Ketamine is a potential treatment option for treatment-resistant conditions like depression or anxiety. Known for its fast-acting effects, ketamine, primarily used as an IV treatment,1 has shown to be effective in treating certain mental health issues.2 To obtain a ketamine prescription, consult a healthcare professional.
What Is Ketamine & What Is it Used For?
Ketamine is a dissociative anesthetic that induces a trance-like state, altering perception and producing dream-like sensations.1 It has the potential to treat major depressive disorder, bipolar disorder, and post-traumatic stress disorder 2 as a psychedelic therapy.3 Ketamine’s use as a psychedelic therapy involves carefully monitored sessions, often with a series of treatments.
The effects of ketamine can provide rapid relief for individuals struggling with severe depression or trauma-related conditions. Ketamine is administered via intravenous infusion in a controlled medical setting–it’s a controlled substance. As so, ketamine requires a prescription to prevent misuse and ensure its proper administration.
The FDA has approved ketamine for use as an anesthetic and pain management. Specifically, the drug is approved for use in medical procedures that require anesthesia, such as surgeries or diagnostic tests, and for managing pain in certain situations.1
However, due to its efficacy, it has been prescribed off-label for depression when other treatments prove ineffective.2 “Off-label” use of ketamine refers to its prescription for conditions not specifically approved by the FDA.4 Despite not being FDA-approved as a depression treatment, prescribers can utilize it off-label if they believe it may benefit the patient based on their professional judgment.
Side Effects & Risks of Ketamine
While ketamine can offer therapeutic benefits, be aware of possible adverse effects, including psychosis, cardiovascular complications, and dissociative experiences. Without proper medical guidance and management, the misuse of ketamine can lead to significant health concerns.
Common side effects of ketamine include1:*
- Psychosis and psychotic disorders
- Intense flashbacks
- Cardiovascular complications
- Dissociative effects
- Nausea and vomiting
- Increased heart rate
- High blood pressure
- Risk of addiction
- Confusion and disorientation
- Blurred vision
- Memory problems
*Ketamine has a risk of side effects, including serious side effects. You should talk with your healthcare professional about the benefits and risks of any medication before starting treatment.
Who Can Be Prescribed Ketamine?
Ketamine may be considered a part of the treatment for depression when other standard therapies like medication for depression have been ineffective.2 Patients who have never undergone psychotherapy or medication for depression should explore those options before considering ketamine treatment. It is typically reserved for individuals with treatment-resistant depression, meaning they have not responded well to other therapies.
A doctor will evaluate the severity of the depression and the patient’s response to previous treatments before considering ketamine. If other psychotherapy or medication for depression have not shown a discernible improvement, or the depression is severe and endangers the patient’s health, the doctor may suggest ketamine treatment.
Additionally, individuals with suicidal thoughts or acute suicidal ideation may be candidates for ketamine treatment, as it can provide rapid relief and reduce the risk of self-harm.2
Some signs that you may benefit from a ketamine prescription include:3,5
- You have severe and treatment resistant depression that has not improved with standard therapies.
- You use antidepressants such as selective serotonin reuptake inhibitors (SSRIs) and wish to stop using them
- You experience chronic and debilitating pain that is not relieved by other treatments.
- You have recurrent and distressing PTSD flashbacks
- You have a history of substance use disorder and need support for managing cravings and withdrawal symptoms.
- You struggle with anxiety and panic attacks that significantly impact your daily life.
Who Shouldn’t Be Prescribed Ketamine
Certain individuals should exercise caution or avoid ketamine use altogether due to specific health concerns. Individuals who fall under categories such as children, teenagers, pregnant or breastfeeding women, or those with certain medical conditions might be at higher risk for adverse effects from ketamine.1 Always consult a healthcare professional to determine if ketamine is appropriate for your specific circumstances.
You may experience adverse effects from taking ketamine if you have the following:
- Hypertension or uncontrolled high blood pressure
- Heart diseases or related issues
- A history of substance use disorder or addiction
- Schizophrenia or other psychotic disorders
- Are pregnant or breastfeeding (due to limited safety data)
- A known allergy or sensitivity to ketamine or related medications
How to Get Ketamine Prescribed to You
Obtaining a ketamine prescription is absolutely a must since ketamine is a controlled substance. Before prescribing ketamine for mental health treatment, a doctor will thoroughly evaluate its suitability for a patient. They will inquire about the patient’s medical history, current medications, and specific symptoms to ensure the safe and effective use of ketamine.
When looking to get prescribed ketamine for mental health treatment, be sure to follow these eight steps:
- Consult your symptoms with your primary care doctor: They are usually the first point of contact to discuss your symptoms and receive a referral if needed.
- Describe your symptoms thoroughly: Be honest and open about your mental health struggles, including any history of treatment-resistant depression or failed medication trials.
- Ask about whether a prescription for ketamine is appropriate: While you are inquiring about ketamine, you can ask about other treatment options, too, as these may be more suitable for your condition.
