BUY KETAMINE LOZENGES ONLINE
Ketamine lozenges provide a sublingual dose of ketamine over a steady period, but does this make them better or safer than other routes of administration?
If you’ve looked into the potential of getting ketamine — particularly from a telehealth clinic — you’ve almost definitely seen lozenges as the new go-to offering. Contrary to some claims, they don’t necessarily provide an easier experience or fewer side effects. Buy ketamine lozenges online
While there are some benefits to using lozenges as a delivery mechanism, the main benefit is increased storability, making them more reliable for mail-order deliveries. Order ketamine lozenges online
Lozenges are no safer than any other form of ketamine, and while their effectiveness is more reliable than other options, it’s not more powerful. Moreover, it doesn’t lead to fewer ketamine metabolites — which lead to many of the physical adverse reactions. Ketamine lozenges near me
Let’s take an objective look at ketamine lozenges, their benefits, and the risks that still exist within them.
WHAT IS KETAMINE LOZENGES?
Ketamine lozenges deliver a slow release of ketamine throughout their time of use. As they melt, ketamine enters the bloodstream through the thin membrane of skin in your mouth and under your tongue. Buy ketamine lozenges online in Europe
A smaller amount of ketamine comes from the oral effect of swallowing the liquid as it melts. This secondary amount is small, however, provided the participant holds their saliva long enough. Buy ketamine lozenges Australia
Sublingual (under the tongue) and buccal (between your gums and cheeks) delivery are common among a wide range of substances. Not every drug works better through this — since many require metabolism to become effective — but ketamine appears more reliable with sublingual/buccal administration. Let’s break down why this is and how it all works: Buy ketamine lozenges USA
HOW SUBLINGUAL KETAMINE WORKS?
Whereas oral doses of ketamine typically have to go through the digestive process before becoming active, sublingual routes of administration enter the bloodstream. Some drugs offer a higher bioavailability through this mechanism — or potential for your body to absorb it — but ketamine doesn’t appear to be one of them. Buy ketamine lozenges UK
In a study on the new method for ketamine delivery, researchers compared it with an oral and intravenous dose and found: Buy ketamine lozenges Canada
- A similar bioavailability to oral mechanisms, on average
- Sublingual administration was more reliable, ranging from 17–27% compared to 19–49% in oral administration
- Plasma concentrations were roughly identical to intravenous (IV) administration except for the peak effects, which were far higher for IV
Readings of participants’ plasma concentrations suggest sublingual ketamine is more reliable than oral doses and comparable to IV in onset and duration. IV ketamine rapidly spikes the concentration of ketamine and its primary metabolite, norketamine, in the bloodstream before rapidly deteriorating. Buy ketamine lozenges online in Australia
Sublingual doses, by contrast, raise levels rapidly but plateau at around half of the maximum from IV administration, sticking around at that level for a moment before declining. Ketamine lozenges near me in Australia
For some, this may suggest a more approachable method for ketamine — though this doesn’t mean lozenges can’t become overwhelming.
ARE KETAMINE LOZENGES SAFER THAN KETAMINE INFUSION?
No — all forms of ketamine carry the same potential for side effects and adverse reactions. The popular ketamine telehealth clinic Mindbloom recently conducted a study of 1247 participants who received ketamine for anxiety and depression over four sessions, declaring it “safe and effective.” Buy ketamine lozenges Italy
While the results of this study (which was funded by Mindbloom, who also employed the researchers and provided the data) seem promising, four people dropped out due to adverse reactions. This happened despite a robust 14-part exclusion criteria, including anyone whose depression was bad enough that the therapists deemed it “psychologically unsafe.” Buy ketamine lozenges Georgia
Reasons for dropping out were:
One due to elevated heart rate, one due to worsening symptoms of depression, one needing to visit a urologist for follow-up on increased urinary pressure, including hematuria 24h after the fourth medication session, … and a final who presented to the ER for worsening anxiety and depression who was then admitted for ongoing psychiatric services.
This demonstrates an important, oft-overlooked truth about ketamine therapy: it’s not entirely safe. Buy ketamine lozenges New York
This study also excluded participants with a history of drug use, meaning these side effects — including the need for in-patient psychiatric or urological services — occurred after (at most) just four uses of the drug. Buy ketamine lozenges Florida
While the research glances over this, placing it within the “clinical outcomes” section and not expanding beyond a couple of paragraphs, these four cases matter. Any psychedelic experience can potentially worsen depression and anxiety, but most won’t leave you seeking a urologist. Buy ketamine lozenges California
A quick note in defense of Mindbloom is that they are one of the few ketamine telehealth clinics to include warnings of urinary problems from ketamine use on their site. Ketamine lozenges for depression
IS LONG TERM KETAMINE USE SAFE WITH LOZENGES?
