What Disqualifies You From Ketamine Therapy?

August 21, 2024

Ketamine is being used as a treatment for many mental health conditions. And, it’s getting attention from both the medical community and patients.

The problem is that, in some cases, traditional treatment doesn’t work for those with depression, anxiety, and PTSD. For many, ketamine is an alternative to help treat those conditions since it can provide faster results (typically within the hour) and more effective results.

Many clinics in New York (and worldwide) have specialized in this therapy and offer customized treatment plans for each patient’s specific needs and medical history.

But is everyone eligible for ketamine therapy?

Knowing the eligibility criteria for ketamine therapy is important for those considering this new approach so you get the right care for your situation.
In this blog post, we will go over the key factors that will disqualify (and qualify) you from ketamine therapy.

Ketamine is a treatment for mental health conditions for people with depression, anxiety, and PTSD.
Understanding the eligibility criteria is key to getting ketamine therapy so you get the right care for your condition.
Some criteria that will disqualify you from ketamine therapy include having cardiovascular conditions, a history of substance abuse, severe psychiatric disorders, and liver and kidney issues.

Before we get into who can benefit from ketamine therapy, let’s define what ketamine therapy is.

Ketamine therapy involves using ketamine, an anesthetic, to treat conditions like depression, anxiety, PTSD, and chronic pain (1). The results are impressive, especially for those who have tried traditional treatments and have not responded.

Researchers have found that ketamine can “reboot” the brain’s neural pathways, create new connections, and overall improve mental health (2). This mechanism of action makes ketamine a powerful tool in the fight against mental conditions.

To get ketamine therapy, patients must meet certain criteria. Generally, the best candidates are those with treatment-resistant depression, anxiety disorders, PTSD, and chronic pain syndromes.

Remember, all of the above conditions must be diagnosed by a qualified medical professional who can confirm that the patient is a good candidate for ketamine therapy.

Additionally, to qualify for ketamine therapy, patients must have tried other treatments without success. This includes multiple medications, psychotherapy, and lifestyle changes.

So, by the time people are considering ketamine therapy, they have exhausted all other “solutions” and are looking for a last resort.

Also, a thorough medical evaluation is necessary to ensure safety. Your healthcare provider will need to review your overall health, including any existing medical conditions and current medications, before recommending ketamine therapy.

While ketamine therapy is hope for many, there are specific disqualifying factors.

Cardiovascular conditions. Those with severe heart disease or uncontrolled hypertension may be disqualified due to the cardiovascular effects of ketamine. These conditions need to be managed before therapy.
History of substance abuse. Those with a history of substance abuse, especially ketamine or other dissociative drugs, may not be eligible. The risk of misuse and dependency needs to be screened.
Severe psychiatric disorders. Certain psychiatric conditions like schizophrenia or bipolar disorder may contraindicate ketamine therapy. The treatment can worsen symptoms in these patients.
Pregnancy and nursing. Pregnant or nursing women should avoid ketamine therapy until more research confirms the safety in these populations.
Unstable medical conditions. Any unstable medical condition that requires immediate attention will disqualify a patient from ketamine therapy. These include acute respiratory distress, active infections, or recent surgery complications.
Liver and kidney issues. Severe liver or kidney disease can make ketamine therapy risky as these organs are involved in metabolizing and excreting the drug.
Medical interactions. Ketamine can interact with many medications, altering its effects or increasing the risk of adverse reactions.
Negative reactions to ketamine. Some people may have a negative reaction to ketamine, experiencing side effects like hallucinations, confusion, or dissociation. These reactions vary depending on the person’s mental health status and previous experiences with similar substances.

Healthcare providers must inform patients of the risks and benefits and the legality of ketamine in their area. This is crucial to promote ethical practice in mental health.

If you have any further questions or need clarification on any other disqualifying criteria for ketamine therapy, please reach out to us. We will gladly guide you through this process!

Before starting ketamine therapy, consider the following points to get the most out of the treatment.

Share current medications. Tell your provider about all medications (even over-the-counter) you are taking. Some medications can interact with ketamine and affect its effectiveness and safety.
Current and past medical history. Your full medical history, including past surgeries, chronic conditions, and previous medication responses, will help inform your treatment plan.

Ketamine therapy is helpful for many with severe mental health conditions. However, not everyone is suitable to get it.

By knowing the disqualifying criteria and being open with your provider, you can make informed decisions about your treatment.

In the NYC, Queens, and Long Island areas, Ketamine Wellness NY offers affordable prices and expert care. Our board-certified physician, Dr. Pervaiz Qureshi, has years of experience and a passion for helping patients be their best.

Call or text us today to book your appointment and get $100 off your first IV. Start your journey to better mental health today!

