At Austin Ketamine Clinic, we may prescribe ketamine troches (pronounced TRO-KEYS) to be used in addition to infusions.  We’re committed to providing our patients with detailed, accessible information about all aspects of their treatment. This page is designed to help you understand what ketamine troches are and how to use them safely and effectively.

What Are Ketamine Troches?

Ketamine troches are small, lozenge-like tablets that dissolve slowly in the mouth. They are a form of sublingual administration, where the medication is absorbed through the mucous membranes under the tongue. This method allows for ketamine to enter the bloodstream more directly, bypassing the digestive system for quicker, more efficient absorption.

Benefits of Ketamine Troches

  • Convenience: Easy to administer and can be used in the comfort of your home.
  • Controlled Dosing: Allows for precise dosing as prescribed by your doctor.
  • Rapid Onset: Quick absorption means faster onset of therapeutic effects.

How Do Ketamine Troches Work?

Ketamine is known for its rapid-acting effects on various mental health conditions, including depression, anxiety, and PTSD. When taken as a troche, ketamine acts on the NMDA receptors in the brain, leading to rapid improvements in mood. This form of administration can be particularly beneficial for patients who need a more controlled dosage and a convenient way to take their medication.

When taking a ketamine troche, it’s important to follow specific guidelines to ensure both effective treatment and safety. Below are detailed instructions, including how to prepare for and manage the experience:

Instructions for Use

  1. Dosage: Always adhere to the dosage instructions provided. Do not change the dose without consulting us first.
  2. Administration: Place the troche under your tongue and allow it to dissolve completely, which can take several minutes. Avoid swallowing the troche; it should be absorbed sublingually. Do not be concerned if some is inadvertently swallowed.
  3. Timing: Take the troche at the times recommended by your doctor for consistent and optimal results.
  4. Storage: Keep the troches in a cool, dry place, away from direct sunlight and out of the reach of children.
  5. Side Effects: Be aware of potential side effects like dizziness, nausea, or mood changes. Contact your healthcare provider immediately if you experience any severe side effects.
  6. Safety Precautions: Do not operate heavy machinery or drive after taking a troche until you understand how it affects you. You must avoid alcohol and other sedatives during this treatment.

Creating a Safe and Comfortable Environment

  • Choose a Comfortable Space: Select a familiar and safe environment where you can relax undisturbed, such as a comfortable chair or bed.
  • Have a Trusted Person Present: Especially for the first few uses, have someone you trust with you. This person can assist if you feel uneasy.
  • Relaxation and Calmness: Create a calm atmosphere with dim lights, soothing music, or calm visuals.  If you like, please visit our YouTube channel for a curated list of videos you may use to help you relax.
  • Comfortable Posture: Sit or lie down in a comfortable position.
  • Avoid Distractions: Turn off phones and other disruptive devices.
  • Stay Hydrated, Avoid Large Meals Beforehand: Drink water but avoid eating heavily right before using the troche.
  • Mental Preparation: Mentally prepare yourself, possibly with mindfulness or relaxation techniques.
  • Post-Experience Rest: Take time to rest and process the experience after the effects wear off.
  • Follow Up: Contact your healthcare provider if you have any concerns or adverse reactions.

Consultation and Monitoring

It’s essential to have regular consultations with us while using ketamine troches. This ensures the effectiveness of the treatment and allows for any necessary adjustments.

Conclusion

Ketamine troches offer a unique and effective way to manage certain mental health conditions. If you have any questions or need further guidance on using ketamine troches, please don’t hesitate to contact us at 512-744-5489.