ABOUT KETAMINE & SPRAVATO
Frequently Asked Questions
Is Ketamine addictive?
Ketamine, unlike opioids, is not associated with any physically addictive properties.
Do I need a referral from another physician?
All patients are welcome to self-refer. We strongly recommend that patients suffering from mental health disorders, such as depression, OCD, severe anxiety also be under the care of a mental health professional. We will work closely with your practitioner to ensure the best outcomes for your well-being, whether for pain or mood disorders.
How long before Ketamine works? What is a typical protocol?
Rarely, patients report an improvement in mood and general well-being after the first few treatments. Most patients experience a more gradual outcomes that occur over the course of the treatments. We base our treatments on the latest research studies that recommend a series of 6 treatments to begin, and gauge response. We therefore, begin with an "induction dose" of 6 treatments, spread over a 2-3 week period. Followed by booster maintenance treatments, that are individualized.
After the fifth to sixth treatment, some patients feel an overall better sense of well-being, which can include change in mood, and improvement in daily functionality.
We have found that oftentimes patient require more than the first 6 treatments to reach optimum results.
Do I have to stop or change my other medications?
Please call us with any questions regarding your current medications. Some anti-anxiety medications are known interfere with Ketamine’s effects, we ask that you not take these medications in the 48 hours leading up to your treatment. Do not change your current medication regimen without the direction of your physician, and/or mental health practitioner. Ketamine Infusions are not intended to replace your current medications. Please, confer with your primary care provider, and/or your primary mental health care provider.
How long do the effects of Ketamine last?
The duration of effect is very individual, and can last anywhere from 2-3 weeks to 3 months, and beyond. The booster maintenance phase is different for each patient. After the first induction dose of 6 treatments, we begin to assess for maintenance booster treatment intervals, which are varied.
How is the infusion experience?
We check a set of baseline vital signs, such as your blood pressure, heart rate, oxygenation, and your weight. We start an intravenous (IV) line and begin the infusion, which takes about 45-60 minutes. During this time we keep the environment private, quiet, and relaxing. We do monitor you intermittently throughout the infusion. You may listen to your own choice of soothing music.
Does insurance cover Ketamine?
Most insurance companies are still not covering the cost of the treatments, however, we recommend that patients contact their insurance company and discuss the possibility of coverage for Ketamine treatments. Our billing staff can work with you to provide the appropriate codes as needed. Individual insurance careers can vary in their coverage of Ketamine. Please note: we do not participate with, nor bill Medicare or Medicaid. As part of our clinic, you will be able to submit out-of-network insurance claims to your insurance company through the Osmind app.
How much does nasal ketamine-Spravato cost?
The cost of Spravato is approximately $350 per spray per visit ($700 per visit). In most cases your insurance will cover part or all of the treatment.
What is the procedure for Spravato?
In order to begin treatment with Spravato, Avesta Ketamine and Wellness must order the nasal spray for you, and pick it up on the day of your treatment. You are responsible for paying for it at the pharmacy, we work with Brookville pharmacy, which is conveniently located on the first floor adjacent to our building. They can work with your insurance to submit a claim or you can do so yourself, depending on your insurance company.
When you arrive for your appointment, you spray each nostril, and will be monitored for 2 hours at the clinic. The cost of monitoring is $200, which you must pay upfront, and you are responsible for submitting to your insurance company. The drug is to be administered 2 times per week for 4 weeks, then 1 time per week for another 4 weeks and then tapered to every other week, or weekly depending on your response.
What payment methods are accepted?
Pay over the phone: call us at 301-220-1333 to make a payment over the phone with a major credit card.
Pay in person: we accept credit cards and cash at our office.
Apply for credit: Avesta and APMI work with CareCredit to provide a credit option. The application only takes a few minutes and you'll receive an immediate approval decision in most cases. Apply now on the CreditCare website.
*Note that we offer a 10% military discount. Call for details. We also provide a 10% discount for the first 6 induction dose if paid upfront.
How do I know if Ketamine is for me?
You must be 18 years or older with no uncontrolled medical conditions, such as hypertension (high blood pressure) or cardiac disease.
You must have a diagnosis of major depression, refractory depression, PTSD, OCD, Bipolar disorder, anxiety, and/or chronic pain, and be resistant to other treatments, such as medications.
You must be under the care of a current provider treating you for your diagnosis.
Patient with sleep apnea may be asked to bring their CPAP devices with them, and may be administered oxygen.
Have no history of difficult IV insertions, and can sit comfortably for 1-4 hours.
How do I know if Spravato is for me?
If your insurance covers the cost of the drug and reimburses you for the clinic monitoring time, then Spravato may be right for you. However, if your insurance only covers a part of the above, you must weigh that against:
The cost of the IV treatments, including the time it takes to do IV versus nasal.
Research has shown the IV to be more effective than the nasal.
How do I book an appointment?
Feel free to contact us to schedule your initial free consultation. We are happy to answer all your questions.
What can I expect on treatment day?
Please Follow these Instructions Carefully:
Before your first treatment, please fill out our Patient Form For Ketamine Therapy.
Please wear comfortable clothing that allow us to access your arms (for blood pressure and IV start) and your chest (for ECG lead placements).
You may eat up to 6 hours in advance of the treatment, and have clear liquids up to 2 hours prior to the treatment. Clear liquid examples include only water, black coffee, plain tea, or apple juice. Milk, and creamer in coffee are considered a meal and are not clear liquids. Nothing to eat for 6 hours and no liquids for 2 hours before your treatment.
You must arrange for a ride from the clinic, you may not drive the day of your infusion.
Your treatment will be administered in a private room.
Phones should be in do not disturb mode, and for privacy of all of our patients we require no talking, photos, videos or texts.
Before your first visit, kindly follow the instructions you should have received when we invited you to the Osmind system. You can log in using the information you received via email and text message, and fill out the initial mood tracker so that we can better assist you with your management, and treatments.
Monday - Friday 8:00 - 6:00
Saturday 8:00 - 2:00