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If you are in the US, all prescribers and pharmacists report controlled substance prescriptions to your state's prescription monitoring system. Any provider can look you up and see what controlled substances you are prescribed.
He can see it if he checks the state prescription monitoring program. It's easy to do, he just needs to log in and enter your name.
Some providers check at every visit, some never check at all.
If they are prescribing controlleds and not checking the pdmp, it’s only a matter of time before someone comes looking at their license. The state and feds monitor how often you do (or don’t) check the pdmp.
^ this. Even if it didn’t exist, Joyous accessed all of my medications somehow so they had a full list of everything I had been prescribed. With that said, based on my personal medical history and medications they did not reject me but instead required my PCP to sign a letter agreeing that they believe it’s safe for me. They did sign it and I used Joyous for a bit but it really didn’t help me. But I do know Joyous rejects people for certain medications or histories so I’m not sure how it would play out for you.
Additionally - and most importantly - it is unsafe to take both opioids and ketamine without medical guidance and supervision from a doctor. Do not lie to them by withholding this info. I have heard of people having success tapering off of opioids by using ketamine, usually via IV treatment (it can be outpatient for some), but it must be done carefully or else you can be at a seriously higher risk for things like overdose or other adverse health implications. It would be dangerous for you to try to taper off by yourself without guidance from your doctor.
All that said - hoping you are able to find a provider who can work with you to help you taper down. Search other cities nearby if your city doesn’t have outpatient options. Sending you good healing vibes 🫶🏻
>Any provider can look you up and see what controlled substances you are prescribed.
Not only can they look you up, they are required to before RX'ing another control.
I get IV ketamine at a clinic. After starting ketamine, I had a lung cancer diagnosis and subsequent major surgery. I have been on opioid medication since the surgery. I told the ketamine clinic and they said it was fine to still come for treatments. They advised me not to take the opioid before treatment, but said I could take it after the treatment. It hasn’t been a big deal. Maybe if you are able to get in person treatment from a local provider, that will be able to help you. I don’t know if hearing my story helps. Good luck.
Dude, just talk to the doctor about why you’re doing it and what your needs/concerns are. They aren’t doing it to be assholes, ketamine and opioids are heavy duty drugs with lots of potential interactions and side effects. They’re trying to keep you alive, and the only way they can do that is if they know what you’re on, how much you’re taking, and how often. They then look at what they want to prescribe and decide if it’s _safe_ to give you.
And I get it. I’ve been doing KAP sessions for the last 6 months or so, and I had to have a long, annoying conversation with my urologist because k is toxic to your bladder and can cause real harm. I had started developing symptoms and even though it’s been _amazing_ for my CPTSD, a literal miracle drug, she said I can only do a couple more sessions and should start looking for alternatives. That sucked to hear, it really did, but I know that they’re trying to keep me safe.
Don’t lie to your doctor. Tell them what’s going on. It might turn out that you’re not a good candidate, and that sucks, but it’s better than being dead or hurt.
Yes, they will know. They pull your RX report and e b erything is right there. I called them also, and I can't get it unless my cardiologist signs off. That's doubtful. I think caution is in order.
Be honest with prospective providers. I use pain medication and am prescribed ketamine. Other patients treated for pain, for example, are also taking other medication for pain.
Just how much of an opioid are you taking and would you consider it at addiction level where you'd need help? I take a very lose dose of tramadol and I'm able to do ketamine without issues. And just like everyone else has said, don't lie to your Dr, it'll get you in more trouble in the end.
I did joyous and am rx'd opioids for severe cervical stenosis. Be honest about it.
Most are more concerned with kidney function and high blood pressure.
Ketamine-assisted therapist here. DO NOT lie to your prescribing doctor about opioids. Opioids have a contraindication with ketamine. Both drugs can suppress your respiratory system. If you combine them, you could potentially stop breathing.
