KETAMINE IS A BREAKTHROUGH TREATMENT FOR MENTAL HEALTH CHALLENGES

Ketamine is an anesthetic that was developed in the early 1960's. It is one of the most widely used drugs in modern medicine, and is on the World Health Organization's List of Essential Medicines. While it has a variety of uses, it is approved by the FDA as an anesthetic. Due to it's strong safety profile, Ketamine is frequently used in surgical settings. Ketamine has shown promising results in rapidly alleviating depressive symptoms, even in individuals who have not responded to traditional antidepressant medications. Ketamine infusion therapy involves the administration of a controlled dose of ketamine via intravenous (IV) infusion. At Utah Ketamine Infusions, ketamine therapy is conducted in our clinical setting under the supervision of medical professionals. Ketamine Infusion Therapy is currently considered "off-label" (It is estimated that nearly 1/4 of all prescription medications in the US are prescribed "off-label”).

With an effectiveness of 60-80%, Ketamine has been proven to quickly stimulate neuron growth in the brain.

Ketamine infusion therapy affects the brain through various mechanisms, although the exact processes are still being investigated. Here are some of the key ways in which ketamine is believed to work in the brain:

1. Glutamate modulation: Ketamine is an NMDA receptor antagonist, which means it blocks the activity of NMDA receptors in the brain. By doing so, it affects the release and signaling of the neurotransmitter glutamate. Glutamate is involved in synaptic plasticity, learning, and memory formation. Modulating glutamate activity is thought to play a role in the antidepressant effects of ketamine.

2. Increased synaptic connections: Ketamine has been shown to promote the growth of new synaptic connections between neurons. This is believed to occur through the activation of a pathway involving the release of brain-derived neurotrophic factor (BDNF). BDNF supports the survival and growth of neurons and plays a crucial role in neuroplasticity—the brain's ability to reorganize and form new connections. The increased synaptic connections facilitated by ketamine may contribute to its therapeutic effects.

3. Default mode network disruption: Ketamine has been observed to temporarily disrupt the activity of the brain's default mode network (DMN). The DMN is a set of brain regions that are active during rest and self-referential thinking. Overactivity and abnormal connectivity within the DMN have been associated with conditions like depression. Ketamine's modulation of the DMN may help reset its functioning and alleviate depressive symptoms.

4. GABAergic interneuron activity: Ketamine affects the activity of GABAergic interneurons, which are inhibitory neurons in the brain. By modulating GABAergic signaling, ketamine may indirectly influence the excitatory-inhibitory balance in the brain, leading to changes in neural activity and potentially impacting mood regulation.

It's important to note that these mechanisms are not fully understood, and the exact ways in which ketamine produces its therapeutic effects for mental health conditions are still under investigation. Researchers continue to study ketamine's effects on various neurotransmitter systems, brain circuits, and molecular pathways to gain a more comprehensive understanding of its mechanisms of action.

RAPID ONSET OF ACTION

Unlike traditional antidepressant medications that can take weeks to show effects, ketamine infusion therapy often produces rapid and noticeable improvements in mood. This quick onset of action is one of the unique aspects of ketamine treatment and can be particularly beneficial for individuals experiencing severe depression or suicidal ideation.

With ketamine therapy, the timeframe for symptom improvement can vary from person to person.Some individuals may experience noticeable improvements in their symptoms within hours or days after a ketamine session. This rapid onset of action is one of the reasons why ketamine has garnered attention as a treatment for treatment-resistant depression. In some cases, individuals may report a reduction in depressive symptoms, improved mood, increased motivation, and enhanced overall well-being shortly after starting ketamine therapy.

It's important to note that ketamine therapy is often administered as a series of sessions rather than a one-time treatment. The frequency and duration of the treatment protocol can vary depending on the individual and the specific treatment plan. Some protocols may involve a series of sessions over a few weeks. While ketamine can produce rapid symptom relief for some individuals, it's important to maintain realistic expectations. Not everyone responds to ketamine therapy in the same way, and individual experiences may vary. Some individuals may require multiple sessions before experiencing significant and sustained improvements in their symptoms.

IV KETAMINE THERAPY

Each intravenous session of ketamine therapy is priced at $400, which includes the administration of ketamine as well as all monitoring and supervision. There are no hidden fees!

We provide a discounted rate of $375 per session if all six infusions are paid for upfront, amounting to a total of $2,250. In the event that not all infusions are attended, the cost reverts to the full amount, and any remaining balance will be refunded to the client.

KETAMINE ASSISTED PSYCHOTHERAPY (KAP)

For those who wish to particpate in Ketamine Assisted Psychotherapy (KAP),additional costs range from $80-$160, depending on the level of attending therapist you choose. Insurance can cover this service, please call us at 801.984.1717 and we will verify your insurance benefits to more accurately estimate exact costs of KAP.

Due to ketamine therapy (IV or IM) being considered an "off-label" treatment by many insurance companies, the majority of insurance plans do not cover the associated costs. Utah Ketamine Infusions is an advocate for these treatments to be recognized and covered by both public and private insurances. Insurance doews often cover Ketamine Assisted Psychotherapy (KAP); please call us at 801.984.1717 and we will verify your insurance benefits to more accurately estimate exact costs of KAP.

