VA recognizes Ketamine as emergency PTSD Treatment

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absinthe beginner
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VA recognizes Ketamine as emergency PTSD Treatment

Post by absinthe beginner » Wed Oct 10, 2018 12:40 pm

Good to see that the VA is recognizing the efficacy of ketamine infusion therapy as a highly promising means of providing rapid relief and help for veterans suffering from PTSD, severe depression that has not responded to meds, and patients at risk of suicide.

https://www.prnewswire.com/news-release ... 19715.html

Other recent stories on Ketamine infusion therapy for treatment of PTSD and severe depression.

https://badgerherald.com/news/2018/10/0 ... nh-lj-fix/

http://www.tpr.org/post/ketamine-future-ptsd-treatment

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Re: VA recognizes Ketamine as emergency PTSD Treatment

Post by Stercutus » Wed Oct 10, 2018 1:14 pm

I wish more drugs that were not so highly addictive were being developed.
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Re: VA recognizes Ketamine as emergency PTSD Treatment

Post by zXzGrifterzXz » Wed Oct 10, 2018 1:23 pm

That’s interesting, Ketamine can be a powerful but useful tool for us prehospital providers. I’m curious what the dose is for this but from the articles it sounds like it’s a slow IV drip.
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absinthe beginner
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Re: VA recognizes Ketamine as emergency PTSD Treatment

Post by absinthe beginner » Wed Oct 10, 2018 2:01 pm

That’s interesting, Ketamine can be a powerful but useful tool for us prehospital providers. I’m curious what the dose is for this but from the articles it sounds like it’s a slow IV drip.

Ketamine is FDA-cleared as an anesthetic in emergency rooms, but is increasingly being used off-label by psychiatrists for treatment of depression and PTSD for "end of the line" type patients who have not responded to other treatments. The treatments are currently expensive (about $500 per infusion) because they have to be administered in a clinical setting by an anesthesiologist, usually with a psychiatrist present to guide the patient through a dissociative experience. Still a lot of research to determine long-term safety and efficacy, but it seems to be helping a lot of people who were clearly at the end of their rope. Some of the YouTube testimonials are pretty compelling.

https://www.ketaminewellnesscenters.com ... CuEALw_wcB

https://www.youtube.com/watch?v=CA17bGTVbfI

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Re: VA recognizes Ketamine as emergency PTSD Treatment

Post by SteelWolf » Mon Oct 22, 2018 8:35 pm

zXzGrifterzXz wrote:
Wed Oct 10, 2018 1:23 pm
That’s interesting, Ketamine can be a powerful but useful tool for us prehospital providers. I’m curious what the dose is for this but from the articles it sounds like it’s a slow IV drip.
Its a lower dose administered over time. No where near the 1-2MG/KG RSI induction dose.
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zXzGrifterzXz
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Re: VA recognizes Ketamine as emergency PTSD Treatment

Post by zXzGrifterzXz » Mon Oct 22, 2018 8:47 pm

SteelWolf wrote:
Mon Oct 22, 2018 8:35 pm
Its a lower dose administered over time. No where near the 1-2MG/KG RSI induction dose.
Yeah, that’s what I assumed. On a slightly unrelated note, Do AZ protocols have ketamine for use in excited delirium? I know that was a big deal out here in PA when they finally got that approved for the protocol updates on the MAC committee.
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Re: VA recognizes Ketamine as emergency PTSD Treatment

Post by moab » Mon Oct 22, 2018 9:55 pm

Is it covered by the VA or $500 a pop?
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Re: VA recognizes Ketamine as emergency PTSD Treatment

Post by SteelWolf » Mon Oct 22, 2018 11:21 pm

zXzGrifterzXz wrote:
Mon Oct 22, 2018 8:47 pm
SteelWolf wrote:
Mon Oct 22, 2018 8:35 pm
Its a lower dose administered over time. No where near the 1-2MG/KG RSI induction dose.
Yeah, that’s what I assumed. On a slightly unrelated note, Do AZ protocols have ketamine for use in excited delirium? I know that was a big deal out here in PA when they finally got that approved for the protocol updates on the MAC committee.
Yeah, its generally 4 MG/KG IM of Ketamine for excited delirium and if that fails, we paralyze and intubate. We can also do a 10 MG push of Etomidate, but that rarely has the same effect.
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