About IV Ketamine Treatments

Intravenous (IV) ketamine infusion therapy has emerged as a treatment option for a variety of chronic pain conditions including fibromyalgia, small fiber neuropathy, complex regional pain syndrome (CRPS), reflex sympathetic dystrophy (RSD) and psychiatric conditions including depression, post traumatic stress disorder (PTSD), suicidal ideation, and obsessive compulsive disorder (OCD). Dr. Hanna is America’s top doctor offering IV Ketamine Infusion treatment, with over 1,000 treatments performed. Patients are reporting amazing, miraculous results with only a few treatments.

History of Ketamine

Ketamine is not a new drug. It has been used for five decades in human and veterinarian medicine. Ketamine is an anesthetic drug that was introduced into clinical practice in 1970. At anesthetic doses it results in a complete loss of consciousness while preserving certain protective reflexes which has made it attractive to anesthesiologists in selective patients. Ketamine blocks the NMDA receptor, which interrupts pain signal transduction and gives central pain centers a chance to “reboot”. This often requires that a patient undergo a series of low dose ketamine infusions for dramatic or near complete elimination of their chronic pain. Ketamine infusions have been most often used when other treatment modalities have failed. Certain types of pain considered to be “neuropathic” in origin have been most studied and are considered to be most responsive to ketamine therapy.

IV Ketamine Procedure

Ketamine at sub-anesthetic doses has been studied for both efficacy as well as safety. During our ketamine infusions, patients are under the direct supervision of a registered nurse (RN) with continuous monitoring of vital signs (heart rate, oxygenation, respiratory rate and blood pressure). Although the vast majority of patients deny side effects during their treatment, some may experience mild hallucinations and dysphoria which can be treated throughout the infusion.

Our treatment protocols are individually planned depending on the nature of your pain and your responsiveness to initial sessions. Infusion “cocktails” can be prepared in house so that they can be tailored to each patient’s therapeutic needs. A variety of medications are often used:

  • Lidocaine
  • Ketamine
  • Magnesium

These medications are typically mixed with saline in an IV bag and infused slowly over several hours, depending on the medication and/or protocol being used. Usually, a series of treatments will be recommended daily for a period of a week or more. The duration of pain relief following one or more ketamine infusions cannot be predicted. The goal is to achieve lasting relief as measured in weeks or months following the last treatment. Most patients who enjoy prolonged pain relief will need to return on occasion for a booster infusion, or continue to take low dose intranasal ketamine at home.

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