- Consider a consultation with a mental health specialist: If your doctor believes ketamine could be beneficial, they may refer you to a psychiatrist or other mental health specialist experienced in ketamine treatment.
- Share any medical conditions or medications: Provide this information to your provider so they can determine if ketamine is safe for you. For example, if you are seeking ketamine to address sleep disorders, be sure to discuss your sleep concerns openly and thoroughly.
- Examine the risks: Recognize the dangers and adverse effects of using ketamine as a treatment and weigh them against the potential benefits.
- Establish a treatment plan: Once you and your healthcare provider agree on ketamine treatment, establish a comprehensive treatment plan, including the frequency and duration of treatment sessions.
- Regularly monitor progress and make adjustments: Always keep your healthcare provider updated with your progress so that, if needed, adjustments to your treatment plan can be made.
Keep in mind that every person’s circumstance is distinct, and work together with your healthcare practitioner to get the most effective and safe treatment for your mental health needs.
Who Can Prescribe Ketamine?
There are only certain types of healthcare providers who are authorized to prescribe ketamine. While some states may allow psychologists and nurse practitioners to prescribe ketamine, it’s important to be aware of the specific regulations in your area to be safe.
You can usually get a ketamine prescription from the following doctors:
- Primary Care Provider: A primary care provider will do a consultation during a regular check-in appointment or may schedule a separate appointment.6
- Psychiatrist: A psychiatrist can prescribe ketamine and may focus more on medication management than therapy services.6
- Psychologists: In Louisiana and New Mexico, psychologists may obtain the authority to prescribe medication.7
- Nurse Practitioner: In California, Colorado, and Illinois, nurse practitioners may obtain the authority to prescribe ketamine for qualified patients.8
How to Get Ketamine Prescribed to You Online
Getting ketamine prescribed online is increasingly accessible through telehealth services, where online psychiatrists conduct consultations remotely. Typically, this involves video calls or secure messaging platforms. The benefits include convenience, especially for those with limited access to in-person appointments, making difficult conversations about mental health more comfortable and potentially reducing time constraints and the hassle of traveling to a physical office.
While online options offer convenience, barriers may exist due to ketamine being a controlled substance. Regulations vary by state and country, so it’s essential to ensure that online prescriptions comply with local laws. Additionally, not all online providers may be authorized to prescribe ketamine, so seek out reputable sources. Geographic location can also impact access to certain telehealth services, as some providers may have state-specific limitations on their practice.
This medication has to be administered IV by a licensed healthcare professional, so patients must go in person for the process of treatment. It is still possible to use online mental health and prescription care services with this type of medication. If your local provider is not experienced with decisions about when ketamine is appropriate, they can still administer the medication based on the recommendations of the experienced online provider.
What If I Can’t Get Prescribed Ketamine?
If you can’t get prescribed ketamine through legitimate channels, avoid seeking medication illegally. Engaging in such activities can have legal consequences and put your health at risk. Illicit street versions of ketamine may be impure and lead to unpredictable and harmful effects on your mental and physical well-being. Instead, work with a qualified healthcare professional and explore alternative treatment options that are safe and legal.
Questions to Ask Your Health Team About Ketamine
Talk with your healthcare team about using this controlled substance. Ask about potential side effects, monitoring progress, alternative options, and support available throughout the treatment process to make informed decisions about ketamine and your mental health.
Questions to ask your care team about getting a Ketamine prescription include:
- How will my progress be monitored, and how often should I come for checkups?
- What are the potential long-term effects of ketamine, and are there any precautions I should take?
- Should I be concerned about possible interactions with other medications, I am currently taking?
- How can I manage and cope with any initial discomfort or side effects that may arise?
- What support options are available if I experience challenges with ketamine treatment?
- What are the risks and benefits of ketamine compared to other treatment options?
- Are there any lifestyle changes or complementary therapies that can enhance the effectiveness of ketamine treatment?
- How can I ensure I receive a legitimate and safe prescription for ketamine?
How to Get Immediate Help
Seek help right away if you’re experiencing a crisis and are dealing with depression or addiction. If you are having suicidal or self-harming thoughts, contact a mental health professional, a crisis hotline, or dial 911. Don’t hesitate to talk to someone you trust if you need immediate support or assistance managing your depression. Keep in mind that there are compassionate people you may turn to for support when things get tough.
In My Experience
In my experience, I’ve witnessed the transformative effects of ketamine treatment for depression and certain mental health conditions. IPatients need to have direct discussions with their medical professionals regarding the potential advantages and disadvantages of ketamine. Seeking professional guidance and following their prescribed treatment plan is paramount for ensuring this medication’s safe and effective use. While ketamine can be very helpful for those with treatment-resistant depression, we must approach its off-label use cautiously, as its long-term effects are still being studied.2
If you’re considering ketamine treatment, discuss all available options with your healthcare provider. Know that you are not alone if you’re looking for assistance with depression or other conditions that ketamine may help with. Take a proactive approach to mental health, seeking help, and staying committed to treatment to attain a healthier future. Remember that there’s always something to hope for, and with the right support and guidance, you can navigate the challenges you will find your way.
