this post was submitted on 05 Dec 2023
60 points (89.5% liked)
Asklemmy
43902 readers
1138 users here now
A loosely moderated place to ask open-ended questions
Search asklemmy ๐
If your post meets the following criteria, it's welcome here!
- Open-ended question
- Not offensive: at this point, we do not have the bandwidth to moderate overtly political discussions. Assume best intent and be excellent to each other.
- Not regarding using or support for Lemmy: context, see the list of support communities and tools for finding communities below
- Not ad nauseam inducing: please make sure it is a question that would be new to most members
- An actual topic of discussion
Looking for support?
Looking for a community?
- Lemmyverse: community search
- sub.rehab: maps old subreddits to fediverse options, marks official as such
- [email protected]: a community for finding communities
~Icon~ ~by~ ~@Double_[email protected]~
founded 5 years ago
MODERATORS
you are viewing a single comment's thread
view the rest of the comments
view the rest of the comments
Ketamine
Fast acting relief from treatment resistant depression. Personally I find ~0.8 mg/kg subcutaneously injected is about the magic dose.
After 20 odd years of living in a fog the first time I used that treatment was like night and day. I had forgotten how trivial most things are without depression. Exercise for example is just "I don't wanna but I know I'll feel better. Ugh fine" instead of something that takes about 3 days to psych up to on a good week.
I find it's very effective for about a week, dropping off over the next month or so. Unsure if lifetime sustainable at a frequency of ~2-3 weeks per dose but definitely useful to put in changes to life that make it easier to handle.
Crazy expensive medically though, if you can get it tested infusions can be prepared diy (most is diverted from medical supply so it's often not adultrated BUT NOT ALWAYS!) with bacteriostatic water and 0.22 um wheel filters. Obvs if you don't know what you're doing you could seriously harm yourself, and you absolutely must be able to secure safety measures like naloxone, but if the rope is looking mighty appealing it's an option if you can't get it medically.
It's worth noting that in the US there are ketamine therapy companies that send you oral ketamine in the mail. It costs about $120 per month and is accessible after a short zoom appointment.
I don't know if it's effective that way; all papers I've read that show affect are using nasal, IV, or subcutaneous.
That said you should probs try that before risking infection and gaol if it's an option. It's about that much a dose in Australia (has to be administered under supervision) and requires extensive screening.
It's definitely effective, but you have to take a higher dose vs. IV. Usually it's between 60 and 120mg and it's delivered via troche in the cheek.
So that's what ~1.5 mg/kg transdermal I guess. Assume some waste from swallowing. Yeah probably around the same delivery rate and dose as subcutaneous injection