What to Expect

First and foremost it is important to know that ketamine is a treatment and not a cure.  We recommend six infusions within a two week period.  After that we recommend a single infusion after one week, then a single infusion two weeks after that.  During the first year of treatment the typical patient is able to manage their depression with a single monthly infusion. Sometimes longer periods between infusions can be achieved.

Several ketamine studies in individuals with refractory depression have shown a >70% positive response rate.  That is similar to what we see in our patient population.

The duration of each appointment is approximately two hours. After check-in you will be taken to a private room, seated in a comfortable reclining chair. Please note- it is advised that you refrain from eating 6 hours prior to your appointment.  Please arrange for someone to drive you to and from your first appointment. This is mandatory.  Many patients use Uber or Lyft.

The IV Procedure

Prior to receiving the IV you will be given an oral medication to minimize any anxiety.  A cuff will be placed on your arm to monitor your blood pressure and sensors will be placed on your chest to monitor your heart.  Then a small IV will be inserted in your arm through which the medication will be administered.

As the infusion begins the lights will be dimmed and your choice of relaxing ambient music will be played.  You are welcome to bring your own music if you wish.  Once underway you may choose to be left alone in the room or you are welcome to have a loved one sit with you.  Be assured your provider and the medical assistant will continually monitor your condition and respond to any needs. 

Infusion Experience

The infusion itself lasts about one hour. The effects of the ketamine come on in a steady gradual way.  Patients say that the experience of each infusion is different but there are some common sensations including:

• Numbness and/or tingling

• Sensation of "lightness" or floating

• Feeling of being "centered" or "grounded"

• Positive shift in anxiety/emotional tension

• Intellectual detachment

• Decreased awareness of your body

• Visual and spacial distortions

• Inability to perceive time

• Talkativeness

• Dizziness or nausea in rare cases

Most patients find the experience to be pleasant and relaxing and report an improvement in depressive symptoms within 1 to 24 hours of treatment. There is a 30 minute recovery time, during which you may feel drowsy or mildly disoriented.

Follow Up

It is recommended that patients undergo 6 infusions over a two-week period in order to maximize the beneficial effects of the drug. It is not recommended to vary from this treatment protocol but we can make some adjustments to fit your personal schedule. After the initial series of infusions further “booster” treatments are determined on a case-by-case basis but are usually needed anywhere from every 2 weeks to 3 months.

Cost

Infusion for Depression:
Each of the first six infusion is $450. After that maintenance infusions cost $400.

Infusion for Pain:
Each 2 hour infusion is $600 and 4 hour infusion is $800

10% Discount for military veterans and First Responders