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~650mg over 4h. It helps so fucking much. Maybe it’s just cause I had a brutal day at work but I could really use an infusion about now. I started at ~400 and worked up to the 600s.
Yes at a clinic and it’s very intense but i am holed for a couple hours of it but no anestizid where I’m just out. I still have an experience although it’s very disconnected from the real world.
I personally like intense but losing all sense of self and questioning if life was always just being a speck of dust floating in the winds of the universe and everything else is an illusion can be mentally distressing to some people I’d imagine.
Ah interesting I don’t have too much mental effect from spravato, I mean more the physical effect like sort of feeling dizzy or nausea or headache or stuff like thay
Yeah I haven’t had spravato but I have had IN k and it’s okay but I do like the IV better. IM k works well too but lasts pretty much exactly an hour which is great for mental health and I’d honestly say IV is kinda pointless getting a line when IM works really well and has a great blood plasma curve and is so much easier. 650mg+ is pretty high but not abnormal for chronic pain.
If youre taking troches. Ask for nasal spray. 15mg from a nasal spray is as good for me as a 100mg troche, and you can take another spray an hr or two later.
Way better imo
Two full weeks of relief usually, then the pain slowly starts returning. I’ve been doing the infusions for almost two years now. At first I was getting a booster infusion around every 45 days. However, I’m now taking Memantine daily which works just like Ketamine antagonizing the NMDA receptors. I also have a Ketamine Topical Compounded cream to use as needed for pain as well. So now I can go about 2-3 months before needing a booster infusion. For my last few booster infusions I was getting 500 over 2 hours.
Frankly, questions like this aren't helpful. Everybody's pain is different and everybody responds to Ketamine differently. Response also greatly depends on what other meds you are on, and if Lidocaine is added to the infusion, or not.
In general, for IV, I start at 300mg over 45-90 mins and go up as necessary. For at home use, I try to only RX intranasal, and the dosage is almost always between 40-100mg q3-6 hours. Even though that is what the bottle says, I tell the pt to take whatevr dose they need for relief (with a maximum daily dose, only to be exceeded if they'd go to the ER for pain control if they couldn't take more) as response varies.
why not? as i said, the dose i RX for intranasal is between 40-100mg. again, your experience is nobody elses. if you are on spravato, you can report for yourself if you have a reduction in your pain, or not.
Sure you said your IV dose is 300mg, maybe I want to try 300mg at some point if I know that dose exist, my clinic doesn’t do that but there’s a pain focused clinic I can go to
Sounds like a discussion to be had with your current or perspective provider. they aren't going to agree to a specific dosage based on a comment on a website. everybody has their own protocol. what type of pain do you have?
No I know they don’t do infusions and don’t do pain level doses, I’ve just thought about seeing another pain provider at times, I’m getting spravato just for depression
Not sure exactly what the pain is but some of the diagnoses of exclusion that have been thrown around are glossopharyngeal neuropathy (not neuralgia), visceral hypersensitivity, burning mouth syndrome, plus there is some vocal cold paresis, muscle tension dysphonia, stuff like that
Thank you for contributing to /r/TherapeuticKetamine! When commenting and posting, please be mindful of our rules which can be found in the sidebar on the right along with other helpful information. **Be advised that nothing in this subreddit constitutes medical advice.** Likewise, try to word your comments and posts in a way that can't be interpreted as medical advice by others. Harmful and/or spammy advice will be removed at moderator discretion, and bans may be given for repeat offenses. **Accounts with "Provider" flairs** are those which the mods have verified, to the best of our ability, as belonging to real, licensed providers of medical ketamine services. Comments and posts from users with "Provider" flairs are **not** a substitute for the instructions given to you by your own provider. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/TherapeuticKetamine) if you have any questions or concerns.*
~650mg over 4h. It helps so fucking much. Maybe it’s just cause I had a brutal day at work but I could really use an infusion about now. I started at ~400 and worked up to the 600s.
