r/TherapeuticKetamine

Has anybody else had their provider tell them they’re stopping at-home ketamine therapy in January? I’m in Oklahoma currently and it’s heavily monitored here. Video for 2 hours plus in-home sitter. Plus they count the troches every session.

I started ketamine with Mindbloom first, then switched to lower dose daily with Joyous. Took almost a year but I found a provider here in Oklahoma with the troches.

I haven’t tried Spravato and read a meta-analysis paper where the troches outperform the Spravato. So I’m not so sure about Spravato but willing to try.

My provider told me about a case that was unmonitored and the woman with post-partum depression killed her kids and herself. I couldn’t get details from her so looked it up and there’s a case in Wyoming from early last year where it seems to have happened. That’s more than a bit unnerving to me.

Anyway, I’m a bit worried we are going to lose access to this amazing at-home therapy because some people have issues with it.

Thoughts???

I had an IV infusion (my second one) and it was bad. The first one I had was alright, I had visions, lots of greenery, the usual colourful stuff as well. I also felt like I didn't have a sense of self during the infusion. My second infusion, though, was terrible. This was partly because of the environment I was in. The first time I did it, there was a nurse with me the entire time and they dimmed the lights. I have issues with control and safety, so I could open my eyes at diff points throughout the treatment just to ... "Come back to reality", and then I'd close my eyes and let myself go back to the visions again. Anyway, this time, about 10-15 minutes into my infusion, they brought in another patient. I was already woozy/dissociated, and I was hearing a lot of noise even with ear plugs, seeing lot of light, a lot of movement as nurses were going in and out of the room and they were talking and asking the patient questions (they were setting him to start ketamine also). It became very upsetting because it felt like ... Chaos, and I didn't know what was happening. I also started getting unpleasant visions like my bed was being pulled back and back and back. Or I was falling deeper and deeper. When I would close my eyes, I would see monsters (red devil kind). The entire situation felt so unsafe. It felt like a panic attack the entire time. Anw, immediately after they stopped the infusion, I started crying and couldn't stop crying for an hour afterwards... And I'm not someone who ever cries. I'm not even sure why I was crying or what I was crying about.

It's been a few days after my infusion and I'm still on edge. Every time I think about the experience, I start crying again. I'm now afraid to do the infusion again.

i have been doing IV infusions for relief for by BP1. my provider does 6 sessions and i just finished my last one a week ago. i didn’t start seeing the effects until like the 4-6 sessions, and now i don’t know what im going to do now that my sessions are completed.

for example, my provider went out of town for a week, between sessions 3 and 4, which pushed back one session and i feel into a pretty bad depressive episode during that time.

i have noticed less dissociation and more energy and relief since my last session, im just scared of the crash.

also, im going to miss having 2 hours of time set aside per week to just relax and have my infusion done.

does anyone have any advice on how to manage when trying to get off ketamine? i don’t want to have to rely on it to get better.

Has anyone experienced worsening headaches after an IM ketamine treatment? I had my dose increased, then had an intense trip that was loud and chaotic, and since then, I’ve had pressure headaches for 4 weeks!

the ketamine clinic isn’t helping (I feel like they dropped me - maybe afraid of a lawsuit?) and I’m waiting for a cat scan at my regular doctors office.

worried this damaged my Brain somewhat. Has anyone had this experience?

I’m currently using troches but I would like to try spravato without having to go into the office every week.

If you are thinking about starting low dose ketamine go anywhere else besides this company. Kalm health is a straight up scam. I signed up with them and paid the monthly, and as some of the other reviews in here they delay shipment for weeks so by the time you get your first order you're already paying the second month. By the time I got my second order, they sent me EIGHT troches instead of the 30 they were supposed to send, and I was now paying for the third time, they refused to send the right number of doses, I had to report them to my cc company and bock future charges because they also wanted to charge me again for 30 day cancelation notice.

HUGGGE SCAM

After asking about doing so in previous post.

