The first step is to determine if you are a candidate for ketamine therapy. If you are not already a patient of Promise Medical, this, along with a basic physical, medical history, and depression/anxiety/pain evaluation is usually done during a consultation exam. If there are no contra-indications, we will help you schedule an appointment for your first treatment. 

A treatment consists of an intramuscular injection, usually in the hip or backside. Many ketamine clinics start an IV and infuse it into a vein over 20-30 minutes, but we have opted to eliminate problems caused by trying to start an IV, and simply give it in a muscle, which is equally as effective. You can then relax as ketamine takes effect. You can lie down, listen to music, or watch a movie on your phone. Your vital signs will be monitored throughout the procedure. Ketamine wears off in about 20-30 minutes. At this time, if you would like, you may receive a second injection at no extra charge. This is 1 treatment.

On the day of your first Muscle Injection, please follow these instructions:

  • Don’t eat anything for 6-hours prior to your treatment. 

  • Please arrange for a ride home. You should not drive, operate heavy equipment, or make important decisions for the rest of the day. 

  • You must refrain from alcohol or other sedating substances for 6 hours prior to, and 6 hours after treatment. 

  • Most regular medications should be continued. Talk to the provider before to go over medications and medical history.


After your ketamine treatment, your vital signs will be monitored for another 30-minutes before releasing you into the care of a friend or family member. YOU ARE NOT ALLOWED TO DRIVE OR OPERATE MACHINERY FOR 24-HOURS POST TREATMENT!