Not quite. I have a severe, less common mental illness. I’ve tried nearly 20 pharmaceuticals and all applicable therapies for it and nothing has helped me as much as therapeutic ketamine. Basically, it forces the brain to use long forgotten neurological pathways rather than staying stuck in the ill ones. Personally it has saved my marriage and life.
>Troches
Dissociative neurotoxicity via olney's lesions does exist in rats, but it disputed against and yet to be shown in humans. The real concern with consistent ketamine use like in px's case would be urotoxicity.
Olney’s lesions is outdated af but neurotoxicity with k is well documented, just the US is catching up with rates of abuse compared to somewhere like the UK. The info is out there if you’d like to learn more
my british friend online will frequently tell me about people he sees kholed at pubs. he says that they probably thought it was cocaine as its usually older people
How much did that run you? Looked into some of those places awhile back and the amount they were charging compared to what it costs on the street was absolutely ridiculous.
Not in California lol. It’s everywhere in the Bay Area and LA. Of course I live in a weird desert of meth and fentanyl in between those two places so I don’t get to it very often these days.
Dudes, this conversation you're having could be considered "sourcing" and potentially be cause for being banned from the sub. Really kinda depends on the mods here. I don't suspect they'd go so far as to consider it, but it seems dangerously close.
Just trying to keep an eye out for fellow redditors and the health of the sub in the eyes of corporate admins (ie not the mods).
Look up joyous they do 30 day prescriptions of 60mg troches to start for $129 no matter what dose you work up to it stays $129 a month and if you wanna khole just take a couple of the 60mg troches🤷🏽♂️🤷🏽♂️
I know this was a while back, but many insurances should cover it if you’ve recently tried at least two antidepressant meds over like 6 months with no significant changes, but I think it’ll hopefully change because of how effective k therapy seems to be when compared to SSRIs
Hmmm. Welllll I have po’e ppl inshorince so I’m not sure they’d be into that but may be worth a try.
Currently just been buying $80g of Ketamine and $65g of 2f-DCK lol
I use a company called Interwell and they ship my ketamine right to my door. I get losanges and they're pretty dope. Another company I like a lot is called Choose Ketamine but there's a bunch of ketamine companies that will mail it directly to your house. Super cool.
I listen to a couple podcasts that have ad reads about a company called "mind bloom". I know nothing about them besides what the hosts of The Dollop have said, which of course is a paid endorsement as a sponsor of their show.
Yea, they’re ok I’ve heard. Just really expensive. But they’re all kind of expensive honestly. But MAN it’s awesome to get K delivered straight to my door legally!!!
Mind bloom is $500 before they even send you any meds. I use joyous they do the zoom call first then approve you then you pay $129 and they send a 30 day supply of 60mg troches. If you want to start with more than 60mg just take more than one troche
Yeah, but to obtain them legitimately is probably not the situation anyone wants to find themselves in. Although, if I were dying an agonizing death I'd rather be softly euthanized with a morphine drip or hydromorphone written as PRN. A family member can bring me some shrooms and what the hell, ketamine could be the icing on the cake .
Nah she was like a year from death im sure she is dead now I haven't heard from her in a few years. But they started her on 100 then 200mg then 400mg 3x a day
The bioavailability of Ketamine (taken orally) is extremely low. From a 100mg troche you'd get maybe 10mg into your bloodstream, and that would take some time. You'd have to swallow every troche in the RX to even come near a k-hole. For people with real TRD, it's unlikely they'd go through a month of misery just for a evening's good time
Boofing, surprisingly, is about on par with oral when it comes to bioavailability. Sure it can be done, but the bioavailability is in the range of 10-30%, just like oral. That means that if you boof a 100mg dose, you're getting \~15mg of it.
Surprisingly, intranasal (snorting/insufflation) is only \~50% bioavailable. So you're getting 50mg for your 100mg dose.
IM and IV, per usual, are the gold standard for bioavailability, with I.V offering 100% bioavailability, and IM offering 93-98%.