While a large amount of ketamine’s toxicity remains uncertain, research indicates the frequency of use and higher doses make urinary problems (among others) far more likely. Studies often go to great lengths to suggest that street-sourced ketamine is the only way this is possible, but as we can see from Mindbloom’s research, this isn’t entirely true. Buy ketamine lozenges Italy
One survey of other studies notes that as many as 30% of frequent ketamine users experience urinary problems at some point. They also state that the cause of this effect is likely a “high concentration of ketamine and its metabolites.” Buy ketamine lozenges Germany
Given the studies showing similar metabolite levels for all delivery methods, this implies sublingual use isn’t safer. Furthermore, repeated doses can cause metabolite levels to build up to high levels, similar to any other form of frequent use. Buy ketamine lozenges France
This may pose a more significant threat when it comes to microdosing ketamine. While a single, sub-perceptual dose is unlikely to be harmful, Joyous sends 30 “very low-dose ketamine” lozenges per month.
We don’t have enough information on microdosing any substance to declare it’s safe. However, with a drug like ketamine, the risk potential is far higher. Buy ketamine lozenges UK
WHERE TO FIND KETAMINE LOZENGES
Lozenges have become the go-to — for the most part — when it comes to ketamine telehealth clinics. Finding a safe supply of them is relatively easy and far cheaper than a standard infusion clinic, but these savings come at a cost. Buy ketamine lozenges Switzerland
Telehealth clinics often offer little-to-no therapeutic assistance before, during, or after your ketamine sessions. As such, people considering this route should take special care in crafting their own preparation and integration routine. Buy ketamine lozenges Netherlands
Some telehealth options offer an app to assist with this, a message board for “group integration,” or supervision of select sessions, but you will primarily be on your own. If you want guidance and therapeutic intervention with your ketamine, it’s best to seek out an in-person clinic. Buy ketamine lozenges Greece
Some of these will also offer lozenges or, more commonly, may start you with them as an easier entry point before moving to infusions. Buy ketamine lozenges Poland
FAQS ABOUT KETAMINE LOZENGES
Here are some questions people commonly ask about ketamine lozenges:
1. WHAT IS A TYPICAL DOSE OF KETAMINE LOZENGES?
This will depend on what your therapist determines your dose should be, but it can start as low as 50mg for a first-time use and go up to 400mg. As the lozenge dissolves in your mouth, you will have to refrain from swallowing for at least 10–15 minutes. Buy ketamine lozenges Ukraine
If you swallow before this point, you’ll likely receive more of the “oral” effect of ketamine. While this isn’t less effective (on average), it might be less reliable since it depends on your metabolism.
After waiting, you’ll still likely receive some additional effects from residual ketamine in your saliva, but this will be minimal. Buy ketamine lozenges Russia
2. DO I HAVE TO VISIT A KETAMINE CLINIC FOR LOZENGES?
The vast majority of ketamine lozenges likely come from ketamine telehealth services. They mainly enjoy utilizing them because of their ease of use — it’s like taking a cough drop — and storability. Buy ketamine lozenges Belgium
Some in-person clinics also offer lozenges, but they mainly focus on infusions through IV/IM injections. Buy ketamine lozenges Sweden
3. HOW LONG UNTIL KETAMINE LOZENGES KICK IN?
Sublingual administration of ketamine has a quick onset without peaking as high as an infusion or intra-muscular injection. As a result, many find sublingual methods to be more approachable than other options with fewer side effects. Buy ketamine lozenges Austria
However, it’s worth noting that each person is different, and side effects are just as likely from sublingual use as they might be for any other route of administration. The psychological side effects of ketamine alone can be frightening and disorienting, and it’s essential to prepare for them regardless of your route of administration. Buy ketamine lozenges Norway
4. IS THERE A DIFFERENCE BETWEEN KETAMINE LOZENGES AND KETAMINE TROCHES
Ketamine troches are very similar to ketamine lozenges, with the main distinction being that troches are a slow-dissolving tablet as opposed to a medicated slow-dissolving candy. Their capabilities and mechanisms of action are similar, but many opt for lozenges if they prefer the sweeter taste. Buy ketamine lozenges Croatia
Lozenges are more pleasant for most than leaving a tablet in their cheeks for buccal absorption. As the mouth fills with saliva and the melted lozenge, it may enter through either the buccal or sublingual route. Buy ketamine lozenges Denmark
5. ARE KETAMINE LOZENGES SAFE?
For the most part, ketamine is a relatively safe drug with a low-risk profile. However, ketamine does exert toxic effects on the liver and bladder, which can become serious — especially following frequent use. Buy ketamine lozenges Romania
In particular, ketamine has the risk of leading to moderate-to-severe urinary problems. Compounding this concern are reports detailing chaotic and compulsive behavior around ketamine, leading many to develop a dependency from repeated use. Buy ketamine lozenges Ireland
Taken together, all forms of ketamine require caution and diligence from anyone taking them.
