An initial KAP series includes a preliminary assessment to determine the appropriate course of treatment with Dr. Covington, a medical history review with our prescribing Doctor, Rachel Hoffman, to approve health readiness for treatment, followed by a minimum of six or more sessions with Dr. Covington.
Can you tell me more about Ketamine?
Pyschedelic medicines, like Ketamine, used for the treatment of mental wellness is considered an off-label use of this FDA approved drug. We follow best practices of administration of ketamine; the doses used during sessions are very low and calculated based on body weight. Our doctor, nurse practitioner or our clinical psychologist will be with you and your vitals will be closely monitored the entire duration of the session as well.
What will it feel like?
Most patients feel comfortably relaxed while they are receiving the infusion. The effects wear off within an hour or so afterward. We carefully assess your medical history and medication list before the treatment and will consult your primary care physician or mental health professional as needed. the IV infusion will be administered at a very low dose and over an extended period of time. The first 15-20 minutes are typically uneventful with no noticeable effects; however, within 20 minutes or so, people tend to notice some blurring of vision, a feeling of "lightness," "floating," or intoxication, and sometimes some numbness in the toes or area around the mouth. Over the course of the next 20-minute period, these feelings tend to build, so that the medicine is at the peak of its intensity at the very end.
Other common feelings include euphoria, talkativeness, a feeling of being "disconnected" or in a dream, heightened perceptions (background noise may seem louder, colors or lights are more intense), and a feeling that people often describe as "weird, odd, different, or interesting." Less commonly, people may experience nausea and rarely hallucinations. These feelings start to subside approximately 10-15 minutes after the medicine is done and last for a total of 45-50 minutes. Most people can expect to be with us for about 90 minutes total, with no side effects beyond your release from our care and none between treatments. Most adverse effects can easily be treated by adjusting the rate of your infusion to make your experience pleasant and calming.
What are the side effects?
The side effects of the low dose protocol ketamine infusions are minimal and will only last about an hour or two, but may include mild drowsiness, nausea, and increased blood pressure. Less common side effects include vivid dreams or agitation, and these can be controlled by adjusting the dosage. Most clients don't mind the relaxed feeling they experience during the infusion.
Is Ketamine Addictive?
In past years, ketamine has received a stigma of being a "party drug" or "street drug," and some may be concerned about the potential for abuse or addiction. Academic research and clinical experience have shown that the very low dosing and adherence to protocols dismiss the risk of addiction.
What Medical conditions exclude me from treatment?
Medical conditions that are not well managed would disqualify you from any infusion treatment. Uncontrolled high blood pressure, any serious cardiac or respiratory condition, untreated thyroid disease, a current manic phase of bipolar and active psychosis (hallucinations/delusions) need to be discussed with your clinician to avoid any potential complications. We will review your medical history and perform a brief physical assessment to ensure this line of treatment has little to no risk to your physical or mental health.
Can I continue all of my medications while receiving Ketamine Infusion therapy?
Your current medications will be evaluated for your safety and optimal experience. Some medications have been shown to interfere with or dampen the effectiveness of the infusion. These medications include benzodiazepines (such as Xanax, Ativan, Versed, Valium, and Clonazepam), risperidone (Risperdal), and olanzapine (Zyprexa). These medications may not need to be stopped, but the dose leading up to infusion therapy and for a short period after may need to be adjusted. Further discussion with your primary care provider will be beneficial.
What do I need to do to prepare for my day of treatment?
Each day of treatment will be similar. We ask that you adhere to our guidelines as they are put forth to keep you and others safe. Before any infusion treatment, we will require a government-issued photo ID, completion of a questionnaire regarding your health as well as consent forms acknowledging that you understand the requirements, risks, that there is no guarantee, and that this treatment is not a cure but a possible adjunct to your therapy regime.
Can I drive myself to and from treatments?
Although the effects of these infusions wear off quickly once the infusion has stopped, we ask that you refrain from driving for 24 hours after your infusion. Please plan on arriving with or arranging a responsible friend or relative who can drive you home safely after your infusion—choosing to drive any earlier than 24 hours after your infusion is considered to be driving under the influence and can be punishable by law.
What are the risks of IV Ketamine Infusion Therapy?
Infusion therapy is typically well-tolerated; however, as with any medical procedure or administration of medication, there is always a potential risk of complications or adverse events. The symptoms or side effects will diminish once the infusion is completed, discontinued, or slowed down. We are prepared for all potential side effects and have the necessary skills and equipment to manage the potential complications of all treatments we offer here at FIK.
How long with the overall effects of KAP last?
Resolution of symptoms after a series of infusions may last anywhere from 2 weeks to 3 months and, in some cases, up to a year. Remission is variable and individualized. Completion of a full course of treatment is encouraged to maximize the effects of the treatment. After completion of an initial Ketamine Assisted Psychotherapy (KAP), subsequent Booster infusions may be required to substantiate the longevity of remission. The highest chance of success is to ensure proper diagnosis and to utilize this treatment as an adjunct to your on-going individualized treatment program.
Does my insurance cover KAP?
Although KAP is now nationally recognized as a substantial and legitimate treatment for long term depression, it remains "off-label." Therefore, insurance does not cover any portion of the treatment series. Some patients have been able to use a Flexible Spending Account (FSA) to plan and pay for treatment.
Do I need a referral?
We do not require a formal referral from your primary care provider but we must conduct a psychological assessment to determine if KAP is the right course of treatment for you and our doctor must perform a pre-flight physical to confirm your health status is appropriate for sessions. Please call us for specific details.
*Restrictions for Boosters
The DEA requires a follow-up medical history review for patients every three months with our prescribing doctor of record. This additional appointment is included with your fee, our staff will schedule both booster and medical history review for you as needed.
All PSYCHedelic Health is an approved provider through Advance Care financing.
Advance Care has been a leading provider of patient financing solutions since 2008, offering the most affordable and flexible options to finance their procedures or treatment plans. To visit Advance Care website for more information, click here.
Yes, use your Flexible Spending Account (FSA) by submitting a claim (through your employer) with proof of the expense of your treatment and a statement that it has not been covered by your plan. You will then receive reimbursement for your costs. Ask your employer about how to use your specific FSA.