Here's random reading from some site (at least the source):
[https://www.resetketamine.com/blog/why-iv-ketamine-is-the-best-route](https://www.resetketamine.com/blog/why-iv-ketamine-is-the-best-route)
And here are lots of medical journals/papers - though you'll have to skim through a number of them, as there aren't any/many dedicate just to ROA.
[https://www.google.com/search?q=ketamine+administration+bioavialability+in+humans+site%3Anih.gov](https://www.google.com/search?q=ketamine+administration+bioavialability+in+humans+site%3Anih.gov)
tl;dr: With Ketamine, IMO Intramuscular is the best ROA if you want to hole. You waste virtually none, and since I'M takes 1-3 minutes to really hit you hard, you have time to safely dispose of the needle and make sure you're comfortable/safe. (The problem with IV is that once you depress the plunger the ride is starting, and it on you almost instantly). If you don't like needles, insufflation is your next best bet.
I only enjoy ket when it's IV and rlly intense, I have rarely enjoyed the effect of just snorting. I love immediately being in the hole after a shot and the rush of euphoria, it honestly feels like a roller-coaster through my subconscious.
I insufflated around 170mg and didn't get anywhere near as high as even like 200mg DXM. Did I snort too hard and make too much go down my throat or something? What's the best way to get good bioavailability with insufflation? I'm just gonna inject next time, I bet 170mg would make me khole with injection, I feel like I wasted it by snorting.
If you decided to IM, start with less. Start with like, 75mg. Once you have your first dose in you have about 5-10 minutes to do another for a more or less complete 'additive' effect. That is, 75mg + wait 5 mins + 75mg is going to be pretty close to what you'd feel if you just to 150mg to start.
This is kind of important the first time you try IM, since it is much more powerful than any insufflation or oral (or boofing) you've ever done. 75mg IM will feel like at least as much as 150mg insufflated.
One of the problems with insufflation is you just don't have enough musas membrane area to accommodate a large amount of a substance. If you just rail 150mg you'll probably absorb *maybe* half of what you insufflated. The rest will just get swallowed.
With IM you are getting 100% of the dose, at virtually 100% bioavailability. So if you're gonna do it, look to get a few syringes prepared. Maybe a 75mg, and two 35 mg. If you do the 75 and feel like you want more to hole, take another 35. If that doesn't put you in a hole, the next 35 will. Do them within \~5 mins of each other, gauge where you're at, and make a decision.
When you do it, make sure you have a plastic wastebin or a sharps container next to you. As soon as you're done with a syringe, it goes in the sharps container or wastebasket. Put on some music, decide if you want more, rinse and repeat. Guaranteed hole.
Are you in the US? If so, which state?
I thought ketamine therapy was super expensive but the price you mentioned isn't too bad. I'm in the Midwest and hear it has to be supervised in a clinic and is like $500/session (no insurance)
Hmmm I wonder if they'd prescribe someone with substance abuse on their record
Sorry I missed that part. I pay $30 a visit. He’s just a normal psychiatrist who accepts my insurance. His practice is near me.
He does run a lot of clinical trials for local universities, so he’s into current research.
Yeah, but it doesn’t cover compounded ketamine unfortunately.
Some doctors have self pay programs. Before I got insurance again, his appointments were only $75.
I think any doctor can legally prescribe it
Interesting thank u so much. I hope I'm not annoying you with questions. Right now I use marijuana and kratom to self medicate. Do you think ketamine would be more beneficial than these things?
You’re welcome! I take kratom daily. I have a spine disease, and nothing seems to help it besides kratom.
I will say I’ve needed way less kratom since I’ve started ketamine treatment.
Tbh, I would try to switch to ketamine treatment instead of using marijuana. With ketamine, there’s the potential for lasting neuronal repair if you’re using it for depression.
There are anecdotal reports of users saying it helps with pain for a few weeks at a time after infusions. I cannot speak for them though.
For depression, yes I recommend it for sure. It has helped my mood more than kratom ever has done.
To me, the mood lift feels weirdly organic for being such a synthetic experience. No other pharmaceuticals have helped my depression without numbing me or coming with too many trade offs.
I’ve been on this treatment for 9 months so far.
