VidyaMed Clinics

When Traditional Medicine is not Enough

Ketamine Infusion Therapy

If you or someone you love suffers from clinical depression, PTSD, anxiety disorder, bipolar disorder, or chronic pain, you understand how difficult it can be to put one foot in front of the other and get through the day. What you may not know is that a low-dose ketamine infusion can alleviate your suffering and put you back on the path to living the fulfilling life you deserve.

The Ketamine Difference

Typically, psychiatric drugs change the way that brain chemicals (called neurotransmitters) send messages between brain cells. The side effects of these drugs can be severe, ranging from sleeplessness to suicidal thoughts. In contrast, ketamine blocks a specific type of brain receptor, which in turn leads to the development of new neural connections. It’s the difference between trying to tape together two faulty wires and rewiring around the problem area.

Ketamine, originally used as an anesthetic, also has potent anti-inflammatory effects that can bring significant relief to those suffering from arthritis, fibromyalgia, and autoimmune disorders.


Infusion for Maximum Effectiveness

Ketamine’s ability to create new neural pathways and reduce inflammation depends upon how well it’s absorbed by the brain. As a nasal spray, injection, or oral medication, ketamine is waylaid and absorbed by your organs. The most efficient and effective way to administer ketamine is slowly, via an intravenous (IV) infusion.


We’re Here to Help

At VidyaMed Clinics , we’re committed to guiding you through every step of your ketamine infusion therapy treatment. We start by listening closely to your story and carefully evaluating your medical condition. Then, we develop your treatment plan and share how ketamine infusion therapy may be able to help you. Next, we explain what you can expect before, during, and after your infusion. And, of course, we follow up to ensure that you are getting the relief you had hoped for.

If you’re ready to take a step on the path toward wellness, contact us today.


Our medical team delivers exceptional personalized care to each of our patients. Our ketamine infusion therapy addresses….

Depression and Postpartum Mood Disorders

If you’re one of the 16 million adults in the U.S. who battle depression, a ketamine infusion can give you the break you need to begin healing and rediscover the joy in life. Those with thoughts of suicide or self harm often notice those thoughts dissipating first.

PTSD

Fewer than 1 in 4 Americans with Post Traumatic Stress Disorder are receiving adequate treatment. Ketamine infusion therapy can alleviate symptoms.

Anxiety and Obsessive Compulsive Disorder

Anxiety disorders range from panic attacks to phobias to obsessive-compulsive disorder. A ketamine infusion can take the edge off, enabling you to develop cognitive behavioral strategies.

Bipolar Disorder

Bipolar disorder can be debilitating, yet only about 20% of adults get adequate treatment. Ketamine infusion therapy can stabilize your mood so you can more easily engage with the world.

Chronic Pain and Fibromyalgia

Inflammation-fueled chronic pain makes even the smallest tasks difficult to accomplish. A ketamine infusion can reduce inflammation, diminish your pain, and boost your capacity.


Migraine

Ketamine infusions have been used for treatment resistant Migraine Headaches with success.




Treatment


Ketamine infusion 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 during the infusion. All infusions 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 ok, because that will quickly pass and you will be left feeling much better.


Ketamine Infusion


Patients meeting screening criteria will be scheduled for their first infusion appointment and consultation. During your appointment, you will discuss your treatment history, medical conditions and plan for the infusion. Your weight and vital signs will be recorded and used to determine dose of medication.  A physician or nurse will place your IV and the 40-minute infusion will begin.


Ketamine may 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. 


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 to 120 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


Typically, it will take just 2 or 3 infusions to know if Ketamine will help you. If you are having positive results, it is recommended to have 6 total infusions within the first 2-3 weeks. After that, maintenance (booster) infusions may be scheduled to maintain response. The total length of treatment is highly dependent on each individual’s unique circumstances.

Treatment Protocol: 

  1. Evaluation/Screening $550 will cover 1st infusion
  2. First Infusion: typical response in 4-24 hours, maximum effect at day 3 post infusion
  3. Next five infusions: $2750 total, required for remission.  Patients do best with two infusions in a week, although once a week can be done as well.
  4. Maintenance infusion: $550 each, typically not more than 1 per month, average every 2-4 months.  

 

Ketamine therapy is not covered by insurance.


The Evidence


The off label use of Ketamine for refractory mental illness and chronic pain has been well studied in many peer reviewed journals and medical/consumer publications.  Here are a few external resources that you may find useful.  If some of the words or concepts are difficult to understand, don't worry, we are here to help!


This recent NPR interview/article was excellent!  It goes into the hope, promise and believed mechanism of "rewiring depressed pathways".


The Ketamine Advocacy Network has a lot of resources and information to help both patients and clinicians. 


WebMD  also put together some useful background information.


The American Psychiatric Association issued a report summarized here.  As mentioned here, Ketamine has great promise in Depression, but should not be first line therapy and must be properly monitored.


This dense article in the journal Nature goes into details of some of the science behind Ketamine. 


This Anesthesiology News piece describes how Ketamine Infusion is safe.


This review of Ketamine and Rapid-Acting Antidepressants from Yale researchers provides more scientific background: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4428310/.


This JAMA Psychiatry(Journal of the American Medical Society) article speaks to Ketamine in PTSD.


This article in Depression and Anxiety speaks to Ketamine's rapid effect in Suicidal Cognition.  









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