During your initial consultation, we will review your medical history and symptoms to determine if ketamine is safe for you. Absolute contraindications to ketamine treatment include hypersensitivity/severe allergy to ketamine, active psychosis/mania, severe coronary artery disease, pregnancy and breastfeeding, uncontrolled hypertension, recent myocardial infarction, and intracranial aneurysms. Unfortunately, we also do not treat pediatric patients under the age of 18 at this time.
The following are relative contraindications that will be weighed on a case-by-case basis:
- Obstructive sleep apnea
- Respiratory issues due to weight
- Medication risks (benzodiazepines, opioids)
- Active substance use
- Personality disorders
- Acute suicidal ideation
- Past substance abuse disorder
- Mild to moderate hypertension
- History of epilepsy
- Liver disease
There may be other conditions or reasons that patients might not be candidates for ketamine treatment.