And surprise surprise, it dramatically upped the intensity. So much so that it has changed my perception of the drug

Protocol:
- 4MG Ondansetron (anti nausea)
- Wait 30 mins
- 2 400MG root beer flavored ketamine troches
Blind fold + clean sheets + Brian Eno “Discreet Music” on repeat

Swished for 30 mins, and swallowed the lot

What followed was what most would characterize as a “bad trip”, from my POV a “challenging trip”

It was as though someone grabbed my consciousness by the back of the neck and ran it through the psychological ringer

Not an ego death type of thing. Just an onslaught of this than this than this than this than this than this. Not memories, or feelings, or anxieties. Just raw/strange consciousness and a slight sense of journey

The thisness not quite communicable partly because it’s hard to find words, but mostly because there was no time to get my bearings and sit with something long enough

On the whole the theme was that of real confusion. Peppered throughout were lucid moments where I thought to myself “oh this must be what psychosis is like”

Fortunately I did not panic, and I do not believe that my experience was a result of me resisting or fighting off the effects of the ketamine

If anything, I do feel confident after the fact knowing that i can enter these situations without entering into a fight or flight reaction

I’m writing this a few hours after the come down, and despite the grim reporting above I have to say I do feel quite at ease. As if my psyche had a good workout/stretch. Along with a bit of gratitude for normal waking consciousness

Mostly writing this to collect my thoughts. Also a kind of PSA that its important to titrate up and normalize that sometimes it’s not always rainbows and sunshine

But also curious for those more seasoned than I:

- Do you think a bad/challenging trip is just par for the course every now and then?

- Do you think if I’d taken more it would be different? The analogy of cruising altitude and dosage for psychedelics comes to mind. Perhaps I got caught in low altitude turbulence. I feel like IV session would be the wise choice in that scenario and that RDT gets a bit sloppy at these higher doses

- Any other thoughts/feelings/anecdotes?

I just left a 2 year-long sexually and emotionally abusive relationship and lost all possible motive to live. I lost every single last one of my hobbies, passions, interests, academic ability, motivation, social ability, independence, anything that was mine or something to enjoy. I lost every single friend I ever had due to something along the lines of a sort of psychosis induced during/after and the depression the relationship left me in, and my entire life and emotional realm is so fundamentally destabilized to the point where I cannot function as a human being, go to classes, take care of myself, eat, sleep, breathe, anything. I am in an intensive outpatient therapy program in NYC and started IV Ketamine this week, I just got my third dose. This stuff is crazy expensive and I keep hearing about taking advantage of my neuro plasticity right now within the two week period of my first several infusions. I want to make sure this lasts, and I cannot handle the potential of it being a failure. My entire life is on the line and I want to make sure l am doing all I can to ensure the most benefit. I am journaling about my infusions experiences and revelations, and doing yoga, trying to eat properly, mediating, but l am afraid I am missing something, or that it's not enough.

What can I do or add to make sure this neuroplastic window is used to the fullest potential? It's really scary to realize that my life is truly on the line, but I am medication resistant and too emotionally distraught over the PTSD and trauma from the relationship. I can't sit down and just do a chore or a hobby without violently sobbing and shaking, I can't listen to music without panicking, and can't walk out my door without the anxiety of being chased by a lion. I need to make sure this works. I have nothing left to do if it doesn't. I was going to be admitted to the mental hospital by therapists and doctors this past June/July, but I was extremely opposed due to fear of further abuse within mental institutions and general panic around the idea, and legally, no one can force me, but I do wish I did go at the time. I am basically the surviving corpse of someone who needed to be admitted urgently, trying to survive on my own, living all alone, no friends, no family, no trusted adults but my program's therapists. These infusions are my only hope.

Please let me know what to do if you guys know, l'd appreciate it so very much. I feel very scared and unsure and I am afraid of wasting such potential to literally change my brain.

