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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.
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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.
- General anaesthetic
Indications
- Induction and maintenance of general anaesthesia
Forms and strengths, route of administration
- 250 mg in 5 ml ampoule (50 mg/ml) for IM, IV injection or infusion
Dosage
Child and adult:
- Induction
- IV: 2 mg/kg to be injected slowly. Anaesthesia is produced within one minute and lasts 10 to 15 minutes.
- IM: 8 to 10 mg/kg. Anaesthesia is produced within 5 minutes and lasts 15 to 30 minutes.
- Maintenance
- IV: 0.5 to 1 mg/kg depending on recovery signs (approximately every 15 minutes)
- IM: 5 mg/kg approximately every 20 to 30 minutes
Duration
- Depending on duration of the operation
Contra-indications, adverse effects, precautions
- Do not administer to patients with intraocular hypertension, pre-eclampsia.
- Administer with caution to patients with arterial or intracranial hypertension, coronary insufficiency, psychiatric disorders.
- May cause: hypertension, hypersalivation, hallucinations during recovery (less frequent in children or when injected IM), apnoea following rapid IV injection.
- Premedication to prevent hypersalivation and hallucinations:
- atropine IV: 0.01 to 0.015 mg/kg + diazepam slow IV: 0.1 mg/kg, during induction
or
- atropine IM: 0.01 to 0.015 mg/kg + diazepam IM: 0.1 mg/kg, 30 minutes before induction
- Technical equipment for intubation and ventilation must be available and ready for use.
- Pregnancy: no contra-indication, except in pre-eclampsia. For ceaserean sections, do not exceed 1 mg/kg by IV injection (risk of neonatal respiratory depression at higher doses).
- Breast-feeding: no contra-indication
Remarks
- Ketamine has no muscle relaxant properties.
- In some countries, ketamine is on the list of narcotics: follow national regulations.
- Also comes in 10 ml ampoule containing 500 mg (50 mg/ml).
In different forms, ketamine can be snorted, swallowed, smoked, or injected. Users often use it along with other drugs such as Ecstasy
Ketamine can be swallowed, snorted or injected. It’s also sometimes smoked with cannabis or tobacco
Taking ketamine can make you feel: dream-like and detached; chilled, relaxed and happy; confused and nauseated.
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