What to expect
Your first treatment will be a discussion of your past medical history, a discussion of ketamine, going over treatment plan and goals, reviewing the risks and benefits of the procedure and answering all your questions. If you have insurance, we do accept insurance for this visit.
Patients typically receive a series of 6 infusions over the course of approximately two weeks for mood disorders. Each infusion typically lasts about 45-55 minutes. Most clinical trials have consistently shown a 70-75% success rate with this approach, however we are seeing an 80% success rate at Innovative Ketamine. The treatment does require booster infusions as time passes to keep the effect going and to keep patients symptom-free. These boosters are the same duration and are usually done once a month.
The first 2 weeks of treatment are intense (3x a week from Monday-Friday – and then do this again – 6 appointments in 2 weeks). We have these appointments 5 days a week (Monday-Friday) from 8am-5pm. You have to make arrangements for work/school. There’s just no way around this. We urge you to do 6 treatments in 2 weeks, as this is the scientific protocol with the highest success rate. Many patients try to adjust the protocol, but we urge you to follow it the best you can and make arrangements with work or school.
With the exception of your 1st treatment, you will be able to go back to work on the same day (but give it an hour or so after your infusion).
Each infusion lasts 45-60 minutes. Allow 1.5 hours for the entire visit. You cannot be behind the wheel (no driving) from Innovative Ketamine after the infusion. Uber, Lyft or Taxi by yourself is fine.
We allow a guest to be with you, however, this is a very personal decision. Some people can be very comforting and helpful, whereas others can increase anxiety. We leave this up to the patient. Dr. Khare feels it is best to be alone, as it is the patient’s personal journey. We have a comfortable waiting room, and the guest can be brought into the room just after the treatment. If the patient does want a guest in the room, we ask the guest to “hold the space” for the patient and to be a fly on the wall, not interrupting the infusion by talking or moving. We will give instructions and guidance to the guest.
Day of infusion
On the day of each infusion, ideally, you will need someone to accompany you to your appointment and drive you home as the ketamine will leave you a little tired. If needed, you may take an Uber, Lyft, or Taxi home after waiting an hour after the infusion. Please wear comfortable, loose clothing so we are able to easily place the cardiac monitor leads under your shirt.
- Try to come to the appointment in a good state (non-stressed).
- We provide you with a clean blanket and over-the-ears, noise cancelation headphones with nice, soothing music for your infusion
- You will be placed on a very comfortable La-Z-Boy recliner
Infusion times vary depending on the condition we are treating. We will pretreat you with nausea medication (Zofran) when you first arrive to the center, as Ketamine can cause some nausea in a minority of patients. We ask you to be mindful about eating. We would like you to come into the infusion without food in your stomach. We would like you to eat something light, and if you eat, please make sure it is two hours prior to infusion. Most people find the ketamine infusion experience to be pleasant. Infusions are given in private, spa rooms. Patients do not usually sleep as the dose given is lower than an anesthetic dose, but you go into a dream-like state (in-between dreaming and being awake, where you can control the dream). The infusion for mood disorders generally lasts about 45 minutes, while for pain disorders, can be 3 hours.
Most effects of the medicine wear off within minutes after the infusion, but patients can feel more tired than usual for a few hours after the infusion. Ketamine is generally well-tolerated, but if any side effects are encountered such as visual disturbances or elevated blood pressure, our staff will quickly give IV medications to counteract them. After the series of 6 infusions are completed, the duration of symptom relief can be variable. Most patients will feel well for 1 month, but some can respond for up to 2-3 months. Single booster infusions can be scheduled to achieve symptom relief again, and generally, are made every month.
The most common protocol for IV Ketamine for depression/anxiety is:
6 Infusions given every-other day and 1 Infusion every 4 weeks for booster (this can vary from every 3 weeks to every 6 weeks… Everyone is different).
This usually goes on for 12 months or so.
We do use Nasal Ketamine to help prolong the monthly IV Ketamine needed. We can discuss this protocol at your first consultation.
Patients typically receive a series of 6 infusions over the course of approximately two weeks for mood disorders. Each infusion typically lasts about 45-55 minutes. Most clinical trials have consistently shown a 70-75% success rate with this approach, however at Innovative Ketamine, we are seeing an 80% success rate. The treatment does require booster infusions as time passes to keep the effect going and to keep patients symptom-free. These boosters are the same duration and are usually done once a month.
After your induction infusions, you will need monthly infusions. Symptoms of depression may return after 3-6 weeks. We highly recommend making monthly appointments, to make sure the effects continue. Please make your maintenance appointment after your 6th infusion, as often, patients feel great for 5 weeks and then have their symptoms return which can be extremely unpleasant.