ONLINE KETAMINE THERAPY
Online ketamine therapy boasts “rapid results and long-term relief” from depression, PTSD, anxiety, & more. But are these claims true? Or is this just another example of unrestrained capitalism exploiting the recent surge in psychedelic medicine? Buy ketamine lozenges Finland
Ketamine has been used as a treatment for depression, anxiety, and chronic for over 20 years now.
The biggest barrier to entry has always been aspects like cost, stigma, and accessibility (not every community has a ketamine clinic nearby, and many that do are booked out months in advance). Buy ketamine lozenges Luxembourg
Online ketamine therapy is positioned as the answer to these problems. It seeks to deliver the same impressive capacity for healing that ketamine clinical therapy has to offer directly in the comfort of your own home. Buy ketamine lozenges Czechia
With bold promises of quick results and affordability — companies like MindBloom, Better U, Nue Life, and Wondermed are leading the charge in this new therapeutic frontier. All 4 of these online ketamine providers (as well as four others we’ll explore later in this article) position themselves as the ultimate solution for society’s growing mental health crisis. Buy ketamine lozenges Albania
Is online ketamine a silver bullet? Or is the unrestrained capitalist movement toward commercialized ketamine only making matters worse? Buy ketamine lozenges Iceland
Here, we examine the philosophy behind online ketamine therapy, how it works, how much it costs, who’s offering it, how to sign up, and why it’s important to be skeptical and pragmatic about how we apply online ketamine therapy. Buy ketamine lozenges Malta
HOW ONLINE KETAMINE THERAPY WORKS
Online ketamine therapy was only made possible in 2020 after the federal government waived the Ryan Haight Online Pharmacy Consumer Protection Act of 2008.
The Ryan Haight Act forced physicians to meet patients in person before prescribing drugs. It was created in response to Ryan Haight, who, at the age of 18, died from an overdose of prescription medications he had purchased from an online pharmacy without a legitimate prescription. Buy ketamine lozenges Hungary
The act was temporarily removed during the pandemic to ensure patients had access to important medications in the face of mounting difficulties in visiting hospitals during the pandemic. It allowed doctors and patients to meet over Zoom to prescribe treatment. Buy ketamine lozenges Cyprus
With the removal of this act, signing up for online ketamine therapy is easier than ever. Most of these companies position themselves as a wellness company — but when you look under the hood, they’re much more a combination of a tech company and a pharmacy. Buy ketamine lozenges UAE
The user experience in terms of registering, paying, and meeting with a prescribing doctor follows the same principles as ordering yourself an Uber. Buy ketamine lozenges Israel
Here’s how it works:
Step 1: Fill Out An Online Assessment
Before you can get started, you’ll need to fill out some version of an online assessment. This is done to assess the moods of potential customers, ask questions about existing treatments and identify potential red flags that could rule you out of receiving the treatment. Buy ketamine lozenges Serbia
Most providers do the bare minimum to rule people out, so you can expect some pretty generic questions about your mood or health history.
Step 2: Schedule a Virtual Appointment
An initial consultation is organized with a doctor who goes over some of the fine print for the treatment, collects some generic intake questions, and signs you up to receive your mail-order ketamine. Buy ketamine lozenges Estonia
Very little is done to rule people out of treatment, and most of these appointments are concluded within about 15 minutes. Buy ketamine lozenges Andorra
Step 3: Pay For Your Service
Payment with these platforms happens pretty quickly. MindBloom, Better U, and Nue Life ask for payment before you can make an appointment; others, like Joyous, do the appointment stage first.
Most companies require a down payment of at least 25% of the total cost of the service before you can move on to the next stage, with the exception of Joyous (the lowest cost and lowest dose option) and Safe Haven Health, which charge a monthly subscription fee of $129 and $250 per month, respectively. Buy ketamine lozenges Jersey
Others, such as Nue Life, charge the full amount ($1400) right away.
In most cases, expect to pay at least $300 upfront before moving on to the next stage.
