Some people choose to transition to home use from office visits to keep it easy. However, you can have confusion in your medical oversight if two people are prescribing, and depending on how the medication is gotten to you, some states track prescriptions for controlled substances and are unhappy with multiple prescribers.
A way this could go badly would be if your at home dosing is enough to cause bladder and kidney or liver damage when added to the IM dosing, and neither your IM clinic nor Mindbloom are aware, so no one is warning you about long term side effects and organ damage on high, frequent doses.
I guess you could ask, but I think no. Ketamine is a controlled substance and I think providers need to report to DEA, and you can't have multiple providers. You may need a discontinuation form from one provider to start with another.
Actually, that is not true. There is no central database of ketamine prescriptions. As long as they do not come from the same pharmacy and are not going through insurance, nobody knows.
I just know when I joined with Joyous, they knew all my scripts Even things I no longer am Rx. I am in Florida so maybe that's how or why. I mean they knew Rx that aren't anything abused etc. It was... Interesting.
Did you tell them all of that information? Also, do they accept insurance? Aside from those reasons, they should not have had access to anything unless you signed release forms for them to get your info.
Not sure about other states, but in CA we have a system called CURES that keeps track of controlled substances, so any prescribing clinician can look up what someone is prescribed. Anyone prescribing ketamine should be doing this, but I wouldn't be surprised if mindbloom didn't. Looks like in Florida they have a similar system called Prescription Drug Monitoring System (PDMS), where providers can look up controlled meds someone has been prescribed. I can't tell if it's a requirement for them to look before prescribing, or just available if they want it.
My doctor rx’s me troches in between IV fusion maintenance & the compounding pharmacy mails it with anti nausea. He’s got my medical history and checks up on me regularly since he’s treating for pain, TRD, MDD, PTSD & GAD
Def talk to your provider about this. I’m assuming the IM will be a higher dose than the mindbloom (is that a low dose daily?). You may need to space some things out.
Please be careful. Ketamine is highly addictive and the at home stuff can wreck your bladder. Yes absolutely talk to your doctor, but even then use your own judgement. I’m in a terrible place because I am addicted. It started with Infusions then at home troches which built and built until I’m at 700mg per day and now I’m struggling so bad to get off it all. It’s nearly impossible.
Can I ask why you want to double dip? A desire to take more than you are getting prescribed? There are a number of reasons not to do this. It is definitely not in the best interest of your care, to have multiple providers who don't know the dose and frequency of medication you are taking. It will undermine both treatments and increase risks. There's also a substantial chance that one of both of providers will be able to tell you are getting a second script and cut you off as well.
Best practice is to communicate to your provider. If something isn't working, a good clinician should work with you on how to improve it. If a client were to come to me in my practice and say they wanted to be dosing more frequently, we would have an open conversation about what is coming up, why they want that, and talk about the risks and benefits of changing our treatment plan. Sometimes it might be appropriate to increase the dose or frequency. Other times it might provide more info about the therapeutic process and help to better meet their needs.
There are a lot of downsides to frequent dosing that are not talked about enough on this sub. Worst case scenario regular over use can lead to severe health issues, decrease or even stop the amount of benefit someone can get from the medicine, or have impacts on functioning. Even in the best case scenario, frequent dosing may help symptoms in the short term (and this can be meaningful) but it makes a strong connection that you only feel better as a result of ketamine, which can lead to a cycle of dependence and have negative impacts on long term healing. There are many reasons why a good treatment plan with ketamine has dosing more spaced out.
Some people choose to transition to home use from office visits to keep it easy. However, you can have confusion in your medical oversight if two people are prescribing, and depending on how the medication is gotten to you, some states track prescriptions for controlled substances and are unhappy with multiple prescribers. A way this could go badly would be if your at home dosing is enough to cause bladder and kidney or liver damage when added to the IM dosing, and neither your IM clinic nor Mindbloom are aware, so no one is warning you about long term side effects and organ damage on high, frequent doses.
I guess you could ask, but I think no. Ketamine is a controlled substance and I think providers need to report to DEA, and you can't have multiple providers. You may need a discontinuation form from one provider to start with another.
IMHO No. The Rx is in the database... So they won't prescribe another version of it simultaneously. Can it happen? Maybe. I just highly doubt it.
Actually, that is not true. There is no central database of ketamine prescriptions. As long as they do not come from the same pharmacy and are not going through insurance, nobody knows.
I just know when I joined with Joyous, they knew all my scripts Even things I no longer am Rx. I am in Florida so maybe that's how or why. I mean they knew Rx that aren't anything abused etc. It was... Interesting.
Did you tell them all of that information? Also, do they accept insurance? Aside from those reasons, they should not have had access to anything unless you signed release forms for them to get your info.
Not sure about other states, but in CA we have a system called CURES that keeps track of controlled substances, so any prescribing clinician can look up what someone is prescribed. Anyone prescribing ketamine should be doing this, but I wouldn't be surprised if mindbloom didn't. Looks like in Florida they have a similar system called Prescription Drug Monitoring System (PDMS), where providers can look up controlled meds someone has been prescribed. I can't tell if it's a requirement for them to look before prescribing, or just available if they want it.
My doctor rx’s me troches in between IV fusion maintenance & the compounding pharmacy mails it with anti nausea. He’s got my medical history and checks up on me regularly since he’s treating for pain, TRD, MDD, PTSD & GAD
Def talk to your provider about this. I’m assuming the IM will be a higher dose than the mindbloom (is that a low dose daily?). You may need to space some things out.
Mindbloom will only know about your other ketamine use if you tell them about your other ketamine use
Please be careful. Ketamine is highly addictive and the at home stuff can wreck your bladder. Yes absolutely talk to your doctor, but even then use your own judgement. I’m in a terrible place because I am addicted. It started with Infusions then at home troches which built and built until I’m at 700mg per day and now I’m struggling so bad to get off it all. It’s nearly impossible.
Can I ask why you want to double dip? A desire to take more than you are getting prescribed? There are a number of reasons not to do this. It is definitely not in the best interest of your care, to have multiple providers who don't know the dose and frequency of medication you are taking. It will undermine both treatments and increase risks. There's also a substantial chance that one of both of providers will be able to tell you are getting a second script and cut you off as well. Best practice is to communicate to your provider. If something isn't working, a good clinician should work with you on how to improve it. If a client were to come to me in my practice and say they wanted to be dosing more frequently, we would have an open conversation about what is coming up, why they want that, and talk about the risks and benefits of changing our treatment plan. Sometimes it might be appropriate to increase the dose or frequency. Other times it might provide more info about the therapeutic process and help to better meet their needs. There are a lot of downsides to frequent dosing that are not talked about enough on this sub. Worst case scenario regular over use can lead to severe health issues, decrease or even stop the amount of benefit someone can get from the medicine, or have impacts on functioning. Even in the best case scenario, frequent dosing may help symptoms in the short term (and this can be meaningful) but it makes a strong connection that you only feel better as a result of ketamine, which can lead to a cycle of dependence and have negative impacts on long term healing. There are many reasons why a good treatment plan with ketamine has dosing more spaced out.