How To | At Home Ketamine 

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Summary: This page is intended to educate new or existing patients about at-home ketamine.

How to | Troches

1. Ketamine troches are for sublingual (under the tongue) use.

2. We suggest that you do not eat and only clear liquids 4 hours before using this medicine to minimize potential nausea side effects.

3. Drinking warm water with lemon or hot tea before can help increase absorbability.

4. We suggest having a trusted person sit with you when you use the medication at home.

5. In two words set your intention for why you are doing this treatment.  

6. Place the troche under the tongue. Hold it under the tongue until it's entirely dissolved. Continue to hold the dissolvent and any saliva that builds up for at least 15 min. Then spit it out. It's safe to swallow but may upset your stomach. Holding the troche under the tongue increases the effectiveness versus swallowing.

How to | Nasal Spray

1. Read the instructions on the bottle from the pharmacy.

2. We suggest that you do not eat and only clear liquids 4 hours before using this medicine to minimize potential nausea side effects.

3. We suggest you have a trusted person sit with you when you use the medication at home.

4. Ketamine nasal spray is for use only inside the nose. Do not get any of it into your eyes. If it does get in your eyes, rinse with water immediately.

5. Gently blow your nose to clear the nostrils before you use the nasal spray.

6. In two words set your intention for why you are doing this treatment.  

7. Hold the device upright between your thumb and first 2 fingers.

8. While sitting upright, tilt your head back slightly and insert the device tip into the first nostril.

9. Firmly press the plunger all the way down. Sniff gently after spraying and massage your nostril to help with absorption.

10. Repeat the steps for the other nostril.

11. If you need to use it again, wait 5 minutes after each spray to allow the medicine to be absorbed.

12. If liquid drips down your nose, sniff gently and dab it with a tissue. Do not blow your nose.

13. The goal with these steps is to increase the absorption rate as much as possible. If it's dripping down the back of your throat, it's reducing the medication's effectiveness.

14. If you need to take nasal steroid medicine or decongestant, take these at least 1 hour before/after using this medicine.

15. Text the office at 385-449-0565 if you are unsure about these instructions or have concerns.

Steps to become a new patient

1. The first visit must be in person at our Sandy, Utah Office

2. Complete the New Patient Forms by clicking here

3. Complete the Ketamine Consent Form here 

4. Complete the Ketamine Health Questionnaire here 

5. Have your diagnosis information available

6. After you have completed the above steps someone from the office will reach out and help answer additional questions and get scheduled.  Feel free to text our office line at 385-449-0565 and someone can help get scheduled.  When you text let us know the reason for the appointment is to set up an at-home ketamine prescription evaluation

7. In-office evaluation with a Restorative Health medical provider for at-home use prescription

8. The medication can either be sent to a compounding pharmacy near your house that is capable of receiving an electronic prescription or we can send the prescription to one of our preferred pharmacies and have the medication shipped to you

9. Once you have received your ketamine medication please text our office at 385-449-0565 to schedule a guided ketamine session to cover proper administration of the medication and best practices for positive health outcomes.  This appointment is approximately 30 minutes.

10. You will need to have a trusted person with you at your location at the time of this first administration.

Prescription evaluation cost

• $275 for existing patients and new patients. There is a one time fee of $35 to all new patients.

• This prescription evaluation cost also covers an appointment on how to properly use the medication at home. You will need to text our office and get this scheduled once you have your ketamine medication.  The purpose of this appointment is to improve health outcomes by providing additional guidance on how to properly administer the medication.  Have your medication on hand and be prepared for a 30 minute televisit appointment.  

• Payment is collected at the time of the appointment.  Please arrive a bit early so we can start the appointment on time.  

Medication cost

The shipping and medication costs are separate from the appointment.  Medication cost ranges from $45 - $65.  Compounding pharmacies require 48 - 72 hours to compound your medication before having it available.

Additional Information

1. No show | Last-minute cancellation fee of $45.  Please let us know at least 48 hours in advance if your appointment needs to be moved or canceled.  

2. Any prescription change requests will require a simple med management appointment of $75. i.e. switching from the trochees to the nasal spray or switching from the trochees to the suppositories.

3. For people | Follow up appointments are required with the prescribing medical provider in 30 days ($75) and then at minimum every 30 - 90 days ($75) determined by the medical provider.   Any patients living outside of Utah or Idaho will be required to be seen in person for their 6 month follow up.