Flexible spending accounts (FSA) or health savings accounts (HSA)

Utah Ketamine Infusions is licensed as a medical practice and qualifies to accept FSA and HSA payments. If you have an FSA or HSA, you are able to use those funds to cover the cost of your Ketamine Treatment as well as any Ketamine Assisted Psychotherapy services.

When attending a ketamine infusion treatment session, our center provides complimentary heated blankets, hot packs, beats headphones, eye masks and snacks to accommodate your comfort. You may also want to consider the following:

1. Comfortable clothing: Opt for loose, comfortable clothing that allows easy access to your arms for the administration of the infusion. Consider wearing layers as the the infusion can cause you to feel chilled, and you might want to adjust your clothing accordingly.

2. Personal items for relaxation: Bring any personal items that help you relax and feel more comfortable during the session. This could include items like a favorite blanket, a small pillow, or headphones for listening to calming music or guided meditations. You may also bring a recording device or journal if you choose to record/document your sessions.

3. Snacks and beverages: While we do provide light snacks and beverages, it's always good to have your preferred options on hand if preferred.

4. Support person or transportation arrangements: You are required to bring a support person to drive you home after the treatment. Ketamine can cause temporary drowsiness and impair your coordination, so it's important to make appropriate transportation arrangements.

Ketamine infusions, like any medical treatment, can have potential side effects. It's important to note that not everyone experiences these side effects, and their severity and duration can vary from person to person. Some common side effects of ketamine infusions may include:

1. Dissociation: Ketamine is a dissociative anesthetic, and during the infusion, some individuals may experience feelings of detachment from their body or surroundings. This can include a sense of floating, altered perception of time and space, or changes in sensory experiences.

2. Nausea and Vomiting: Ketamine infusions can occasionally cause feelings of nausea or vomiting. Our providers have an array of anti-nausea medications that can quickly help alleviate this if it occurs.

3. Changes in Blood Pressure and Heart Rate: Ketamine can affect blood pressure and heart rate. Some individuals may experience increases or decreases in these vital signs during the infusion. Our providers closely monitor these parameters to ensure safety.

4. Dizziness or Lightheadedness: Ketamine infusions can sometimes cause feelings of dizziness or lightheadedness, particularly when standing up or moving around. Our support staff will be present to help you take precautions, such as getting up slowly, to minimize the risk of falls or injuries.

5. Distorted Sensations or Perceptions: Some individuals may experience temporary changes in their sensory perception, such as visual or auditory disturbances, distorted or vivid dreams, or altered sensations in the body.

6. Anxiety or Restlessness: In some cases, ketamine infusions can cause temporary feelings of anxiety, restlessness, or confusion during or after the treatment.

Before your infusion, our providers will discuss possible side effects with you. They will monitor your response and can provide guidance on managing any side effects that may arise. The majority of side effects are typically transient and resolve as the effects of ketamine wear off. Our center is also prepared to react quickly to any medical concerns that may arise.

No, clients are not permitted to drive after their infusion for 24 hours. You will need to have someone you trust to provide transportation home after your infusion. We do not allow any rideshares (i.e.Lyft/Uber/public transportation) or personal mobility devices (i.e.bikes, scooters, roller blades, walking, etc.) due to conflicts of client confidentiality and safety issues.

The duration of ketamine infusion sessions may vary based on each client's unique treatment plan. On average, a session typically lasts between 45 to 50 minutes, followed by a recovery period of 10 to 20 minutes. During the infusion, a precise and controlled dose of ketamine is administered intravenously (IV) over a carefully determined period. Close monitoring and adjustments are made to guarantee optimal therapeutic effects while prioritizing safety.

The recovery time after the infusion provides an opportunity for clients to regain grounding and enhance their self-awareness of both themselves and their surroundings. It allows for a smooth transition from the session back to a fully alert state. It is important to note that clients must be able to walk independently before leaving the clinic, accompanied by their trusted driver.

These specific timeframes and recovery measures are designed to ensure the most effective and safe ketamine infusion experience for each individual. By adhering to these guidelines, the treatment can be administered in a structured and supportive environment, facilitating a positive outcome.

To prepare for your ketamine infusion, we kindly request that you refrain from eating for a period of 8 hours leading up to the session. Additionally, we ask that you abstain from consuming any liquids for 2 hours before the infusion. However, you may take your prescribed medications with a small sip of water up to 30 minutes prior to the scheduled appointment. These guidelines are designed to ensure you have the best experience, as nausea can be a side effect.. Please feel free to consult with our team if you have any further questions or concerns.

Prior to your ketamine infusion, it is advised that you continue taking your medications as prescribed. If you are currently taking psychiatric medication, we recommend informing your prescriber about your intention to undergo ketamine therapy and following any specific instructions provided by them. Open communication between you, your prescriber, and our team will help ensure a coordinated and comprehensive approach to your treatment. If you have any questions or require further guidance, please don't hesitate to reach out to us.

