Subcutaneous Ketamine Therapy: How It Works and What We Offer

At our clinic, ketamine is administered subcutaneously — a small injection given under the skin — at a dose calculated for you by the supervising clinician before the session begins. The clinical team monitors you continuously as the effects develop and settle.

Sessions take place in a monitored treatment room. A clinician places monitoring equipment, stays attentive throughout, and checks your recovery before you leave with the ride you arranged. A typical visit lasts under two hours, door to door.

Esketamine is a nasal spray derived from ketamine. The subcutaneous racemic ketamine we administer is a compounded medication, and no compounded medication is FDA-approved for any use. It is not FDA-approved for mood or pain conditions, nor for the subcutaneous route of administration.

Both approaches require in-person supervision. They differ in how the medication is given and how precisely dosing can be controlled. If you are weighing one against the other, we can walk through those differences during your evaluation.

A third category has grown quickly: compounded ketamine lozenges, tablets, or nasal sprays — often prescribed online and taken at home without in-person monitoring. The FDA has warned patients and health care providers about potential risks associated with compounded ketamine products, particularly when they are used without adequate safeguards.

Taking ketamine at home without in-person monitoring is not equivalent to treatment in a monitored clinic, and it is not the same as an intranasal product. Dosing precision, screening, and what happens if something goes wrong all differ. We believe a monitored setting is the responsible standard, and it is the standard we hold ourselves to.

Our clinic administers subcutaneous racemic ketamine — a small injection under the skin — for psychiatric conditions, prescribed only after a full medical evaluation. That evaluation can happen in person at the clinic or by telehealth, whichever suits you; the treatment itself never happens anywhere but the clinic. We do not offer IV infusions, intranasal esketamine, or at-home ketamine programs.

What will not change is the standard around the modality: physician oversight, careful screening, monitoring during every session, and planned follow-up afterward.

Ketamine's short-term effects — dissociation, nausea, dizziness, and temporary blood-pressure changes — are manageable in a monitored setting and meaningfully riskier without one. Supervision also means a qualified person is watching for the less common problems and can respond immediately.

After any session you will need a responsible adult to drive you home, and you should not drive until the following day. These rules exist for your safety, and they apply to every patient, every time.