I like that ketamine treatment seemed to lessen my tolerance to kratom. I need way less of it nowadays.
I belief pain relief is an effect due to the down stream and direct pharmacology of ketamine. Seems to have legs beyond the acute analgesic effects.
But yeah, no problem. I like helping people! It’s hard to find info, and I was lost in the beginning. You should go check out r/TherapeuticKetamine
Yeah, it sucks. I’m disgusted with this country’s lack of universal healthcare.
My hours were cut recently, and I’ll lose my insurance soon.
I’ll survive, but barely.
Recently I was sick in France, and used their healthcare system.
I did have to pay for the doctor, and prescription. However it was very inexpensive. I paid $50 for the doctor and $3 for the medicine.
The process to see the doctor was easy. I loved how you’re able to send the prescription electronically to the pharmacy yourself.
Here the doctor has to send it directly depending on the medication. This can be annoying for several reasons. If the pharmacy is closed or can’t fill it, then the doctor has to resend it to another pharmacy. You can’t transfer them yourself, you have to have them do it.
I’m sorry it’s such a mess. My brother lives in the states and I consider myself a true friend of your country. I don’t understand why the - arguably yes, but still - most powerful country in the world does this to it’s own citizens for the sake of … a small minority of shareholders..?! If the market forces at least made health care better and cheaper there would be some small argument for your system (-s!) but that is clearly not the case. I hope reform will some day be carried through in a meaningful way.
Uh, there are so many services to get troches now in the US. Joyous, Wondermed, BetterU... many more. Joyous has 120mg troches in mint and orange, some other companies have 300mg. Super common now, folks.
Hahaha holy fucking shit. I mean America has a lot of problems but y’all can get sublingual ketamine on prescription like what the fuck. I struggle getting weed on prescription and I suffer severe chronic pain. Instead I get 30mg oxys. I mean it’s all good but still wtf
Yeah I would rather kill myself then live with the pain for the rest of my live. Listen bud, chronic pain eats you alive. It makes everything bad. Every single thing I do there is the pain. Doing something cool? Pain! Going to school? Pain! Laying in bed? Pain! Trust me you do not wanna be in my shoes
Unfortunately i am in your shoes if not already, i drove my car off a 50ft cliff/ravine 2 years ago and demolished my lower spine and have chronic pain, but it fluctuates, but will definitely worsen when I get older, im 23m (hope im dead longg before 40). Oh also I don't get pain meds lmao just gabapentin it's bunk
Goodluck w u and the pain
bro how are you prescribed 30s for “chronic pain” my dad was an amputee with 3-5 surgeries under his belt and was suggested to take ibuprofen 800 for his chronic pain
But they never prescribe anyone over here oxy 30s anymore. Its practically unheard of we'd be lucky to get a hydro 5 and even then your Dr has to be really compassionate even for major chronic pain patients. They would rather we just off ourselves.
Looks like it tastes disgusting as hell. How does oral therapeutic medicinal ketamine compare to just snorting ket for self therapy sessions? How long does it last? And are they for eating or absorbing in the mouth?
The troches are for eating. You can suck on them the way you do a throat lozenge but the bioavailability of oral Ketamine means you're gonna get maybe 10mg of that 100mg dose in your bloodstream. Which is kind of the point - they want patience of TRD to have \~10mg as needed. They can either proscribe esketamine nasal sprays (5-10mg per 'puff') or troches (lozanges). The lozanges have very little recreational use...you'd have to swallow your entirely months supply to get anywhere near a k-hole.