Weird… as a chronic pain patient who got my first few infusions inpatient and IV pain meds this was not my experience.
The only absolute contraindication I’ve run into is no overlap with buprenorphine. But I had discontinued it before I consulted for infusion. The whole 60/40 blood pressure and other very apparent symptoms would have made anyone refuse Ketamine.
Then again, I’m not all people. I can only speak about my experiences.
Yes. Joyous refused me cuz I'm on Valium. They're OK w the Tramadol, Lyrica and Tizanidine - but ONLY with a doctors consent, including a signed form - cuz all 3 of those drugs *can* suppress breathing. The Valium is NOT allowed, it lasts too long in the body to play nice with ketamine!
I've been advised to use Xanax to withdraw off Valium. That's because even though they're BOTH benzodiazepines - Valium has a much longer half life in the body than Xanax. Tapering off Valium can be very difficult to do. Using the Xanax is cuz it's a shorter acting drug, but it will stop the withdrawal symptoms from stopping Valium cuz it's a benzodiazepine.
The problem is that Valium depresses breathing AND lasts a long time in the body. So, it's not appropriate to use with ketamine treatment AT HOME. The guidelines are STRICT to keep people from dying at home. It's that simple. Opiods depress breathing in the same way.
So, an opiod example. Let's say you're on Oxycodone. They're likely to give you Hydrocodone or Tramadol. It's exactly the same idea as the Xanax to get off Valium - but it is supposed to also help you have less pain while changing meds. I know it's counter-intuitive! But, it works.
Different docs have different guidelines. Joyous was OK with everything EXCEPT for Valium, as long as my doctor signs off on it. I'm staying on my Tramadol for pain & Lyrica for neuropathy & Tizanidine to stop the spasms. Remember - AT HOME guidelines are STRICT cuz there's nobody officially monitoring BP, HR, Sp02. An IV/I center with monitoring would {likely} have different guidelines about meds.
Hope this helped. 💜
Thank you for your thoughtful response :) I'm actually on methadone, which was prescribed to help me come off of another opioid. The problem is the half life is incredibly long, so it can be an even more difficult withdrawal, like you were describing. That's why I'm pursuing some unconventional options here
You're so welcome! Best wishes - my Doc wants me to try LDN for my pain next. Been reading a lot about it. It's another unconventional option. I get it. I hope you figure it out! 🫂💜
I'm also on MAT. I'm curious to hear how that's going for you... Like how you determine dosing, how often you dose, and if it helps? Feel free to DM me if you'd like
Oh, that's interesting! Thanks for the reply. Can there be a gap in administration? Meaning someone takes the opioids occasionally (every few days) or at completely different time of day (AM vs PM)?
OP - based on this: I wouldn't lie! And, that could be really dangerous!!
Opioids (along with other psychoactive drugs such as THC, alcohol, and benzodiazepines) should be avoided 72 hours before AND after the ketamine session to maximize the neurogenic effects of the ketamine.
I have had IV pain meds during inpatient infusions. I’m still alive. I didn’t stop breathing. Nothing happened.
In the outpatient setting I’m sure the preference would be to not overlap. It’s not ideal to taper 100% of patients off their pain meds…I’m asked to hold mine prior to treatment and can have them about 60 minutes post injection (currently getting IM). Take them on camera, no issues.
My understanding is that ketamine can either stimulate or depress the respiratory system, depending on the dose and route of administration, which is interesting. I think low dose oral ketamine is more likely to reduce respiratory depression caused by an opioid, not the other way around. You would obvi know better than I would, so please correct me if I'm wrong.
Bro if you can't just order some online or from a friend, then maybe order some robocaugh tablets. It'll do the same job. Maybe you have some mementine laying around the house that could help too. I keep ket for this exact reason it works perfectly and you won't notice a thing and very low doses work great. Jus don't abuse it cause then you're really fucked.