Step 4: Receive Your Starter Box
Once you’ve paid and had your initial consultation, you just have to wait for your package to arrive. Online ketamine therapy USA
MindBloom calls it a Bloom box, Nue Life calls it a Welcome Box, and Better U calls it a Brain Box.
Whatever you want to call it, they’re all the same thing. They contain a journal to write in, an eyemask, a QR code to sign in to the company’s app (if applicable), and a little blood pressure monitor. Some have extra gimmicks like “intention cards,” or access to an “integration playlist.”
In most cases, you’ll receive the care box and the actual ketamine dose separately. There are a lot of reports with all of these companies where the actual ketamine itself can take weeks to arrive.
STEP 5: Online Ketamine Session
Individual ketamine sessions generally take about 1.5–2 hours.
Some providers have you meet with a clinician who will spend about 30 minutes getting you ready with various meditations or journaling exercises. In most cases, these are pre-recorded sessions.
The ketamine itself is delivered via a ketamine lozenge or troche, which is held under the tongue until it’s fully dissolved. Online ketamine therapy in Europe
The experience generally lasts about 60 minutes before tapering off.
Following the ketamine session, you’ll (usually) receive about 30 minutes of post-session exercises and journaling for integration. Online ketamine therapy in Australia
STEP 6: Follow-up Sessions
Most companies (including big ones like MindBloom) don’t offer much regarding proper clinical follow-up sessions. You usually have to pay extra for this level of support. The included sessions are often run by non-therapists (as this job posting from MindBloom implies). They’re more of a ketamine trip-sitter than anything else. Buy ketamine lozenges Montreal
Follow-up sessions with a trained psychotherapist are essential to successful ketamine therapy. The integration after the experience is just as important (if not more so) than the session itself. Without it, users need to keep taking repeated doses of the medication long-term. Buy ketamine lozenges Melbourne
Companies like Joyous do even less in this regard — they check in “periodically” via text message.
If you’re using online ketamine and feel as though the included integration sessions are lacking (as many customers are reporting for all of the companies listed below) — it’s wise to seek the support of an outside therapist. This step should not be considered optional if the goal is to avoid having to use ketamine long-term. Buy ketamine lozenges Perth
STEP 7: Virtual Integration Groups
Some companies offer access to ongoing integration groups. These groups are helpful for continuing the process of integrating your experiences with ketamine with the goal of not needing the medicine beyond the initial protocol.
Only MindBloom and Nue Life (from the provider list below) offer some form of ongoing integration group access.
HOW MUCH DOES ONLINE KETAMINE THERAPY COST?
Online ketamine therapy is the most affordable form of legal ketamine therapy — but it’s still out of budget for most people.
A single session of full-dose ketamine can cost as low as $193 (MindBloom) — however, none of the current providers offer just one session. Most sell them in packages of 6 at a time for prices ranging from $1200–$1500 total.
Microdose or “low-dose” ketamine therapy from companies like Joyous or Wondermed is even cheaper ($4.33 and $100, respectively), but the therapeutic value of this kind of treatment is questionable at best. Much of the therapeutic benefit of ketamine comes from its powerful dissociative qualities and the therapy that follows — neither of these companies offers much in the way of psychotherapy, and microdose ketamine treatment is functionally useless — at least in the context these companies are marketing it.
Compare all this to the cost of IV ketamine, which averages around $400 per infusion. Clinics usually book sessions 1-2 times a week for a monthly cost of $1700–3500.
Intranasal ketamine is even more expensive — Johnson & Johnson’s Spravato costs between $600 and $900 for an applicator that contains just 2 doses. Spravato treatment is usually prescribed at 2 doses per week for a total monthly cost of $2400–3600.
IS ONLINE KETAMINE THERAPY COVERED BY INSURANCE?
In general no, most insurance providers will not cover ketamine therapy. However, this space is rapidly evolving, and some insurance companies are starting to include approved programs in their coverage options (usually only for higher-tier plans).
In the US, you may use a Health Savings Account (HSA) or Flexible Spending Account (FSA) to pay for treatment.
KETAMINE LOZENGES VS IV KETAMINE VS INTRANASAL KETAMINE
The vast majority of online ketamine therapy sessions use ketamine-infused lozenges or troches, which are designed to dissolve slowly in the mouth over the course of about 15–20 minutes.
The effects of sublingual ketamine lozenges are significantly milder than intravenous ketamine or even intranasal ketamine. The lozenges take a while to absorb — some through the capillaries under the tongue, some through the digestive tract.
They’re designed to dissolve slowly to both dull the dissociative effects and lengthen the duration.