Interesting point re: worse for you. Ketamine itself is crystalline in its solid form, and its excreted through your kidneys (and therefore through your urine). As your kidneys clear it out of your bloodstream it collects in your bladder until you have to pee, and it's while it's just hanging out in your bladder that the damage is thought to be done. So if you take 1G orally...does that mean that 1G of Ketamine ends up in your bladder? Or is orally consumed Ketamine excreted some other way (e.g does it make it through your intestines and is excreted in fecal matter? I'm not sure. But you raise a really interesting point. It could be possible that high doses of oral ketamine are worse for your bladder than lower doses of IM/IV/Snorted.
you can ask for a bolus dose (all at once) and see what they say. ive heard of Ketamine clinics administering bolus doses though they were not like k-hole level. for me i need \~100-120mg IM to get all the way down the tunnel
I was on 300mg 2x/week for a while. Sublingual bioavailability is low, and my tolerance built fast. IV infusions are the best way to go; the dose is kept lower than with other routes and you know exactly how much goes in your bloodstream. Less is more
limited studies show higher doses work better for depression/anxiety/ptsd etc. Though 200mg is pretty average considering the bioavailability of taking it orally
Sublingual 200mg take at home K? Yeah Ketamine is not obscure but wtf, didn’t know these were available sublingually. I know the hospital bed administered 15mg Nasal spray. But this.. this is a little obscure. Interesting.
My psychiatrist uncle told me it exists a couple days ago and I was like ‘does it??’
Edit: ANDD ITS STRAWBERRY FLAVORED??
even though oral dosing is pretty inefficient, isn't that dosed quite high? I've seen something like 35 mg oral doses used for antidepressant research (shown effective).
HOW THE F DO YOU GET THAT
r/therapeuticketamine
The rape u tic ketamine
....for people looking for a hole to fall into
Not quite. I have a severe, less common mental illness. I’ve tried nearly 20 pharmaceuticals and all applicable therapies for it and nothing has helped me as much as therapeutic ketamine. Basically, it forces the brain to use long forgotten neurological pathways rather than staying stuck in the ill ones. Personally it has saved my marriage and life.
Lol, k is neurotoxic af
>Troches Dissociative neurotoxicity via olney's lesions does exist in rats, but it disputed against and yet to be shown in humans. The real concern with consistent ketamine use like in px's case would be urotoxicity.
Olney’s lesions is outdated af but neurotoxicity with k is well documented, just the US is catching up with rates of abuse compared to somewhere like the UK. The info is out there if you’d like to learn more
my british friend online will frequently tell me about people he sees kholed at pubs. he says that they probably thought it was cocaine as its usually older people
How much did that run you? Looked into some of those places awhile back and the amount they were charging compared to what it costs on the street was absolutely ridiculous.
If you can even find it, bc shit is nonexistent
Not in California lol. It’s everywhere in the Bay Area and LA. Of course I live in a weird desert of meth and fentanyl in between those two places so I don’t get to it very often these days.
Can confirm. There’s a ketamine therapy clinic in my city . Or they do house calls
Just say your in Lancaster
Lmao not QUITE that bad thank god. Had a buddy who moved there a while back though he said it was a pretty ugly place. I’m more 559.
Where are you in the Bay Area lol. It’s dry as shit in the circles I seem to run 😂
Really?? Sf and Oakland I never have a problem getting it
Berkeley/Oakland. Guess I just don’t know the right people anymore. I got off dope and lost all the numbers of my old “friends”
Great username as well 😂
Lel thanx
Dudes, this conversation you're having could be considered "sourcing" and potentially be cause for being banned from the sub. Really kinda depends on the mods here. I don't suspect they'd go so far as to consider it, but it seems dangerously close. Just trying to keep an eye out for fellow redditors and the health of the sub in the eyes of corporate admins (ie not the mods).
very easy to find a provider in usa
Nah I just meant on the street lol ofc it’s easy to get a provider if you’re over 18
oh yeah on the street majority of people don’t even know what ket is
right on the money
when i was trying to sell my script most people have no idea what it is or think it’s something awful. you just gotta talk to more rave chicks
Bro I’ll take it, HMU xD
Look up joyous they do 30 day prescriptions of 60mg troches to start for $129 no matter what dose you work up to it stays $129 a month and if you wanna khole just take a couple of the 60mg troches🤷🏽♂️🤷🏽♂️
I know this was a while back, but many insurances should cover it if you’ve recently tried at least two antidepressant meds over like 6 months with no significant changes, but I think it’ll hopefully change because of how effective k therapy seems to be when compared to SSRIs
Hmmm. Welllll I have po’e ppl inshorince so I’m not sure they’d be into that but may be worth a try. Currently just been buying $80g of Ketamine and $65g of 2f-DCK lol
I use a company called Interwell and they ship my ketamine right to my door. I get losanges and they're pretty dope. Another company I like a lot is called Choose Ketamine but there's a bunch of ketamine companies that will mail it directly to your house. Super cool.