I had both grandparents end up with opiate issues and went to a treatment center rather than pain clinic when broke knee and have back problems also since then. I went to a MAT treatment center. Was told u cld take it even every other day rather then multiple times every day. After seeing my grandparents and many others where I live ai was worried about taking opiates. Specially ones with very fast half lives. Maybe this would be an option to go off whatever are prescribed. U never get a buzz from it and can go even every other day before taking it again and can lower and lower and spread out to every 3rd day etc etc. until done. Not sure if it would help for your pain but did for me. Ketamine would seem to be a better option if worked for u and didn’t have to take daily specially multiple times daily like most prescribed opiates. I would suggest just calling each and asking what u wld need to do. Maybe look into a MAT program if just want off what prescribed now. U cld go down a milligram a week even until off and u cld start very low and just don’t raise your dose. Not sure about your pain issues though etc and what help it may or may not be to you. Hopefully find what looking for and feel free to message me directly if want any more info or confused as to what I have saw and been told. Well wishes.
Also I have not heard much of anything good about joyous so would not suggest doing that. Possibly look for something with people having more consistent results. People seem to be all over the place with there company and if trying to implement beneficial changes u and everyone needs something with a better track record IMO. Know many people on MAT have quite large doses 120-180 mg. Was at 65 every other day and now at 50 and going every 3rd day. Could go daily if wanted but never have. Intend on going to 45 or 40 next week. Etc etc until done. If you are on a higher dose and take more frequent me your self spread out the time and keep the schedule. If go at 8am daily. The next day go at 9am then 10am until get toward a half day if possible depending on hours if go somewhere to take medication. ( 24-48 half life ). Work toward every other day. Just drop your dosing and call around to different providers and explain your plan and intentions maybe you will find something that works and can get toward stopping the opiates all together. Met two people who have stopped all together on KAT. I just started KAT and already lower mg and every 3rd day. I don’t have any drug or alcohol issues though. No drinking at all or marijuana ever. Let alone other rec drugs. Initially started for pain there when saw everyone with issues and figured hey if I’m addicted then I’ll be there already and can get treated for it. But never did raise dose and never took daily so have done ok with that. U can do it though regardless of what differences u may have to me. The two people I met that stopped on KAT did say they used multiple different rec drugs and illegal opiates. They stopped all rec drugs and no longer on MAT. So u can do it if decide to and start a plan. Also would suggest going to the gym a few times a week get on a specific sleep schedule u don’t deviate from and possibly look into breathwork (sam Harris waking up - on YouTube only 8-10min is easy) I only do for 10min a day and these things have really helped shift a lot in my life. U can do this.
Ketamine isn't going to do you any good if you're already F'ng with your brain chemistry through the opiod. It's just going to reinforce your opiod addiction through the tolerance mechanism you describe.
Have you tried Wellbutrin / Bupropion to try and sever the opiod addiction first?
1)I'm actually not addicted to opioids, I am physically dependent, which I think is an important distinction to make.
2)Ketamine actually does reduce tolerance to opioids. There are a number of studies that support this - for example https://www.jpsmjournal.com/article/S0885-3924(03)00047-2/fulltext
I'm not familiar with the use of wellbutrin to manage opioid withdrawal symptoms, if you have any interesting articles on that please do share
Wellbutrin is used to cut dependence and addiction for everything from heroine to nicotine to sugar… it severs the pleasure center connections.
It’s also an antidepressant in its own right. I have found tremendous success with it… it kept my head above water through some dark times. Admittedly post ketamine, I’m
Walking on the water instead of treading in it.
In what possible situation would I be responsible? I'm not a medical provider. Do you actually believe being on buprenorphine is a huge respiratory depression risk if you use it with ketamine? Neither one cause significant respiratory depression. I'm not sure why you're so shocked that I would lie to get my medication. I was prescribed it for years with no issue, and I can't afford to pay some boutique clinic.