Walsh, Zach, et al. “Ketamine for the Treatment of Mental Health and Substance Use Disorders: Comprehensive Systematic Review.” BJPsych Open, vol. 8, no. 1, 23 Dec. 2021, www.cambridge.org/core/services/aop-cambridge-core/content/view/36E261BFA62CDA6459B88F7777415FDA/S2056472421010619a.pdf/ketamine-for-the-treatment-of-mental-health-and-substance-use-disorders-comprehensive-systematic-review.pdf, https://doi.org/10.1192/bjo.2021.1061.
Wu, Hao, et al. “Ketamine for a Boost of Neural Plasticity: How, but Also When?” Biological Psychiatry, vol. 89, no. 11, June 2021, pp. 1030–1032, https://doi.org/10.1016/j.biopsych.2021.03.014.

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Is Ketamine Therapy Covered by Insurance in NYC?

August 21, 2024

Navigating the complex topic of insurance coverage can often make you feel overwhelmed and confused. When it comes to emerging therapies, like ketamine treatment, there are still several questions regarding ketamine and insurance coverage.

In New York, mental health issues are currently on the rise. In fact, research shows that one in five New Yorkers show a sign of mental disorders (1). Due to this common issue, more people are searching for innovative approaches and how insurance policies interact with these therapies.

In this blog, we are going to shed some light on the several factors that can influence insurance coverage for ketamine therapy, including policy specifics, provider networks, and potential out-of-pocket expenses. By providing you with this important information, we hope to empower you to make an informed decision regarding mental health treatment options.

Ketamine therapy is a promising treatment for mental health conditions such as OCD, depression, and anxiety.
Insurance coverage for ketamine therapy varies widely, and many factors can affect whether the treatment is covered, such as your specific insurance plan, how necessary the treatment is, and state regulations.
Options like Blue Cross Blue Shield, Medicaid, Medicare, and Aetna may offer insurance coverage for ketamine therapy. Make sure you check with your insurance provider to determine if it’s covered and the conditions.

Ketamine therapy uses ketamine, an anesthetic, to treat severe depression, OCD, and anxiety (2). It works rapidly to help alleviate symptoms when other treatments may have failed.

Unlike traditional antidepressants, which can take several weeks to show effects, ketamine often provides relief within a couple of hours.

Ketamine NMDA receptors in the brain, which have an effect on mood regulation and pain perception (3). By blocking these receptors, ketamine helps to reset neural pathways, offering a new approach to helping manage mental health conditions.

This rapid action makes it particularly valuable for those patients in crisis.

There are two main types of ketamine therapy:

IV ketamine therapy. It is administered intravenously. This form is known for its quick and potent effects.
Oral ketamine. It’s taken in pill form. This method is less invasive, and you can use it in the comfort of your home. However, it may be less potent than IV therapy.

When choosing the best ketamine therapy clinic, there are several factors that you need to consider to ensure you receive the best treatment and highest quality care.

Here are some things to consider:

Licensed professionals. Look for clinics with licensed and experienced medical professionals who specialize in ketamine therapy. It’s important that the staff are well-trained in administering treatments and managing any potential side effects.
Clinic’s reputation. Read reviews and testimonials from previous patients to check their experiences.
Clinic’s environment. Check if the clinic follows proper safety protocols and if it offers a comfortable and welcoming environment.
Check the treatment protocols. Ask about the frequency of the sessions and follow-up care to ensure they align with your needs and comfort levels.

By thoroughly researching options and asking the right questions, you can find a clinic that offers effective and compassionate care.

Ketamine Wellness NY, run by Dr. Pervaiz Qereshi, offers personalized care through IV ketamine therapy to help handle depression, OCD, chronic pain, anxiety, suicide ideation, and PTSD. Dr. Qureshi’s extensive experience at Brooklyn Hospital, NYU, and Henry J. Carter Hospital ensures top-notch care.

The cost of ketamine therapy can vary widely depending on the clinic, the type of treatment, and the number of sessions that are required. On average, a single session can range from $400 to $800.

Ketamine Wellness NY offers consultations before the treatment to help you understand the costs involved and what to expect. You can book a call using the following link.

Most insurance plans cover traditional mental health treatment, like psychotherapy and medication. However, when it comes to ketamine therapy, it is often seen as an “off-label” use, meaning it’s not always covered.

Insurance coverage for ketamine therapy can be inconsistent. Some insurers may cover it under certain conditions, while others may not cover it at all.

Coverage is going to depend on factors such as the severity of your condition, previous treatment failures, and whether the therapy is deemed medically necessary.

Here are some of the factors that can impact your insurance coverage for ketamine therapy:

Your specific insurance plan and its policies.
Medical necessity as determined by your healthcare provider.
Previous treatment history and documented failures of other treatments.
State regulations and mandates regarding mental health coverage.