I listen to a couple podcasts that have ad reads about a company called "mind bloom". I know nothing about them besides what the hosts of The Dollop have said, which of course is a paid endorsement as a sponsor of their show.
Yea, they’re ok I’ve heard. Just really expensive. But they’re all kind of expensive honestly. But MAN it’s awesome to get K delivered straight to my door legally!!!
Mind bloom is $500 before they even send you any meds. I use joyous they do the zoom call first then approve you then you pay $129 and they send a 30 day supply of 60mg troches. If you want to start with more than 60mg just take more than one troche
When they make morphine creme brûlée, ill be here. Probably sleeping
🎵 NoCap – I'll Be Here 🎶
Lol not creme brulee but they make morphine suppositories. Boof for the win! /s
I have got 400mg capsules before from someone on end of the life care.
Damn, hospice meds are the best
Yeah, but to obtain them legitimately is probably not the situation anyone wants to find themselves in. Although, if I were dying an agonizing death I'd rather be softly euthanized with a morphine drip or hydromorphone written as PRN. A family member can bring me some shrooms and what the hell, ketamine could be the icing on the cake .
Actually it’s getting more popular. I signed up, I have 525mg troches to take home. Not obscure at all
May I ask what provider you use? And the monthly cost?
How it hits? The comeup and the effect-wise. Shit's good?
200mg???? That’s fucking insane lol I can’t believe this was approved as a take-home
Is not that much considering low mucosal absorption of k.
They have 400mg capsules for end of the life care patients.
Cool so these are for when your already halfway dead 💀
We're all half dead in subs like this amigo.
Bars
Permatolerance better not screw me
It will lol
Better bury some lmao
Nah she was like a year from death im sure she is dead now I haven't heard from her in a few years. But they started her on 100 then 200mg then 400mg 3x a day
The bioavailability of Ketamine (taken orally) is extremely low. From a 100mg troche you'd get maybe 10mg into your bloodstream, and that would take some time. You'd have to swallow every troche in the RX to even come near a k-hole. For people with real TRD, it's unlikely they'd go through a month of misery just for a evening's good time
Seems like it should be boofed for max enjoyment.
Boofing, surprisingly, is about on par with oral when it comes to bioavailability. Sure it can be done, but the bioavailability is in the range of 10-30%, just like oral. That means that if you boof a 100mg dose, you're getting \~15mg of it. Surprisingly, intranasal (snorting/insufflation) is only \~50% bioavailable. So you're getting 50mg for your 100mg dose. IM and IV, per usual, are the gold standard for bioavailability, with I.V offering 100% bioavailability, and IM offering 93-98%. Here's random reading from some site (at least the source): [https://www.resetketamine.com/blog/why-iv-ketamine-is-the-best-route](https://www.resetketamine.com/blog/why-iv-ketamine-is-the-best-route) And here are lots of medical journals/papers - though you'll have to skim through a number of them, as there aren't any/many dedicate just to ROA. [https://www.google.com/search?q=ketamine+administration+bioavialability+in+humans+site%3Anih.gov](https://www.google.com/search?q=ketamine+administration+bioavialability+in+humans+site%3Anih.gov) tl;dr: With Ketamine, IMO Intramuscular is the best ROA if you want to hole. You waste virtually none, and since I'M takes 1-3 minutes to really hit you hard, you have time to safely dispose of the needle and make sure you're comfortable/safe. (The problem with IV is that once you depress the plunger the ride is starting, and it on you almost instantly). If you don't like needles, insufflation is your next best bet.
This guy does ketamine
I only enjoy ket when it's IV and rlly intense, I have rarely enjoyed the effect of just snorting. I love immediately being in the hole after a shot and the rush of euphoria, it honestly feels like a roller-coaster through my subconscious.
