meals before treatment and to have a quiet, comfortable space for the session. You may also want to have a trusted person nearby, especially if it’s your first session.
How is sublingual ketamine different from intravenous (IV) ketamine?
Sublingual ketamine involves placing the medication under the tongue to dissolve, while IV ketamine is administered directly into the bloodstream. Sublingual ketamine offers a slower, more gradual absorption, resulting in a milder experience compared to IV ketamine, which has a more rapid and intense onset of effects. Sublingual therapy is often preferred for at-home use.
Are there any contraindications for sublingual ketamine therapy?
Certain conditions may make sublingual ketamine therapy unsuitable, including uncontrolled high blood pressure, severe heart conditions, or a history of psychosis. Pregnant or breastfeeding women should also avoid ketamine therapy. Your healthcare provider will conduct a thorough evaluation to ensure this treatment is safe for you.
Can sublingual ketamine be combined with other medications or therapies?
When administered and monitored by a medical professional, the risk of ketamine addiction is low. Ketamine used in a controlled, therapeutic setting is very different from recreational use, and your provider will ensure the dosage and frequency of treatments minimize any risks.
Can sublingual ketamine be addictive?
Yes, sublingual ketamine can be part of a comprehensive treatment plan that includes other medications and therapies such as psychotherapy or antidepressants. However, it’s important to inform your provider about all medications and treatments you are currently using to avoid potential interactions.
How long does it take to feel the effects of sublingual ketamine?
The onset of effects for sublingual ketamine usually begins within 15 to 30 minutes after the medication is absorbed. The experience can vary in intensity, but the therapeutic effects, such as mood improvement, may be noticeable after a few sessions.
What if sublingual ketamine doesn’t work for me?
If sublingual ketamine therapy doesn’t produce the desired results, your provider may adjust your dosage or explore alternative treatments. It’s important to communicate your experience openly with your healthcare provider to find the most effective solution for your needs.
Will I remember the experience during sublingual ketamine therapy?
Most patients remain fully aware during sublingual ketamine therapy, though the experience can feel somewhat dream-like or dissociative. It’s normal to have some mild alterations in perception, but patients typically retain memory of the session.
How Do I Get Started?
Initial Consultation and Assessment
- Evaluation: During your first visit, our experienced medical team will conduct a thorough evaluation of your mental health history, symptoms, and treatment goals.
- Discussion: We’ll discuss the potential benefits and risks of oral ketamine therapy to ensure it’s a suitable option for you.
Treatment Planning and Prescription
- Customized Plan: Based on your evaluation, we’ll create a personalized treatment plan tailored to your specific needs.
- Dosage and Education: We will determine the appropriate dosage and frequency of sublingual ketamine, providing clear instructions on administration and what to expect during treatment.
1st Session! Treatment Administration and Ongoing Support
- Home Administration: You’ll take sublingual ketamine at home according to the prescribed schedule, with guidance on best practices to maximize effectiveness.
- Monitoring and Check-ins: Regular follow-up appointments will be scheduled to monitor your progress, address concerns, and make any necessary adjustments to optimize your treatment outcomes.
Contact Us
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