As Ketamine is a dissociative drug, it is not uncommon to experience various perceptual changes and sensations in a ketamine treatment. These can include seeing vibrant colors, geometric shapes, or even feeling like you are traveling to different places. The dissociative properties of ketamine may contribute to a sense of disconnection from your body, often described as an out-of-body or floating sensation. Some individuals may also experience tingling or numbing sensations in different parts of their body.

In addition to these perceptual changes, a ketamine infusion may bring about a range of emotional experiences. Many individuals report feeling deeply relaxed, with a reduction in physical pain. It is worth noting that ketamine has potential for rapid antidepressant effects and can elicit a significant release of emotions during the session. Some people may experience an increase in emotional sensitivity, with emotions ranging from joy and euphoria to sadness and introspection.

It is important to approach a ketamine infusion session with an open mind and an understanding that the effects can be unique to each individual. At our clinic, we prioritize your safety and well-being by always having a trained support person present during the session. They are available to provide guidance, address any concerns, and ensure a secure environment throughout the infusion process.

We understand that you may have specific questions or concerns regarding the potential effects of ketamine infusions. To address these in a personalized manner, we encourage you to schedule a phone consultation with our team. This consultation will allow us to discuss your individual circumstances, provide detailed information, and address any specific questions you may have.

PERSONALIZED DOSAGE

The dosage of ketamine is determined based on individual weight. During your initial session, we will collect your weight to accurately determine the appropriate dosage in milligrams (mg) for your specific needs. In subsequent sessions, we rely on your self-reporting of how you felt during the previous sessions to guide the dosage adjustments. Your feedback on whether you required more or less ketamine will play a significant role in tailoring the dosage to optimize your therapeutic experience. Our goal is to ensure that you receive an effective and personalized treatment that addresses your unique requirements and preferences.

Ketamine infusions are typically administered intravenously (IV), meaning the ketamine is delivered directly into your bloodstream through a vein. Ketamine can also be adminstered via an intramuscular injection, meaning a shot into your muscular tissue. IM ketamine is an alternative method of delivery compared to intravenous (IV) infusion. It is often used when IV access is not readily available or in situations where IV administration is not preferred.

After a ketamine infusion, it is important to take certain steps to ensure a smooth recovery and maximize the benefits of the treatment. Here are some general guidelines to follow:

1. Rest and Rehydrate: Give yourself time to rest and recover. Ketamine can have a sedating effect, so it is recommended to avoid engaging in activities that require concentration or physical exertion immediately after the infusion. Drink plenty of fluids to stay hydrated.

2. Have a Supportive Environment: Return to a calm and comfortable environment where you feel safe and supported. Surround yourself with people who understand and respect your needs during the recovery period.

3. Reflect and Integrate: Ketamine infusion sessions can be emotionally intense and introspective. Take time to reflect on your experience and any insights or emotions that may have arisen. Engage in activities that promote self-care and self-reflection, such as journaling, meditation, or gentle movement.

4. Attend Follow-Up Sessions: Ketamine therapy is often administered as a series of sessions. Make sure to attend any scheduled follow-up appointments to assess your progress, discuss your experience, and determine the next steps in your treatment plan.

5. Communicate with our Providers: If you have any questions, concerns, or unexpected side effects after the infusion, contact our clinic so we can make necessary adjustments to future treatment sessions.

In general, the immediate effects of a ketamine infusion, such as dissociation and altered perception, typically subside shortly after the infusion is complete. However, the therapeutic benefits of ketamine for mental health conditions, such as depression or anxiety, can often extend beyond the immediate infusion session.

For some individuals, the effects of a single ketamine infusion may last a few days to a week. This period is often referred to as the "afterglow" phase, during which individuals may experience improved mood, reduced symptoms, and increased mental clarity. However, the duration and intensity of the afterglow can vary.

To maintain the therapeutic effects, a series of ketamine infusions is often recommended. The frequency and total number of infusions can depend on the specific treatment plan prescribed by our Ketamine Infusion team. In some cases, additional booster infusions may be required to sustain the benefits over a more extended period.

In general, a typical initial course of ketamine therapy consists of an series of six infusions, spaced approximately a week apart. After the initial series, some individuals may benefit from maintenance or booster sessions to sustain the therapeutic effects. These sessions can be scheduled less frequently, such as every few weeks or months, depending on the individual's needs.

Currently, there is limited research available on the effects of ketamine infusions during pregnancy, and the safety of ketamine for pregnant individuals has not been definitively established. For this reason, we recommend pregnant individuals wait until after they give birth to receive treatments.

Yes, you can receive a Ketamine infusion if you are breastfeeding, but you will need to dump the first time you pump after your infusion. After that, you are able to continue nursing as normal.

Yes! We encourage clients to take advantage of their infusions and participate in Ketamine Assisted Psychotherapy (KAP). You are welcome to invite your therapist to sit in with you during the infusion as your support person. We also have several highly qualified therapists in our clinic that are available to schedule (at an additional cost).

Yes, there will be a staff in the room with you throughout the duration of your infusion monitoring your vitals and to be an overall support should you need anything. We do not allow our clients to be by themselves as a safety precaution.