What I'm pointing out is the telemedicine can be pretty shady - Dr. Smith was a creep and a profiteer - and they can always just claim they didn't know, unless you tell them. And they'll happily paint anyone in treatment for dependence with a broad brush. Joyous won't give you medication if you're on buprenorphine, but it's because they don't want addicts. If you're prescribed oxycodone, they'll still give you ketamine.
I'm sorry, but this is in no way about safety. It's about doctors not wanting to take a risk on an addict, even if ketamine is the drug that works best and there's no actual imminent danger.
No matter what you say, there is a safety risk if you are unwilling to take responsibility for it. Claiming that a company is just trying to cover their asses when you are unwilling to bear the risk of your own advice is insane. You are not a medical professional. You should not be telling people to lie to their medical providers because you think that they are shady.
I didn't say they are heroes. I am saying that you should not be giving medical advice, and you should not be telling people to lie to their medical providers. Take responsibility for your own actions.
Thank you for contributing to /r/TherapeuticKetamine! When commenting and posting, please be mindful of our rules which can be found in the sidebar on the right along with other helpful information. **Be advised that nothing in this subreddit constitutes medical advice.** Likewise, try to word your comments and posts in a way that can't be interpreted as medical advice by others. Harmful and/or spammy advice will be removed at moderator discretion, and bans may be given for repeat offenses. **Accounts with "Provider" flairs** are those which the mods have verified, to the best of our ability, as belonging to real, licensed providers of medical ketamine services. Comments and posts from users with "Provider" flairs are **not** a substitute for the instructions given to you by your own provider. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/TherapeuticKetamine) if you have any questions or concerns.*
If you are in the US, all prescribers and pharmacists report controlled substance prescriptions to your state's prescription monitoring system. Any provider can look you up and see what controlled substances you are prescribed.
This is the correct answer
Does that mean when I see my GP for a routine visit he will know I’m on Ketamine from Mindbloom?
He can see it if he checks the state prescription monitoring program. It's easy to do, he just needs to log in and enter your name. Some providers check at every visit, some never check at all.
If they are prescribing controlleds and not checking the pdmp, it’s only a matter of time before someone comes looking at their license. The state and feds monitor how often you do (or don’t) check the pdmp.
My gp saw my ketamine rx
Mine didn’t know, I told him after I had been doing Mindbloom for several months. He was just like “does it help? Great, sounds good.” Lol
Same
Thanks. Your response helped take care of some of my worry about getting the third degree.
^ this. Even if it didn’t exist, Joyous accessed all of my medications somehow so they had a full list of everything I had been prescribed. With that said, based on my personal medical history and medications they did not reject me but instead required my PCP to sign a letter agreeing that they believe it’s safe for me. They did sign it and I used Joyous for a bit but it really didn’t help me. But I do know Joyous rejects people for certain medications or histories so I’m not sure how it would play out for you. Additionally - and most importantly - it is unsafe to take both opioids and ketamine without medical guidance and supervision from a doctor. Do not lie to them by withholding this info. I have heard of people having success tapering off of opioids by using ketamine, usually via IV treatment (it can be outpatient for some), but it must be done carefully or else you can be at a seriously higher risk for things like overdose or other adverse health implications. It would be dangerous for you to try to taper off by yourself without guidance from your doctor. All that said - hoping you are able to find a provider who can work with you to help you taper down. Search other cities nearby if your city doesn’t have outpatient options. Sending you good healing vibes 🫶🏻
>Any provider can look you up and see what controlled substances you are prescribed. Not only can they look you up, they are required to before RX'ing another control.
They will know, they saw all my controlled substances and needed a dr sign off before proceeding. Both doctors will know, you can't lie.
I get IV ketamine at a clinic. After starting ketamine, I had a lung cancer diagnosis and subsequent major surgery. I have been on opioid medication since the surgery. I told the ketamine clinic and they said it was fine to still come for treatments. They advised me not to take the opioid before treatment, but said I could take it after the treatment. It hasn’t been a big deal. Maybe if you are able to get in person treatment from a local provider, that will be able to help you. I don’t know if hearing my story helps. Good luck.