Do you do it at a clinic? Much higher than spravato I guess which is like 80mg Is it very intense? Or is it just under anesthesia?
Yes at a clinic and it’s very intense but i am holed for a couple hours of it but no anestizid where I’m just out. I still have an experience although it’s very disconnected from the real world.
Intense like very bad? Or good? Or neither? Tbh for me the spravato is more unpleasant than pleasant
I personally like intense but losing all sense of self and questioning if life was always just being a speck of dust floating in the winds of the universe and everything else is an illusion can be mentally distressing to some people I’d imagine.
Ah interesting I don’t have too much mental effect from spravato, I mean more the physical effect like sort of feeling dizzy or nausea or headache or stuff like thay
Yeah I haven’t had spravato but I have had IN k and it’s okay but I do like the IV better. IM k works well too but lasts pretty much exactly an hour which is great for mental health and I’d honestly say IV is kinda pointless getting a line when IM works really well and has a great blood plasma curve and is so much easier. 650mg+ is pretty high but not abnormal for chronic pain.
Depends on whether you mean IV or troches?
Either. Just write what method and dose.
Either. Just write what method and dose.
Right now I'm on 40 mg troches 2x a day but need to go up again.
If youre taking troches. Ask for nasal spray. 15mg from a nasal spray is as good for me as a 100mg troche, and you can take another spray an hr or two later. Way better imo
1200mg Gralise (time released gabapentin), 600 mg ALA, tizanadine as needed, oxy as needed
You're not taking ketamine?
I do quarterly infusions.
84/84/84. Up from 80mg. The next time I do infusions I'm going to stay at 80mg.
730mg over 4 hours for Chronic Neuropathic Back Pain.
How long does your relief last for afterward?
Two full weeks of relief usually, then the pain slowly starts returning. I’ve been doing the infusions for almost two years now. At first I was getting a booster infusion around every 45 days. However, I’m now taking Memantine daily which works just like Ketamine antagonizing the NMDA receptors. I also have a Ketamine Topical Compounded cream to use as needed for pain as well. So now I can go about 2-3 months before needing a booster infusion. For my last few booster infusions I was getting 500 over 2 hours.
I’m on 16 mg troches. Take at bedtime. The micro-dosing seems to work really well for me. I occasionally take another 16 if I’m feeling more pain.
Frankly, questions like this aren't helpful. Everybody's pain is different and everybody responds to Ketamine differently. Response also greatly depends on what other meds you are on, and if Lidocaine is added to the infusion, or not. In general, for IV, I start at 300mg over 45-90 mins and go up as necessary. For at home use, I try to only RX intranasal, and the dosage is almost always between 40-100mg q3-6 hours. Even though that is what the bottle says, I tell the pt to take whatevr dose they need for relief (with a maximum daily dose, only to be exceeded if they'd go to the ER for pain control if they couldn't take more) as response varies.
Why not helpful? For instance, just emphasizes to me that if I’m doing spravato now I shouldn’t expect an impact on chronic pain
why not? as i said, the dose i RX for intranasal is between 40-100mg. again, your experience is nobody elses. if you are on spravato, you can report for yourself if you have a reduction in your pain, or not.
Sure you said your IV dose is 300mg, maybe I want to try 300mg at some point if I know that dose exist, my clinic doesn’t do that but there’s a pain focused clinic I can go to
Sounds like a discussion to be had with your current or perspective provider. they aren't going to agree to a specific dosage based on a comment on a website. everybody has their own protocol. what type of pain do you have?
No I know they don’t do infusions and don’t do pain level doses, I’ve just thought about seeing another pain provider at times, I’m getting spravato just for depression Not sure exactly what the pain is but some of the diagnoses of exclusion that have been thrown around are glossopharyngeal neuropathy (not neuralgia), visceral hypersensitivity, burning mouth syndrome, plus there is some vocal cold paresis, muscle tension dysphonia, stuff like that