Baltimore Ketamine Clinic

Home Ketamine FAQ

What patients are not candidates for Ketamine Treatment?

The safety of Ketamine has been demonstrated repeatedly over the last five decades; however, not all patients are ideal candidates for this treatment. Please call us for a free telephone consultation so that we can learn more about your medical history.

Can my primary care provider refer me?

We accept referrals from other providers. Your provider can use the referral form on our website to ease this process.

Why doesn't my regular doctor treat patients with Ketamine?

The majority of providers who have extensive experience with Ketamine work in anesthesia or emergency medicine. Ketamine is a very safe medication, however, patient safety during the treatment requires a qualified and experienced provider who can respond to emergencies. Our clinic is highly specialized and you will be treated and continuously monitored by an experienced anesthesia provider.

Do I need to bring anything to my first appointment?

Please bring your medical records and a list of your medications with you, unless your provider has already faxed them to our office. We will review your medical history during your physical exam and determine if ketamine is a good treatment option.

What age groups do you treat?

We treat patients who are at least 16 years old. We may consider treating younger patients based on our evaluation and patient’s condition.

How do I know Ketamine is safe?

The World Health Organization (WHO) has placed Ketamine on the list of the most essential medications, due to its benefits and wide margin of safety. Unlike other anesthesia or pain medications that decrease basic functions such as breathing and blood pressure, Ketamine preserves breathing, while stimulating heart rate and blood pressure. Research shows that Ketamine used in small doses via IV infusion does not lead to long-term side effects.

Can I develop bladder problems from Ketamine?

When administered in small doses by a qualified provider, Ketamine has not been shown to lead to long-term side effects, including bladder damage.

Ketamine-related bladder cystitis has been documented, but only in patients who abused it in very high doses.

Does Ketamine Infusion Therapy cause addiction?

Ketamine infusion treatments have been researched extensively, and there are no reports of patients developing addiction. Ketamine addiction is only documented in individuals who abuse it as a “party drug” in large amounts and without medical supervision.

What are the possible side effects?

Like with any other medications, allergic reaction to Ketamine is possible, although very rare. The majority of patients report feeling tired after the infusion, but feel well the following day.
You may experience nausea. In this case, we can offer you anti-nausea medications. If you suffer from significant nausea, we can offer to pre-treat you with anti-nausea medications prior to starting your infusion.
Because Ketamine stimulates the nervous system, it may cause mild increase in your heart rate and blood pressure, but not any more than when you climb a few flights of stairs.

Can I continue taking my medications?

Many patients seeking Ketamine treatment are receiving variety of medications.

In order to maximize your response to Ketamine treatment, please let us know of any medications or illicit substances that you are using. Your safety is our main priority!

Can I eat on the day of my infusion?

It is safe for you to eat 6 hours prior to your infusion. We recommend a light meal to minimize nausea. Clear liquids are allowed 2 hours before your infusion. The following is the list of clear liquids: clear juice (such as apple or cranberry), water, soda, coffee (no milk or sugar), and tea.

How many treatments will I need?

Number of ketamine infusion treatments depends on your medical condition and medical history. We recommend six treatments over two to three weeks for mood disorders and 3-10 infusions for pain conditions.

How will I feel during my infusions?

During the infusion majority of patients are awake or in a dream – like state. You will most likely be able to respond to your surroundings. You are welcome to bring your music, take a nap, or just close your eyes and relax.
Some individuals report sensitivity to light and sound, or lose track of time. You may experience some lightheadedness, or fuzzy/fluttery feeling. Patients very rarely report hallucinations.
If you are unable to tolerate the feeling, we have treatment to alleviate the symptoms, which works within a minute of administration through your IV. These symptoms subside soon after your infusion is completed.

Will I feel better immediately?

It is important to note that not all patients have success with Ketamine treatment.

Studies show that Ketamine is effective in about 70-80% of patients who are treated for mood disorders. Occasionally, patients feel better soon after the first infusion, but the majority of patients report improvement after 2-3 treatments. For some patients, it takes the whole 6 infusions, and sometimes more to feel better. Some patients will notice a very slow improvement and for some the relief is quick and drastic.

Patients being treated for pain disorders do not feel relief as quickly. In order to notice the results, they usually have to complete the treatment series.

Can I drive home?

You will be required to have a responsible adult to take you home following your treatment (Uber is not acceptable). We also do not recommend driving for the rest of the day.

What is maintenance therapy?

Following initial series of IV ketamine treatment, we offer a maintenance or a “booster” dose to our patients. Some patients report being symptom-free for a very long time, while some patients feel the need for more frequent treatments.
It is believed that initial treatment of Ketamine restores brain function and a maintenance, or “booster” dose is all that is required once patients start experiencing some symptoms again. If you believe that you will benefit from the “booster” infusion, please call us to schedule your infusion. Also, keep in mind that you will be able to space your treatments more and more as the time goes on.

Do you offer any other services that could help me?

We offer psychotherapy to anyone who is interested in this treatment approach. You do not have to be treated with Ketamine in order to be treated by our counselor. If you do not already have a mental health provider, you are welcome to meet Nebojsa.

Click here for more information https://www.awarenesscounselingllc.com

Does my insurance policy cover Ketamine treatments?

Insurance coverage for Ketamine treatment varies. We suggest that you call your insurance carrier beforehand to find out if your policy will cover Ketamine treatment. BKC will provide billing codes which you can submit to your insurance carrier for reimbursement. We collect the fees at the time of your treatment. We accept cash and credit card payments. If you are interested in financing options, please let us know and we will help guide you through the process.

Do you offer financing?

We offer financing with Advanced Care to all our patients that qualify. You can apply for it in our office or online.

http://advancecarecard.com/

Why is Ketamine Infusion therapy considered ``off label``?

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