The FDA approved ketamine as an anesthetic agent in 1970, and it has been safely used in humans, children, pets, and cattle for over 50 years. Ketamine is a “dissociative anesthetic” because it is a noncompetitive glutamatergic N-methyl-d-aspartate (NMDA) receptor antagonist that makes patients feel disconnected from their pain and distress.
Types of Ketamine
Ketamine comes in a variety of forms, including:
• (Intravenous) IV infusions
• Intramuscular injections (IM)
• Nasal spray lozenges (of regular ketamine or esketamine)
• Creams for the skin (usually compounded with gabapentin and dimethyl sulfoxide to treat neuropathic pain)
• Suppositories for vaginal and rectal usage (rarely used for those unable to swallow, also used generally for pain management)
Home and In-Clinic Use
In Ketamine and Suboxone Clinic or office, doctors usually administer IV and IM ketamine, followed by an observation period and, in some cases, psychotherapy. Psychedelic-assisted therapy, or ketamine-assisted psychotherapy, is the term for this type of treatment (KAP).
Lozenges can be used at home, and some companies will ship lozenges to patients’ homes and give telemedicine via telehealth talk therapy. Other doctors may tell their patients to take a suggested amount of lozenges at home on their own, with someone nearby if they need anything (tissue, paper, or assistance to the bathroom), and call them in a day or two for a chat or talk therapy.
Suppose a patient has a physical impairment or other impediments to travelling to the office. In that case, some physicians make home visits for KAP, especially during the peak of the epidemic when office options were limited.
The clinician may provide sublingual lozenges, intramuscular injections, or a mix of these modalities in the patient’s home. Well, Any medication-assisted therapy or Ketamine Infusion therapy requires your Suboxone Doctor suggested dosages to avoid any inconvenience.