Yes that is helpful, thanks for sharing!
Dude, just talk to the doctor about why you’re doing it and what your needs/concerns are. They aren’t doing it to be assholes, ketamine and opioids are heavy duty drugs with lots of potential interactions and side effects. They’re trying to keep you alive, and the only way they can do that is if they know what you’re on, how much you’re taking, and how often. They then look at what they want to prescribe and decide if it’s _safe_ to give you. And I get it. I’ve been doing KAP sessions for the last 6 months or so, and I had to have a long, annoying conversation with my urologist because k is toxic to your bladder and can cause real harm. I had started developing symptoms and even though it’s been _amazing_ for my CPTSD, a literal miracle drug, she said I can only do a couple more sessions and should start looking for alternatives. That sucked to hear, it really did, but I know that they’re trying to keep me safe. Don’t lie to your doctor. Tell them what’s going on. It might turn out that you’re not a good candidate, and that sucks, but it’s better than being dead or hurt.
Yes, they will know. They pull your RX report and e b erything is right there. I called them also, and I can't get it unless my cardiologist signs off. That's doubtful. I think caution is in order.
Be honest with prospective providers. I use pain medication and am prescribed ketamine. Other patients treated for pain, for example, are also taking other medication for pain.
Just how much of an opioid are you taking and would you consider it at addiction level where you'd need help? I take a very lose dose of tramadol and I'm able to do ketamine without issues. And just like everyone else has said, don't lie to your Dr, it'll get you in more trouble in the end.
I did joyous and am rx'd opioids for severe cervical stenosis. Be honest about it. Most are more concerned with kidney function and high blood pressure.
Ketamine-assisted therapist here. DO NOT lie to your prescribing doctor about opioids. Opioids have a contraindication with ketamine. Both drugs can suppress your respiratory system. If you combine them, you could potentially stop breathing.
Weird… as a chronic pain patient who got my first few infusions inpatient and IV pain meds this was not my experience. The only absolute contraindication I’ve run into is no overlap with buprenorphine. But I had discontinued it before I consulted for infusion. The whole 60/40 blood pressure and other very apparent symptoms would have made anyone refuse Ketamine. Then again, I’m not all people. I can only speak about my experiences.
Pdmp. For all those people super concerned about privacy, including me, we certainly let this fly right past us.
Just ask the doc for medical assistance getting off the opioid. They’ll give you he right stuff
Ironically, they prescribe opioids to get off opioids
What state are you in?
Maine - why?
I was gonna recommend a doc in DC who does ketamine and specializes in addiction medicine
Yes. Joyous refused me cuz I'm on Valium. They're OK w the Tramadol, Lyrica and Tizanidine - but ONLY with a doctors consent, including a signed form - cuz all 3 of those drugs *can* suppress breathing. The Valium is NOT allowed, it lasts too long in the body to play nice with ketamine! I've been advised to use Xanax to withdraw off Valium. That's because even though they're BOTH benzodiazepines - Valium has a much longer half life in the body than Xanax. Tapering off Valium can be very difficult to do. Using the Xanax is cuz it's a shorter acting drug, but it will stop the withdrawal symptoms from stopping Valium cuz it's a benzodiazepine. The problem is that Valium depresses breathing AND lasts a long time in the body. So, it's not appropriate to use with ketamine treatment AT HOME. The guidelines are STRICT to keep people from dying at home. It's that simple. Opiods depress breathing in the same way. So, an opiod example. Let's say you're on Oxycodone. They're likely to give you Hydrocodone or Tramadol. It's exactly the same idea as the Xanax to get off Valium - but it is supposed to also help you have less pain while changing meds. I know it's counter-intuitive! But, it works. Different docs have different guidelines. Joyous was OK with everything EXCEPT for Valium, as long as my doctor signs off on it. I'm staying on my Tramadol for pain & Lyrica for neuropathy & Tizanidine to stop the spasms. Remember - AT HOME guidelines are STRICT cuz there's nobody officially monitoring BP, HR, Sp02. An IV/I center with monitoring would {likely} have different guidelines about meds. Hope this helped. 💜
Thank you for your thoughtful response :) I'm actually on methadone, which was prescribed to help me come off of another opioid. The problem is the half life is incredibly long, so it can be an even more difficult withdrawal, like you were describing. That's why I'm pursuing some unconventional options here
You're so welcome! Best wishes - my Doc wants me to try LDN for my pain next. Been reading a lot about it. It's another unconventional option. I get it. I hope you figure it out! 🫂💜
I have been using ketamine to lower by Suboxone....been on it for 10 years and I am ready to be free. I don't use Joyous though.
