3 ms·
A word of caution: Ketamine treatment is far from standardized. Most of the clinical studies I've read aren't using doses that produce profound psychedelic trip
by PragmaticPulp 4y ago
A word of caution: Ketamine treatment is far from standardized. Most of the clinical studies I've read aren't using doses that produce profound psychedelic trips. The more professional clinics seem to have settled on dosing regimens that produce mild impairment, but not the full-blown dissociative trips described in many of these articles.
Meanwhile, there are a lot of questionable ketamine clinic providers popping up all over the country that give much higher doses. Some of them promote the psychedelic angle heavily in their marketing materials, as it has become a major revenue generator from patients who read articles like this one. While a single medium to high dose of ketamine may not produce marked negative effects, some of the high-dose, repeat-dosing regimens used by alternative therapy providers are in the range where I'd begin to be very concerned about lasting damage.
I would strongly caution anyone curious about ketamine treatment to stick to the lower-dose clinics and providers. Avoid anyone trying to sell you on "psychedelic therapy" or who has a reputation on the internet of providing excessively large doses. Also keep in mind that the antidepressant effects are short-lived, so plan to engage with traditional long-term treatment (therapy and/or antidepressants) to create a lasting strategy for yourself when the short-term effects of the ketamine wear off.
- nwienert 4y agoThis would be far more helpful if you included the dose ranges you allude to, how many you think are required to cause damage, and threw in a few citations.
- cypherpunks01 4y agoDoes anyone know what the therapeutic ranges are at different clinics? I'm currently in IV infusion clinic where they start at 0.5 mg/kg, and increase by 0.1 per session. They are trying to target having a light psychedelic experience during the infusion, as they've found that gives the desired antidepressant effects later on, but not so much so as to be really far out, or to be frightening, totally out of body, or loss of consciousness at all. I'm told the max therapeutic dose they administer is somewhere between 1-2mg/kg, and I believe anesthetic effects come on somewhere in between 2-4mg/kg? Anesthesia doses are administered much faster, so I'm sure that it's not a direct comparison.