What is Ketamine?
Used commonly as an anesthetic, It has been found to remarkably and rapidly improve the symptoms of depression, chronic pain and other types of mental pain. Ketamine works by shutting down overactive neurons, improving the health of your existing neurons and improving the connectivity in your brain.
How do I know if Ketamine is right for me?
Iowa Ketamine Services, PLC in Cedar Rapids requires an in-person consultation. The charge for this is $100 and takes about one hour. We also suggest discussing the possibility of ketamine infusions with your primary care physician or psychiatrists before determining if it might work for you.
Does Ketamine work for all types of depression?
Currently Ketamine is recommended for Treatment Resistant Depression (TRD). TRD is defined as the patient having tried and failed 2-3 types of oral anti-depressant medications.
Do you accept my insurance?
No. Insurance companies do not cover Ketamine infusions at this time.
What is the cost of treatment?
For Depression, Bipolar, PTSD and Mood Disorders, the cost of each infusion is $425. The number of infusions will differ depending on the patient's condition and response to initial treatment.
For CRPS and other types of chronic pain these infusions are more difficult to treat and require longer infusions. The cost for these infusions are $1,100 and the number of treatments will be decided during your consult with the physician.
How many treatments will I need?
Treatment Resistant Depression and Mood Disorders are treated with 6 treatments over 2-3 weeks. Migraines are typically treated with one to two treatments. As noted above, chronic pain infusions are several hours long for several days in a row. The doctor works closely with each patient to tailor an individual schedule that will be most successful.
Do I need a referral for treatment?
No, but it is preferred. We would like you to bring any type of documentation that you have from your Primary Care, Pain Specialist or Psychiatrist concerning your diagnosis and past treatment. It is recommended that your physician be aware of your plans to start Ketamine infusions.
What should I bring the day of my consultation?
A full and accurate medication and allergy list, and any diagnostic/treatment information from prior physicians. It is recommended that you bring a family member or trusted friend to help you understand if ketamine is right for you.
Do I need to stop any of my medications?
Your medications will be discussed and, unless instructed otherwise, you should continue to take all your medications as scheduled, including your medications for pain and depression. You may find a decreased need for these meds after your infusion; however, you should work with your doctor to wean off these medications instead of stopping quickly. Dr. Hodges will not discontinue any medications.
Can I eat or drink before I come in?
Please do not have anything to eat four hours prior to your infusion appointment or have anything to drink two hours prior to your appointment.
What should I wear the day of the infusion?
Comfortable, loose clothing.
What should I expect on the day of the infusion?
You will be greeted by Dr. Hodges and asked to fill out a short questionnaire. The doctor will perform a physical exam. She will start an IV and place you on monitors. We will help you get comfortable and then begin the infusion. During your infusion you will have your blood pressure, heart rate, oxygen level and breathing monitored. Typically the infusion lasts one hour, and we monitor you for 15 to 30 minutes after the infusion.
Is it possible I will not get my infusion?
Any severe hypertension, chest pain, evidence of street drug abuse (cocaine, amphetamines or opiates) or manic symptoms during your physical exam will prohibit you from receiving Ketamine.
Can I drive myself home?
No. Your thinking may be impaired for 24 to 48 hours, and we require you to have someone to drive you home BEFORE starting the infusion. We also ask that you refrain from operating heavy machinery, avoid strenuous activities, do not watch small children or sign/enter into legal contracts for the next 24 hours.
Where can I get additional information?
Our Facebook page is always posting new articles and research! Be sure to follow us so you get these things in your feed.
How can get information about starting my own ketamine practice or adding ketamine services to my clinic?
Dr. Hodges has drafted a 30-page document outlining general considerations and things to think about if you are thinking of starting your own ketamine practice. While this is not meant to be a step-by-step instructional guide, it can help you understand what is involved up front so you can decide of owning and operating a ketamine practice is something you want to pursue. You can find this document here.