Ketamine Infusions

For decades, Ketamine has been used “off-label” to treat chronic pain, depression and PTSD. Recent studies * have demonstrated Ketamine’s ability to rapidly and completely reverse suicidal depression in treatment-refractory patients. No other treatment modality has demonstrated such a rapid and profound response since electroconvulsive therapy (ECT). In fact, Thomas Insel, former Director, National Institute of Mental Health (NIMH) stated that “Recent data suggest that ketamine, given intravenously, might be the most important breakthrough in antidepressant treatment in decades.” However, unlike ECT, treatment with Ketamine infusions do not require an inpatient hospital stay, and the side effect profile is more favorable then ECT which can cause memory loss. Many severely depressed patients improve significantly in a matter of hours post treatment, however, multiple rounds of infusions are usually required for a sustained response. Current research is focusing on the use of Ketamine as a treatment for those suffering with chronic pain, addiction, PTSD, and other psychiatric disorders. Our doctors remain on the front lines of the technological advancements and research regarding both the utilization of Ketamine and the effective interactions with other medications such as Botox and CGRP inhibitors for significantly improved responses. Ketamine is a good alternative to patients who are medically addicted to painkillers and want to get off of them but need effective treatment for their chronic pain condition.

Ketamine as a depression treatment blocks the NMDA receptor instead of inhibiting the uptake of serotonin/norepinephrine/dopamine, as most antidepressants currently on the market are designed to do. By blocking this receptor, ketamine allows the brain to begin repairing itself and regulate the chemicals in the brain that cause depression.

Ketamine is one of only two anesthetics listed by the World Health Organization (WHO) as an “essential drug”. In the last 15 years, Ketamine has gradually been used in non-traditional ways such as treating depression and other mood disorders, Complex Regional Pain Syndrome (CRPS/RSD), and other pain conditions. In the last decade, leading institutions worldwide have reported a 70% success rate when IV (intravenous) Ketamine is used to treat depression and various pain conditions.

Our staff of board certified Physicians, Psychiatrists and Clinicians provide therapies specially designed to optimize your chance of success. Ketamine infusion therapy has shown to be a fast acting treatment for psychiatric disorders, including, Major Depression, Bi-Polar Depression, PTSD (Post Traumatic Stress Disorder), and OCD (Obsessive Compulsive Disorder). Recent scientific literature has demonstrated that approximately 60-80% of patients can experience significant improvement in their symptoms within hours.

How Does It Work for Depression?

Researchers aren’t sure exactly why that is. One theory is that ketamine prompts connections to regrow between brain cells that are involved in mood. The effect is “profound” and the drug works “far more rapidly” than today’s antidepressant pills.

Recent data suggest that ketamine, given intravenously, might be the most important breakthrough in antidepressant treatment in decades.

Ketamine has emerged as a cutting edge, effective tool for the treatment of refractory depression, suicidal ideation and chronic pain. Our doctors are pioneers in these applications.

Is this an outpatient procedure?
Yes, ketamine infusion for depression is an outpatient procedure requiring no hospital admission.

Do I need a referral?
No, while referrals from any mental health care provider are welcome and encouraged, a free consultation with one of our doctors can determine if you are a good candidate for ketamine therapy.

Is ketamine used to treat all depression?
Ketamine infusion therapy is reserved for those patients with severe depression that is considered treatment resistant.

will I respond to ketamine infusion therapy?
We cannot predict who will respond to ketamine, but statistically 2 out of 3 patients do show a dramatic improvement. We will know within two treatments if ketamine infusions will help you.

How many infusions will I need?
If you have a favorable response to the first two infusions, a total of six is recommended within a twelve day period. That will maximize the ketamine effect on new dendrite and synapse growth. Then we may suggest a maintenance program when you feel it necessary.

How long does an infusion take?
The infusion itself takes and hour, every patient has different recovery times.

Will I be asleep?
Yes, under the supervision of a board certified anesthesiologist. In a AAAA Certified Surgical Center.

What will I experience during the infusion?
Mild dissociation or inner reflective experience that is generally well tolerated. If you find it unpleasant we can treat it. Within 15 minutes of ending the infusion your thinking will be clear.

Are there any medications that interact with ketamine?
Benzodiazepines, such as Klonopin, Xanax, and Ativan do interfere with ketamine if used daily and at higher doses. Lamictal (lamotrigine) in doses above 100mg/day also can block ketamine efficacy.

Do any medical conditions exclude me from treatment?
Almost none. Uncontrolled high blood pressure or heart failure need to be corrected.

No, other antidepressant medications do not interfere with ketamine’s mechanism of action.

Is Ketamine Addictive?
No, ketamine has been proven safe in humans in and out of hosptials and battle fields for surgical anesthesia and trauma management. Those patients experience longer exposures and at much higher doses than those used to treat severe depression. Although it has been abused as a club drug, there is no evidence that ketamine is addictive.

How quickly can you see me?

Within a day if an emergency.  We are here five days a week we can meet most patient’s scheduling needs.

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