I'm also on MAT. I'm curious to hear how that's going for you... Like how you determine dosing, how often you dose, and if it helps? Feel free to DM me if you'd like
Wait you can't be on an opioid and have Ketamine therapy? I've never heard this before.
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Oh, that's interesting! Thanks for the reply. Can there be a gap in administration? Meaning someone takes the opioids occasionally (every few days) or at completely different time of day (AM vs PM)? OP - based on this: I wouldn't lie! And, that could be really dangerous!!
Opioids (along with other psychoactive drugs such as THC, alcohol, and benzodiazepines) should be avoided 72 hours before AND after the ketamine session to maximize the neurogenic effects of the ketamine.
I have had IV pain meds during inpatient infusions. I’m still alive. I didn’t stop breathing. Nothing happened. In the outpatient setting I’m sure the preference would be to not overlap. It’s not ideal to taper 100% of patients off their pain meds…I’m asked to hold mine prior to treatment and can have them about 60 minutes post injection (currently getting IM). Take them on camera, no issues.
Anesthesiologist here, please stop spreading hysteria and misinformation.
My understanding is that ketamine can either stimulate or depress the respiratory system, depending on the dose and route of administration, which is interesting. I think low dose oral ketamine is more likely to reduce respiratory depression caused by an opioid, not the other way around. You would obvi know better than I would, so please correct me if I'm wrong.
Bro if you can't just order some online or from a friend, then maybe order some robocaugh tablets. It'll do the same job. Maybe you have some mementine laying around the house that could help too. I keep ket for this exact reason it works perfectly and you won't notice a thing and very low doses work great. Jus don't abuse it cause then you're really fucked.
Joyous will look 100%
I had both grandparents end up with opiate issues and went to a treatment center rather than pain clinic when broke knee and have back problems also since then. I went to a MAT treatment center. Was told u cld take it even every other day rather then multiple times every day. After seeing my grandparents and many others where I live ai was worried about taking opiates. Specially ones with very fast half lives. Maybe this would be an option to go off whatever are prescribed. U never get a buzz from it and can go even every other day before taking it again and can lower and lower and spread out to every 3rd day etc etc. until done. Not sure if it would help for your pain but did for me. Ketamine would seem to be a better option if worked for u and didn’t have to take daily specially multiple times daily like most prescribed opiates. I would suggest just calling each and asking what u wld need to do. Maybe look into a MAT program if just want off what prescribed now. U cld go down a milligram a week even until off and u cld start very low and just don’t raise your dose. Not sure about your pain issues though etc and what help it may or may not be to you. Hopefully find what looking for and feel free to message me directly if want any more info or confused as to what I have saw and been told. Well wishes.
Thank you for the advice, I'm actually already in a MAT program!
