Ketamine infusions and the nasal spray Spravato (esketamine) are used in the treatment of several psychiatric disorders for both men and women. Some of those disorders include major depressive disorder, bipolar disorder, postpartum mood disorders, post-traumatic stress disorder, obsessive compulsive disorder, migraine and fibromyalgia.
Patients may begin to feel better within the first few hours following the first treatment. Those with thoughts of suicide and self harm often notice those thoughts dissipating first. Many experience a dramatic relief of dread and hopelessness. Ketamine treatment is provided in a safe, nurturing and healing environment. Patients are treated in private, comfortable treatment rooms with space to accommodate a family member or friend. All treatments are supervised by a physician.
Many find it helpful and relaxing to listen to music and to wear an eyeshade or sunglasses. It can be difficult to carry on a conversation during the procedure, so you are encouraged to sit back and relax and pay attention to what you are feeling.Expectations coming in to the treatment do affect the experience, so it is helpful to decide ahead of time that you will be safe, will feel “weird” for a little while, and that is okay. These feelings will quickly pass and you will be left feeling much better.
Ketamine Treament Options
The Ketamine Infusion Clinic is a provider of the recently FDA approved Spravato (esketamine) nasal spray. Additionally, ketamine infusion therapy is also available. Your physician will work with you to determine which treatment is right for you.
What to Expect
Patients meeting screening criteria will be scheduled for their first appointment and consultation with Dr. Dalthorp. During your appointment, you will discuss your treatment history, medical conditions and plan for treatment. Your weight and vital signs will be recorded and used to determine dose of medication. You may be given medications to minimize blood pressure changes, treat anxiety or nausea. For ketamine infusions, the nurse will place your IV and the 40-minute infusion will begin. Ketamine will not put you to sleep. If you are already sleepy and are feeling very calm and relaxed during the treatment, you might drift off for a short nap.
During a ketamine infusion, the medicine is given very slowly over 40 minutes. The first 5 minutes are uneventful with no noticeable effects. At around the 10 minute point, people tend to notice some blurring of vision or double vision, a feeling of “lightness”, “floating”, or intoxication, and sometimes some numbness in the toes or area around the mouth. Over the course of this 20 minute period, these feelings tend to build, so that the medicine is at the peak of its intensity at the very end. Other common feelings include euphoria, talkativeness, a feeling of being “disconnected” or in a dream, heightened perceptions (background noise may seem louder, colors or lights are more intense), and a feeling that people often describe as “weird, odd, different, or interesting”. Less commonly, people may experience some anxiety and headache, nausea, or sweating (typically toward the end). These feelings start to subside approximately 10-15 minutes after the medicine is done and last for a total of 45-50 minutes. Most people can expect to be with us for about 90 minutes from the time you walk in the door to when you leave, with no side effects at that point and none between treatments.
You will be provided with post procedure instructions and will receive a call the day following your first infusion to see how you are feeling.
Course of Treatment
The number of treatments needed for a positive response is highly dependent on each individual’s unique circumstances. For ketamine infusions, it is recommended to have 6 within the first 2-3 weeks. After that, maintenance (booster) infusions may be scheduled to maintain response.
Cost of Treatment
The cash pay price for each infusion is $500. At present, some insurance companies may cover some of the cost for ketamine infusions and Spravato. Patients are responsible for any amount not covered by insurance. Contacting your insurance company concerning benefits is always advisable prior to any medical procedure to verify and to avoid surprises. You may use a health savings account (HSA) or a flexible savings account (FSA) to pay for the cost of treatment. We also accept CareCredit for ketamine therapy. We do not accept Medicare.