In clinic Ketamine Lozenges for Ketamine Assisted Therapy London and Manchester
Ketamine Assisted Therapy with Ketamine Lozenges
Ketamine Lozenges are taken in clinic in front of therapist
- Ketamine is a licensed anaesthetic drug. It can also work as an antidepressant but has not been licensed for this use.
- A closely related version, nasal esketamine, does have a licence but is very expensive.
>>I work with a Compound Pharmacy who manufacture Ketamine Lozenges for my Ketamine Assisted Therapy Program in London and Manchester
This is a self-pay, ketamine treatment program
- Before offering you an assessment I will assess your suitability for treatment by reviewing a completed New Patient Registration and a Ketamine Assisted Therapy Pack which I ask you to complete and return
- If I can offer you an assessment, you will complete several Self-Report Questionnaires for Ketamine Assisted Therapy before your assessment meeting with me.
- If you are an existing patient of mine, you will not require an assessment meeting.
- If you are not an existing patient of mine, you will require an assessment meeting.
I offer Ketamine Lozenges for Ketamine Assisted Therapy for the treatment of difficult to treat psychiatric disorders such as:
- Treatment Resistant Depression - maintenance phase
- Post-traumatic Stress Disorder (PTSD) and Complex PTSD
- PTSD with Chronic Primary Pain
- Treatment Resistant Anxiety
- Obsessive-Compulsive Disorder (OCD)
- Substance abuse co-occurring with a primary psychiatric disorder
- Relationship and existential issues such as existential distress
- Bipolar I and II depressive phases (not mania)
- Psychological reactions to physical illness and life-threatening illnesses
- Chronic secondary pain
I may recommend that you first have Intravenous Ketamine Assisted Therapy followed by Ketamine Lozenges Assisted Therapy for any of the above conditions.
- This will be on a case-by-case basis, but I will always recommend that you first have Intravenous Ketamine Assisted Therapy for:
- Depression with Suicidality
- Suicidality
Ketamine Lozenges for Ketamine Assisted Therapy is on a weekly basis and combined with weekly Integration Therapy.
- Assessment meetings are usually online, but we can meet face-to-face if you prefer.
- Initial treatment consists of six weekly Ketamine Assisted Therapy Ketamine Lozenges and Ketamine Assisted Integration Therapy.
You can have up to 30 weekly Ketamine Assisted Therapy Ketamine Lozenges and Integration Therapy (blocks of six).
Longer-term, maintenance ketamine treatment, which can continue for several years may be required.
- Ketamine has brief rapid antidepressant effect which has been confirmed in many several clinical trials over the last 20 years.
- Drugs receive a licence if the MHRA approves them as safe and effective for a particular condition.
- Ketamine is not a licensed treatment for any mental health conditions but can be prescribed as an off-label treatment for any of the above-mentioned indications.
- Ketamine is licensed as an anaesthetic and for analgesia.
- A version of ketamine, Spravato esketamine nasal spray, has a licence for use in Treatment Resistant Depression alongside an SSRI or SNRI.
- It has not yet been approved by NICE and is therefore not yet available on the NHS.
- It is expensive and the Lozenges are a suitable alternative because it has a favourable bio-availability and is considerately cheaper
Maintenance Ketamine Assisted Therapy with Ketamine Lozenges
- My KAT IV program, twice weekly over 3 weeks for Treatment Resistant Depression (TRD) and weekly for cPTSD can be followed by one further IV KAT session with a view to KAT, weekly using Ketamine Lozenges
- Each maintenance phase is weekly KAT for 6 weeks and can be repeated for up to 30 weeks.
- This his is combined with weekly Integration Therapy
- If you have TRD and are taking medication, I will invariably recommend that you have The Psychiatric Pharmacogenetic Test to optimise your treatment
- If you have cPTSD, I will invariably recommend that you consider having The Health and Wellbeing Test to ascertain your MTHFR status MTHFR & Other Methylation Gene Polymorphisms in Psychiatric Disease & An Evidence-Based Treatment Option