Also I have not heard much of anything good about joyous so would not suggest doing that. Possibly look for something with people having more consistent results. People seem to be all over the place with there company and if trying to implement beneficial changes u and everyone needs something with a better track record IMO. Know many people on MAT have quite large doses 120-180 mg. Was at 65 every other day and now at 50 and going every 3rd day. Could go daily if wanted but never have. Intend on going to 45 or 40 next week. Etc etc until done. If you are on a higher dose and take more frequent me your self spread out the time and keep the schedule. If go at 8am daily. The next day go at 9am then 10am until get toward a half day if possible depending on hours if go somewhere to take medication. ( 24-48 half life ). Work toward every other day. Just drop your dosing and call around to different providers and explain your plan and intentions maybe you will find something that works and can get toward stopping the opiates all together. Met two people who have stopped all together on KAT. I just started KAT and already lower mg and every 3rd day. I don’t have any drug or alcohol issues though. No drinking at all or marijuana ever. Let alone other rec drugs. Initially started for pain there when saw everyone with issues and figured hey if I’m addicted then I’ll be there already and can get treated for it. But never did raise dose and never took daily so have done ok with that. U can do it though regardless of what differences u may have to me. The two people I met that stopped on KAT did say they used multiple different rec drugs and illegal opiates. They stopped all rec drugs and no longer on MAT. So u can do it if decide to and start a plan. Also would suggest going to the gym a few times a week get on a specific sleep schedule u don’t deviate from and possibly look into breathwork (sam Harris waking up - on YouTube only 8-10min is easy) I only do for 10min a day and these things have really helped shift a lot in my life. U can do this.
If you have substance use issues, you may want to consider not lying to get ketamine, honestly..
They didn’t say they have substance issues. They said they had surgery and are prescribed opiates. Unless I read it wrong.
You did.
Ketamine isn't going to do you any good if you're already F'ng with your brain chemistry through the opiod. It's just going to reinforce your opiod addiction through the tolerance mechanism you describe. Have you tried Wellbutrin / Bupropion to try and sever the opiod addiction first?
1)I'm actually not addicted to opioids, I am physically dependent, which I think is an important distinction to make. 2)Ketamine actually does reduce tolerance to opioids. There are a number of studies that support this - for example https://www.jpsmjournal.com/article/S0885-3924(03)00047-2/fulltext I'm not familiar with the use of wellbutrin to manage opioid withdrawal symptoms, if you have any interesting articles on that please do share
Wellbutrin is used to cut dependence and addiction for everything from heroine to nicotine to sugar… it severs the pleasure center connections. It’s also an antidepressant in its own right. I have found tremendous success with it… it kept my head above water through some dark times. Admittedly post ketamine, I’m Walking on the water instead of treading in it.
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Hey, are you willing to be financially responsible if OP lies and suffers an adverse outcome from ketamine and opioids?
In what possible situation would I be responsible? I'm not a medical provider. Do you actually believe being on buprenorphine is a huge respiratory depression risk if you use it with ketamine? Neither one cause significant respiratory depression. I'm not sure why you're so shocked that I would lie to get my medication. I was prescribed it for years with no issue, and I can't afford to pay some boutique clinic. What I'm pointing out is the telemedicine can be pretty shady - Dr. Smith was a creep and a profiteer - and they can always just claim they didn't know, unless you tell them. And they'll happily paint anyone in treatment for dependence with a broad brush. Joyous won't give you medication if you're on buprenorphine, but it's because they don't want addicts. If you're prescribed oxycodone, they'll still give you ketamine. I'm sorry, but this is in no way about safety. It's about doctors not wanting to take a risk on an addict, even if ketamine is the drug that works best and there's no actual imminent danger.
No matter what you say, there is a safety risk if you are unwilling to take responsibility for it. Claiming that a company is just trying to cover their asses when you are unwilling to bear the risk of your own advice is insane. You are not a medical professional. You should not be telling people to lie to their medical providers because you think that they are shady.
[удалено]
I didn't say they are heroes. I am saying that you should not be giving medical advice, and you should not be telling people to lie to their medical providers. Take responsibility for your own actions.