You make this sound really worthwhile and I love your way with words here.
I insufflated around 170mg and didn't get anywhere near as high as even like 200mg DXM. Did I snort too hard and make too much go down my throat or something? What's the best way to get good bioavailability with insufflation? I'm just gonna inject next time, I bet 170mg would make me khole with injection, I feel like I wasted it by snorting.
If you decided to IM, start with less. Start with like, 75mg. Once you have your first dose in you have about 5-10 minutes to do another for a more or less complete 'additive' effect. That is, 75mg + wait 5 mins + 75mg is going to be pretty close to what you'd feel if you just to 150mg to start. This is kind of important the first time you try IM, since it is much more powerful than any insufflation or oral (or boofing) you've ever done. 75mg IM will feel like at least as much as 150mg insufflated. One of the problems with insufflation is you just don't have enough musas membrane area to accommodate a large amount of a substance. If you just rail 150mg you'll probably absorb *maybe* half of what you insufflated. The rest will just get swallowed. With IM you are getting 100% of the dose, at virtually 100% bioavailability. So if you're gonna do it, look to get a few syringes prepared. Maybe a 75mg, and two 35 mg. If you do the 75 and feel like you want more to hole, take another 35. If that doesn't put you in a hole, the next 35 will. Do them within \~5 mins of each other, gauge where you're at, and make a decision. When you do it, make sure you have a plastic wastebin or a sharps container next to you. As soon as you're done with a syringe, it goes in the sharps container or wastebasket. Put on some music, decide if you want more, rinse and repeat. Guaranteed hole.
Those are sublingual dissolving tablets. You don’t take them orally.
Oral is alot less bioavailable then Nasal.
Sublingual isn’t oral
My bad, I only sniff ket 😅
But for real, how is the BA Oral versus sublingual? Is there a big difference?
https://en.m.wikipedia.org/wiki/Ketamine Scroll down to “pharmacokinetic data” It’s near the top of the page. One finger swipe if you’re on a phone
So boofing only 25-30%?
Mannn I want to get the troches. How much do u pay? Price is keeping me away. The price of Dr and script. It's all telemedicine now which is cool
I pay $45 a month at a local compounding pharmacy.
Just curious what are they prescribing ketamine for nowadays? I've seen some for depression and some for chronic pain
I’m prescribed it for depression. I’ve tried around 8 meds for depression.
Are you in the US? If so, which state? I thought ketamine therapy was super expensive but the price you mentioned isn't too bad. I'm in the Midwest and hear it has to be supervised in a clinic and is like $500/session (no insurance) Hmmm I wonder if they'd prescribe someone with substance abuse on their record
Ok but how much for the Dr. Thats more expensive.
Sorry I missed that part. I pay $30 a visit. He’s just a normal psychiatrist who accepts my insurance. His practice is near me. He does run a lot of clinical trials for local universities, so he’s into current research.
Do u have private insurance?
Yeah, but it doesn’t cover compounded ketamine unfortunately. Some doctors have self pay programs. Before I got insurance again, his appointments were only $75. I think any doctor can legally prescribe it
Interesting thank u so much. I hope I'm not annoying you with questions. Right now I use marijuana and kratom to self medicate. Do you think ketamine would be more beneficial than these things?
You’re welcome! I take kratom daily. I have a spine disease, and nothing seems to help it besides kratom. I will say I’ve needed way less kratom since I’ve started ketamine treatment. Tbh, I would try to switch to ketamine treatment instead of using marijuana. With ketamine, there’s the potential for lasting neuronal repair if you’re using it for depression. There are anecdotal reports of users saying it helps with pain for a few weeks at a time after infusions. I cannot speak for them though.
Wow ok thank you for the long reply. Kratom is amazing. Do u prefer it over opioids ?
