Visit Royal Medical Health for Aesthetic & Concierge Medicine

KETAMINE

Treatment of chronic pain and depression


Ketamine is an anesthetic. Ketamine can be administered in precise, carefully-controlled dosages by a skilled and licensed medical provider for treatment of depression, anxiety, and certain pain disorders.

It is possible to notice effects within 24 hours of a Ketamine infusion. Many patients begin to benefit from symptom improvement within 2-4 hours and in some patients it may take up to 24-48 hours.

For mental health conditions, with 2-3 infusions you should know if ketamine will help you with feeling less pain, more hopeful, less sad, decreased thoughts of suicide, increased calmness, or more inclined to engage with people. If you are having positive results, it is recommended to have up to 6 total infusions within the first 2 weeks. In addition, maintenance (booster) infusions may be scheduled to maintain a positive response. The total length of treatment is highly dependent on each individual’s unique circumstances and results.

You should not take sympathomimetic medications such as Adderall, Ritalin and Phentermine or Benzodiazepine;  Such as, Lorazepam, Alprazolam, etc.. 

The day of your infusion, opioid pain medications and muscles relaxers should not be taken 6 hours prior to your infusion, or within 3 hours after your infusion. Do not drink alcohol or use medical cannabis.


How to administer Ketamine:

An intravenous line (IV) will be started in an extremity so you can receive Ketamine. Your blood pressure, heart rate, and oxygen saturation will all be monitored throughout the infusion under the supervision of Dr. Bornaei or Ronald Gallegos. The dose being used is lower than anesthetic doses and will be given slowly over 40-240 minutes.

You need to bring your medical records from your primary care provider or psychiatrist to your initial consultation. If you have had recent lab work, please bring a copy of the results.


You are not a good candidate for Ketamine infusion if you have any of these conditions:

Uncontrolled high blood pressure

Unstable heart disease

Untreated hyperthyroid disease

Renal insufficiency or liver impairment

Current manic episode

Active psychotic (hallucinations or delusions) symptoms associated with schizophrenia

History of Ketamine

Dependency 

Pregnant or Nursing


Ketamine infusions are not covered by insurance.


Although the majority of patients do not experience complications some of the minor side effects of Ketamine treatments may include: hallucinations, nausea and vomiting, increased saliva production, dizziness, blurred vision, increased heart rate and blood pressure during the infusion -out of body experience during the infusion, change in motor skills.


On the day of the infusion, you should NOT engage in any of the following after the infusion:

Driving

Drinking alcohol or using drugs

Conducting business

Participating in activities which require you to rely on motor skills or memory

The signature of legal documents


Price:

For Pain $500: Single 4 hour infusions, which can be repeated within a month.  

For Depression, Bipolar Disorder and PTSD:

6 Sessions in 2 weeks for $1500 or individual infusions for $300 per infusion.  One maintenance infusion can be given a month for $300.