If you are wondering what insurance companies cover ketamine therapy, here is a list of the major insurance companies that may cover ketamine therapy.

Aetna
Cigna
UnitedHealthcare
Blue Cross Blue Shield (has specific conditions)
Anthem
Humana
Medicare (limited and under specific conditions)
Medicaid (limited)

Make sure you contact your insurance company directly to determine whether your plan covers ketamine therapy and under what conditions.

Navigating the world of insurance coverage can be daunting, especially when it comes to ketamine therapy. To make things easier for you, here are some common topics people often have regarding ketamine therapy.

Verifying coverage. Start by contacting your insurance provider to verify if ketamine therapy is covered by your plan. Ask specific questions about coverage limits, co-pays, and pre-authorization requirements.
Pre-authorization. Many insurance plans require pre-authorization plans for ketamine therapy. This means your healthcare provider must submit the documentation that states the treatment is medically necessary. Make sure all paperwork is completed accurately to avoid any delays.
Out-of-pocket costs. Even with insurance, you may still face out-of-pocket costs. These can include co-pays, deductibles, and any covering any portion not covered by your plan.
Appealing denials. If your insurance company denies coverage for ketamine therapy, you have the right to appeal. Gather all the relevant medical records and a letter from your healthcare provider supporting the need for ketamine therapy.

If your insurance doesn’t cover ketamine therapy, there are other ways to help you support the costs of the treatment.

Many clinics offer payment plans to help manage the cost of ketamine therapy. These plans allow you to spread out the payment plans over several months, making the treatment more affordable.

Additionally, some clinics and non-profit organizations may offer financial assistance programs for those who cannot afford ketamine therapy. Check with local mental health organizations and your clinic to see what options are available.

Ketamine therapy offers a promising alternative for treating severe mental health conditions, but navigating insurance coverage can be challenging and overwhelming.

At Ketamine Wellness NY, we are committed to helping you understand your options and get the care you need. Speak with a health provider today for guidance on ketamine therapy and insurance coverage.

Ready to take the next step? Book a call with Ketamine Wellness NY and get $100 off your first session. Our team, led by Dr. Pervaiz Qureshi, is here to support you on your wellness journey and make this process easier for you.

Mandal, Suprio, et al. “Efficacy of Ketamine Therapy in the Treatment of Depression.” Indian Journal of Psychiatry, vol. 61, no. 5, Sept. 2019, p. 480, www.ncbi.nlm.nih.gov/pmc/articles/PMC6767816/, https://doi.org/10.4103/psychiatry.indianjpsychiatry_484_18.
“Priority Area: Mental Health/Substance Abuse – Mental Health.” Ny.gov, 2012, www.health.ny.gov/prevention/prevention_agenda/mental_health_and_substance_abuse/mental_health.htm.
Zorumski, Charles F., et al. “Ketamine: NMDA Receptors and Beyond.” The Journal of Neuroscience, vol. 36, no. 44, 2 Nov. 2016, pp. 11158–11164, www.ncbi.nlm.nih.gov/pmc/articles/PMC5148235/, https://doi.org/10.1523/jneurosci.1547-16.2016.

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The Ultimate Ketamine Dosage Guide: Everything You Need to Know

August 21, 2024

Ketamine was originally an anesthetic but has gained a lot of attention in recent years for its ability to treat several mental health conditions, including depression, anxiety, and PTSD.

Unlike traditional antidepressants, which can take weeks to kick in, ketamine has been shown to provide rapid relief, sometimes within hours of administration (1). This makes it an interesting option for people who have not found relief through conventional therapies.

But finding the right dose is key as it can make all the difference in the treatment and the patient’s experience. The problem is that ketamine dose is still a topic of debate among many healthcare professionals.

Here, we will cover everything about ketamine dose, its effects, and the careful considerations to ensure safe and effective treatment outcomes. Knowing and understanding these factors is important not only for healthcare professionals but for patients as well.

Ketamine can provide fast-acting relief from symptoms of mental health disorders, often within hours of administration, making it a highly valuable treatment compared to traditional antidepressants.
The appropriate ketamine dosage is crucial since it can impact both the effectiveness of the treatment and the overall patient’s experience.
The current ketamine dosage can range from 1 to 4.5 mg/kg for anesthesia purposes to 05 mg/kg for treating mental health conditions.

Ketamine was developed in the 1960s as an anesthetic for surgical procedures (2). It’s a dissociative anesthetic, meaning it can make you feel detached from reality.
But beyond surgery, ketamine is being explored and used for its powerful antidepressant effects and pain management. That’s why ketamine is being used in many medical fields.

Here are the most common areas where ketamine is used.