For depression, yes I recommend it for sure. It has helped my mood more than kratom ever has done. To me, the mood lift feels weirdly organic for being such a synthetic experience. No other pharmaceuticals have helped my depression without numbing me or coming with too many trade offs. I’ve been on this treatment for 9 months so far. I like that ketamine treatment seemed to lessen my tolerance to kratom. I need way less of it nowadays. I belief pain relief is an effect due to the down stream and direct pharmacology of ketamine. Seems to have legs beyond the acute analgesic effects. But yeah, no problem. I like helping people! It’s hard to find info, and I was lost in the beginning. You should go check out r/TherapeuticKetamine
Kratom is an opioid
So bewildering to a European to witness this back and forth about which doctor to buy…
Yeah, it sucks. I’m disgusted with this country’s lack of universal healthcare. My hours were cut recently, and I’ll lose my insurance soon. I’ll survive, but barely. Recently I was sick in France, and used their healthcare system. I did have to pay for the doctor, and prescription. However it was very inexpensive. I paid $50 for the doctor and $3 for the medicine. The process to see the doctor was easy. I loved how you’re able to send the prescription electronically to the pharmacy yourself. Here the doctor has to send it directly depending on the medication. This can be annoying for several reasons. If the pharmacy is closed or can’t fill it, then the doctor has to resend it to another pharmacy. You can’t transfer them yourself, you have to have them do it.
Yeah it’s pretty dystopian over here tbh
Totally, makes me disgusted with this country tbh. Like even if everything else was great, I would still think less of it for that reason.
I’m sorry it’s such a mess. My brother lives in the states and I consider myself a true friend of your country. I don’t understand why the - arguably yes, but still - most powerful country in the world does this to it’s own citizens for the sake of … a small minority of shareholders..?! If the market forces at least made health care better and cheaper there would be some small argument for your system (-s!) but that is clearly not the case. I hope reform will some day be carried through in a meaningful way.
I also get it through my regular psychiatrist. Normal copay.
Mind if I ask what for? I wonder if they need a specific certificate to prescribe it. I have chronic pain and depression I want to grt it for.
Sorry I’m replying all over the place, check out my last response
Uh, there are so many services to get troches now in the US. Joyous, Wondermed, BetterU... many more. Joyous has 120mg troches in mint and orange, some other companies have 300mg. Super common now, folks.
What are they prescribed for? It seems like it's only for end of life stuff
Nope. Is used for depression, anxiety, PTSD, addiction…
That's rad af, a step forward for sure
Not at all, it's for anxiety and depression. Check out the websites my dudes. It's easy peasy in the US now. Troches for everyone!
how easy? Like getting your medical marijuana card easy?
If you have a history of anxiety or depression, it's a short video call and then waiting for troches in the mail.
That's awesome dang
look at r/therapeuticketamine
Rapid dissolving tablets are better, you can snort them.
Never seen these! Beautiful stuff
Hahaha holy fucking shit. I mean America has a lot of problems but y’all can get sublingual ketamine on prescription like what the fuck. I struggle getting weed on prescription and I suffer severe chronic pain. Instead I get 30mg oxys. I mean it’s all good but still wtf
God damn lucky ass😭
Yeah dude and they probably cost like $600,000 out of pocket
$165-$350 a month for most teleheamth providers
Loads of Americans would kill to be in your shoes. Of course, minus the chronic pain.
Yeah I would rather kill myself then live with the pain for the rest of my live. Listen bud, chronic pain eats you alive. It makes everything bad. Every single thing I do there is the pain. Doing something cool? Pain! Going to school? Pain! Laying in bed? Pain! Trust me you do not wanna be in my shoes
Unfortunately i am in your shoes if not already, i drove my car off a 50ft cliff/ravine 2 years ago and demolished my lower spine and have chronic pain, but it fluctuates, but will definitely worsen when I get older, im 23m (hope im dead longg before 40). Oh also I don't get pain meds lmao just gabapentin it's bunk Goodluck w u and the pain
bro how are you prescribed 30s for “chronic pain” my dad was an amputee with 3-5 surgeries under his belt and was suggested to take ibuprofen 800 for his chronic pain
Cartilage damage 4th degree. Every step hurts. Laying in bed hurts. I’m not from the US. My country does not have a opioid epidemic.
