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Dosing Articles

Latest articles, insights, and updates from the blog.

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Weight-Based Dosing Guidelines for Low-Dose Ketamine - weight based dosing guidelines
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Weight-Based Dosing Guidelines for Low-Dose Ketamine

Practical guidance on weight-based dosing calculations for low-dose ketamine across clinical indications. Addresses ideal versus actual body weight considerations, dosing ranges by route and indication, and special population adjustments.

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Tracking Treatment Response to Ketamine: PHQ-9, MADRS, and Clinical Scales

A clinician's guide to systematic outcome measurement in ketamine therapy, covering validated rating scales, assessment frequency, response and remission thresholds, and data-driven decision-making for dosing adjustments.

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What Is the Standard Ketamine Dose for Depression?

The standard ketamine dose for depression is 0.5 mg/kg administered intravenously over 40 minutes.

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Defining Sub-Anesthetic Ketamine: Dose Ranges and Therapeutic Windows

Comprehensive guide to sub-anesthetic ketamine dose ranges and therapeutic windows, covering pharmacological thresholds, receptor occupancy, and clinical dose-response relationships.

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Renal and Hepatic Dose Adjustments for Low-Dose Ketamine

Pharmacokinetic rationale and clinical guidelines for ketamine dose adjustments in patients with renal impairment or hepatic dysfunction, including monitoring strategies and contraindication thresholds.

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Pharmacokinetics of Ketamine: Absorption, Distribution, Metabolism, and Elimination

A comprehensive overview of ketamine pharmacokinetics across all clinically relevant routes of administration. Covers bioavailability, volume of distribution, hepatic metabolism via CYP enzymes, half-life considerations, and the role of active metabolites.

Dosing4 min read

Pediatric Low-Dose Ketamine: Dosing Considerations and Safety

Review of pediatric low-dose ketamine dosing considerations, covering developmental pharmacokinetics, age-specific safety data, and clinical applications in children and adolescents.

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Ketamine Tolerance: Understanding Dose Adjustments Over Time

A clinical review of tolerance development during repeated ketamine treatment, covering pharmacological mechanisms of tolerance, clinical indicators, evidence-based dose adjustment strategies, and the distinction between therapeutic tolerance and treatment failure.

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Optimizing Oral Ketamine Bioavailability: Pharmacokinetic Strategies

Pharmacokinetic strategies for optimizing oral ketamine bioavailability, including sublingual administration, formulation approaches, metabolic inhibition, and clinical considerations.

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What Is Ketamine's Half-Life?

Ketamine has a plasma half-life of approximately 2 to 3 hours, though its antidepressant effects persist far longer due to downstream neuroplastic changes.

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How Many Ketamine Treatments Are Needed?

A typical initial course of ketamine therapy consists of 6 IV infusions over 2 to 3 weeks, followed by maintenance treatments as needed.

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Esketamine vs Racemic Ketamine Dosing: Comparative Pharmacology

Comparative pharmacology of esketamine versus racemic ketamine dosing, examining enantiomer-specific receptor binding, clinical potency differences, and dosing equivalencies.

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