What are the infusions like?
For the first infusion, we will spend 45min-1hr getting to know you and settling you into the room, and preparing you for the infusion and experience. On future visits this will be about 30 min of checking in, discussing dosing and progress, and settling in for the infusion.
We will then turn off your cell phone and settle in for the treatment by putting on your eyeshades and noise-canceling headphones. The infusion will run over 40 min to 1 hour. After the infusion, you will continue to relax for 10-15 min and we will then remove the headphones and being to check in and start to process and recover with you. Slowly returning and processing the experience and any important moments from it. We recommend spending at least 45 min to 1 hour after the infusion recovering and processing before leaving.
The dose of Ketamine used in the infusions is small and will not cause you to go to sleep. It is infused over 40 minutes-1hr. Dosing is calculated based on your weight and will be customized based on your case. During the infusion, you may have a mild dissociative experience where you have increased sensitivity to light and sound and may notice alteration in colors and time perception. Most tolerate this well and some even enjoy the sensation.
We utilize noise-canceling headphones, therapeutic music, and eye shades to minimize distractions and allow the brain to focus on healing. There are no prolonged side-effects and the dissociative effect will fade in 30-35 minutes after the drip. There are no flashbacks or other prolonged symptoms. Rarely patients may develop anxiety or nausea. These can be treated if they develop and this will not interfere with the Ketamine. Ketamine infusions are not addictive.
How do I prepare for my infusion?
Do not take Lamictal for 6 hours before or after infusion. Hold any sedatives such as benzodiazepines for 12 hours before and 4 hours after. Do not eat for 2 hours before the infusion. Drinking water, tea, or coffee is ok. You will need a ride home and can not drive, sign contracts or make significant financial decisions for 12 hours after infusion.
Take time before your treatment to relax, meditate and calm your body and mind. You may also want to set an intention for the treatment ahead. This can be something you want to specifically work on or focus on. Schedule time for yourself the evening after or the day after your treatment to meditate, journal and speak with your therapist.
Plan for 2.5 hours total time for your first treatment and 2 hours for each additional infusion. This allows time for you to settle in, receive the infusion, and process/recover after the infusion. We will support you through this entire time making sure you get the most out of each infusion.
Who will administer my infusion?
Your IV Ketamine will be administered by a team including a highly skilled and trained emergency medicine MD, ACNP, and RN. You and your vital signs will be monitored closely throughout the infusion. We will continue to monitor you for one hour after the first infusion and then thirty minutes after each future infusion.