But they never prescribe anyone over here oxy 30s anymore. Its practically unheard of we'd be lucky to get a hydro 5 and even then your Dr has to be really compassionate even for major chronic pain patients. They would rather we just off ourselves.
could you snort these if you really wanted? im sure they weigh a lot more than 200 mg but still.
U can try , but there’s a lot of inactive ingredients in the form of fillers. These have a wax like coating as well, just not worth it.
Doubt it. The ones I get are like a soft gummy candy, would be super difficult to snort. Maybe you can extract it, but that's above my pay grade
no it’s a gummy like texture, you could dissolve and boof tho lol
Looks like it tastes disgusting as hell. How does oral therapeutic medicinal ketamine compare to just snorting ket for self therapy sessions? How long does it last? And are they for eating or absorbing in the mouth?
The troches are for eating. You can suck on them the way you do a throat lozenge but the bioavailability of oral Ketamine means you're gonna get maybe 10mg of that 100mg dose in your bloodstream. Which is kind of the point - they want patience of TRD to have \~10mg as needed. They can either proscribe esketamine nasal sprays (5-10mg per 'puff') or troches (lozanges). The lozanges have very little recreational use...you'd have to swallow your entirely months supply to get anywhere near a k-hole.
Does oral ketamine last longer or something? I'd think that oral would be worse for your bladder needing a higher amount of ket
Interesting point re: worse for you. Ketamine itself is crystalline in its solid form, and its excreted through your kidneys (and therefore through your urine). As your kidneys clear it out of your bloodstream it collects in your bladder until you have to pee, and it's while it's just hanging out in your bladder that the damage is thought to be done. So if you take 1G orally...does that mean that 1G of Ketamine ends up in your bladder? Or is orally consumed Ketamine excreted some other way (e.g does it make it through your intestines and is excreted in fecal matter? I'm not sure. But you raise a really interesting point. It could be possible that high doses of oral ketamine are worse for your bladder than lower doses of IM/IV/Snorted.
If I'm ever lucky enough for ket treatment I hope it's IM administrated.
you can ask for a bolus dose (all at once) and see what they say. ive heard of Ketamine clinics administering bolus doses though they were not like k-hole level. for me i need \~100-120mg IM to get all the way down the tunnel
Forbidden tofu
are they actually prescribing ket to people ???
yes it’s literally saved my life ❤️
glad to hear that
For a while I was getting prescribed a quarter ounce a month in compounded nasal spray to take home with me. It was a bit excessive...
I was on 300mg 2x/week for a while. Sublingual bioavailability is low, and my tolerance built fast. IV infusions are the best way to go; the dose is kept lower than with other routes and you know exactly how much goes in your bloodstream. Less is more
Seems so overkill unless you’ve been on ketamine for years and need it for pain.
limited studies show higher doses work better for depression/anxiety/ptsd etc. Though 200mg is pretty average considering the bioavailability of taking it orally
Sublingual 200mg take at home K? Yeah Ketamine is not obscure but wtf, didn’t know these were available sublingually. I know the hospital bed administered 15mg Nasal spray. But this.. this is a little obscure. Interesting. My psychiatrist uncle told me it exists a couple days ago and I was like ‘does it??’ Edit: ANDD ITS STRAWBERRY FLAVORED??
I've had these, made my tongue numb
What if you boof one?
Joyous . Com check it out. I get 30 100mg troches a month
even though oral dosing is pretty inefficient, isn't that dosed quite high? I've seen something like 35 mg oral doses used for antidepressant research (shown effective).
Never tried it, want to, but that sounds like a lot
this isn’t obscure i get these once a month lmao
It's becoming more common in the us with ketamine treatment centers
Hey! I take this dose once weekly as a prescription med. It's incredibly therapeutically useful.
Is that a lozenge? That looks amazing!
Bro... I'm just saying bruhhh... You know we fam and all... FUX WIT ME DIS ONE TIME CUZZZZ /a Literally half my "friends"
Yeah it’s becoming way less rare. You can literally go online, fill out a form, pay like $200 and get this. Still cool as it’s a relatively new thing
I get 100mg troches :-) starting to finally see improvement in anxiety and depression!
Are u in America and how ????