Hi everyone. I’ve been doing IV infusions since April. Currently I’m doing it every 2 weeks, and the most common regime at my clinic is to get a booster every 4-8 weeks. I’m 20f and in the UK. I initially had a positive reaction when I started but then after my initial sessions, I relapsed quickly (about a week).

It was then agreed to try and do it every 2 1/2 weeks. Unfortunately during this time I attempted. I wasn’t really feeling the benefits but also there were deffo other factors contributing to it— e.g. I couldn’t access any therapy etc. Now I’m getting therapy and have a good support network. I’ve deffo done my fair share of therapy over the years haha.

My main is issue is that I have my infusion and feel good for around 8 days. It’s not perfect, I still experience suicidal thoughts but I’m more able to engage in hobbies and not listen to the thoughts. But by day 9 it wears off the mental agony and despair that I experience with my depression comes back in full force. I sh and my thoughts get louder. It feels pretty unbearable.

To try and prolong the effects of the ketamine, I’ve been put on Memantine as it targets glutamate and it’s been used in the clinic for years. Ik it’s common for people to take oral ketamine in between sessions, but I think this hasn’t been offered potentially due to being quite young (20) and thinking of the longevity and long term effects of me being on ketamine.

I’m just feeling hopeless and in a lot of pain. I ofc know that it’s still important to try and do things when you feel low and I do try but I just feel so horrible. I’m asking if anyone has navigated this or if anyone else relapses quickly. Does anything help you? I do have regular reviews with the team and we are trying to figure out something that works, but it’s very disheartening tbh.

TLDR The ketamine helps only to a certain extent and it doesn’t last long. Has anyone experienced similar?

P.s. ketamine is much less common practice in the UK and where I am it’s only IVs are offered and sometimes oral/ nasal spray if required to supplement.

Thank you in advance x

Hello all. Coming from 2 years on Spravato. The process is just too cumbersome and half the time I swear the nasal inhalers are not working correctly. Don’t get me wrong, I’ve had some incredible experiences but they are rare. Starting next week I’m starting troches from Anywhere Clinic at home. I can’t remember what is being sent initially but I believe it’s at least 2, 200mg troches. My question is…… 1st time legit ketamine and not Spravato. If I’ve been on the full 84mg Spravato, should I be good doing a full 200mg troche from the start? TIA!

Got my first infusion last week. I have been so sad all week. It’s like it ripped away all my defenses. Literally holding myself and crying nearly everyday. It’s exhausting. Idk what to do. How do I make this better?

I’ve been taking ketamine by infusion and in-home for about two years. I recently had what I think was a big breakthrough. I believe that was about a month ago, but since then it doesn’t seem like anything anything really comes up during my sessions now. Maybe I’m trying too hard to want something to come up.
Has anybody else ever felt like maybe either? The Medicine wasn’t working as well or if it just takes a little while for new experiences to come through.
So my question being what kind of things do you like to do before a session? I know many people listen to music or try to journal. Is there anything that a person could write about specifically that might help prod some memories.

I’ve been doing IV sessions since last December, and I’m currently on 6 week schedule. My clinic and providers have been great, but today seemed off. I saw a new provider, I forgot my headphones and the ones they gave me weren’t noise canceling, and the office was louder than usual. My anxiety spiked and I had them add magnesium, which normally helps. After 5 more minutes of distress, I had them stop the IV altogether (about 17 minutes early).

I’m not quite sure what happened, but regardless, I’m feeling low. Has anyone had this experience before? If you did, how did you help your brain recover from it? I feel disoriented and discouraged.

IV ketamine helped me a lot with treatment-resistant depression, anxiety, and OCD, but the cost just isn’t sustainable long term. I’ve also used 200 mg troches and I’m considering Spravato. If you’ve tried more than one, I’d really love to hear how they compared for you in effectiveness, consistency, side effects, and how easy they were to maintain over time. I’m especially curious about people who did well with IV and then switched. What did you end up choosing, and why? Also, why do you think troches seem to be so polarizing? Not looking for dosing advice, just real-world experiences.