Anesthesia for humans and animals (3).
Pain management for fibromyalgia and CRPS (4).
Mental health treatment for depression, anxiety and PTSD (5).

Ketamine comes in several forms, each with its own properties and uses:

Injectable ketamine is the most common form used in medical settings.
Oral ketamine is used for ongoing treatment of chronic conditions but may not produce as fast results as injectable ketamine.
The nasal spray is the newest form, easy to use, and fast absorption.

Like any medication, ketamine may have side effects. Common side effects are dizziness, nausea, and occasional hallucinations.

There are more serious risks like high blood pressure and heart rate. If any of the above side effects occur, talk to your healthcare provider.

Determining the right medical ketamine dose depends on what condition you are treating and the patient’s specific needs.

For anesthesia, the dose can range from 1 to 4.5 mg/kg when given intravenously (6). For mental health treatment, the dose is lower, usually 0.5 mg/kg (7).

Here are the factors that can affect the right ketamine dose:

Age and weight are important when it comes to ketamine doses, as they can affect how the body processes the medication.
Medical history and current health conditions can also impact dosage requirements.
Current medications may interact with ketamine and, therefore, may need to be adjusted.

How you administer ketamine matters a lot for its efficacy and safety.

Intravenous (IV) is common for anesthesia and mental health treatment.
Intramuscular (IM) injection is an option when IV access is not possible.
Oral and nasal spray is more convenient for ongoing treatment but requires careful dosing to be effective.

If you have questions on how much ketamine you need based on your current health status, talk to a healthcare professional for proper guidance.

Every patient is unique, and their treatment should reflect that. Some special considerations may include:

Pre-existing health conditions that interact with ketamine.
Previous response to ketamine or other medications.
Lifestyle factors like diet and exercise habits.

Choosing the right healthcare provider is key to effective and safe ketamine treatment. Look for professionals who are certified, like Dr. Pervaiz at Ketamine Wellness NY, and have years of experience.

This customized approach means you get professional help that’s tailored to you.

At Ketamine Wellness NY, we provide the best care. Led by board-certified physician Dr. Pervaiz Qureshi, our team will help you become the best version of yourself with a customized ketamine treatment plan.

Call or visit today to book your appointment and get $100 off your first IV treatment.

The path to optimal mental health and wellness is complex and personal. Ketamine treatment is a new option for people with treatment-resistant conditions, but patients should approach this therapy with educated decisions and the right support team.

A customized dosage plan under the care of a qualified healthcare provider is key. Each patient’s individual profile (age, weight, medical history, lifestyle factors) plays a big role in determining the best treatment approach.

Working with a trusted provider like Ketamine Wellness NY not only gets you better results but also a supportive and non-judgmental environment. By putting personalized care and
follow ups first you can start your journey to better mental health.

Get started today. Investing in your mental health is investing in a happy and balanced life, and with the right team, it can be life-changing.

We’ll walk you through it!

Andrade, Chittaranjan. “Ketamine for Depression, 4: In What Dose, at What Rate, by What Route, for How Long, and at What Frequency?” The Journal of Clinical Psychiatry, vol. 78, no. 7, 23 Aug. 2017, pp. e852–e857, https://doi.org/10.4088/jcp.17f11738.
“Ketalar (Ketamine) Dosing, Indications, Interactions, Adverse Effects, and More.” Reference.medscape.com, reference.medscape.com/drug/ketalar-ketamine-343099.
Li, Linda, and Phillip E. Vlisides. “Ketamine: 50 Years of Modulating the Mind.” Frontiers in Human Neuroscience, vol. 10, no. 612, 29 Nov. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5126726/, https://doi.org/10.3389/fnhum.2016.00612.
Mandal, Suprio, et al. “Efficacy of Ketamine Therapy in the Treatment of Depression.” Indian Journal of Psychiatry, vol. 61, no. 5, Sept. 2019, p. 480,
www.ncbi.nlm.nih.gov/pmc/articles/PMC6767816/, https://doi.org/10.4103/psychiatry.indianjpsychiatry_484_18.
Pastrak, Mila, et al. “Systematic Review of the Use of Intravenous Ketamine for Fibromyalgia.” Ochsner Journal, vol. 21, no. 4, 2021, pp. 387–394, www.ncbi.nlm.nih.gov/pmc/articles/PMC8675611/, https://doi.org/10.31486/toj.21.0038.
Rosenbaum, Steven B, and Jorge L Palacios. “Ketamine.” Nih.gov, StatPearls Publishing, 2019, www.ncbi.nlm.nih.gov/books/NBK470357/.
Tully, Jamie L., et al. “Ketamine Treatment for Refractory Anxiety: A Systematic Review.” British Journal of Clinical Pharmacology, vol. 88, no. 10, 20 May 2022, https://doi.org/10.1111/bcp.15374.

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