This form of ketamine won’t produce the profound dissociative (K-hole) states ketamine is known for — which is where much of ketamine’s therapeutic effects stem from.
That said, lozenges will still provide some dissociative effects, which can help users reframe unconscious desires and emotions and offer the same benefits on things like neuroplasticity as intravenous ketamine.
Ketamine lozenges don’t produce full K-hole experiences but can provide a powerful “zen-like” state of consciousness, which offers a glimpse of hope for people who rarely experience this kind of tranquility.
Simply knowing this relaxed and tranquil state is possible is often enough for people to re-examine preconceived notions about how they should feel and why they feel a certain way about people, experiences, or events in their lives.
TLDR; IV, Intranasal, & Sublingual Ketamine Differences
- IV ketamine — offers the most direct and controlled method of administration but must be done in a clinical setting. This form carries the highest risk of abuse and overdose.
- Intranasal ketamine — offers a good balance of rapid onset of effects, high bioavailability, and improved safety profile over intravenous administration.
- Sublingual ketamine (lozenges) — offers the least invasive form of administration and can be used without medical equipment. The catch is that it’s much slower to kick in, and the effects aren’t nearly as intense.
COMPARING IV, INTRANASAL & SUBLINGUAL KETAMINE:
| Sublingual Ketamine (Lozenges) | Intravenous Ketamine | Intranasal Ketamine (Spravato) | |
| Average Dose | 200 mg | 1-4.5 mg/kg | 56 mg |
| Average Cost Per Dose | $200 | $400 | $300 |
| Onset of Effects | Within 5-10 minutes | Within seconds | Within seconds |
| Duration of Effects | Long (1–2 hours) | Short (Up to 30 mins from a single dose) | Medium (45–60 minutes) |
| Intensity of Effects | Mild | Very strong | Moderate |
| Risk Potential | Lowest | Highest | Moderate |
WHAT DO KETAMINE LOZENGES FEEL LIKE?
Patients who take ketamine lozenges generally describe the feeling as smooth, slow, and gentle. They feel some degree of depersonalization and derealization — they remain aware of themselves and their environment but feel in some way detached from their body.
Some people feel like they’re looking down at themselves from above, beside themselves, or that their body doesn’t belong to them.
To anybody who hasn’t used ketamine (or other dissociatives), this language doesn’t make any sense — but that’s sort of the nature of this class of drug. It’s almost impossible to describe its effects using conventional language.
You may experience time dilation (time feels like it’s moving faster or slower than usual), your limbs may feel like they’re missing, and your own house or room may look totally unfamiliar.
At no point should you lose consciousness or become incapacitated while using ketamine lozenges.
WHERE CAN I FIND ONLINE KETAMINE THERAPY?
There are a lot of companies trying to squeeze themselves into the booming psychedelic sphere. Since the legislation around magic mushrooms and MDMA is moving at a snail’s pace, most companies are starting with ketamine — which is currently a Schedule III substance in the United States.
Ketamine is only formally approved as an anesthetic during surgical procedures — but it’s being prescribed off-label for basically any condition you can imagine.
The only exception is Johnson & Johnson’s Spravato, which is a nasal ketamine spray. This medication has been approved by the FDA for treatment-resistant depression.
It’s important to note that none of the online ketamine providers listed below offer Spravato as a form of treatment.
Here are the biggest players in the online ketamine space at the moment:
| Company | Ketamine Per Dose | Cost Per Dose |
| MindBloom | 10–800 mg | $193 |
| Better U | 100–300 mg | $124–$149 |
| Nue Life | 125–750 mg | $233 |
| Joyous | 15 mg | $4.33 |
| Wondermed | 100 mg | $100 |
| Choose Your Horizon | Unclear | $158–$172 |
| Safe Haven Health | 100–600 mg | $25 |
MINDBLOOM
MindBloom is currently the largest online ketamine provider in the United States and has spent a ton of effort on marketing since the Haight Act was removed during the pandemic.
The introductory package starts at $1,158 ($386 due upfront) for 6 ketamine sessions (200–600 mg), the “Bloom Box,” 2 clinician consultations, 3 guided sessions, and access to group integration sessions. Once the first 6 sessions are finished, users are encouraged to purchase another 6 at a discounted rate.
MindBloom is available in: California, Kansas, New Jersey, New York, Arizona, Colorado, the District of Columbia, Florida, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Missouri, Nebraska, Nevada, New Mexico, North Carolina, Ohio, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
BETTER U
Better U promises to help you “address the root causes of your depression and anxiety with breakthrough programs including holistic psychiatry, online ketamine therapy, talk therapy and integration coaching.”
This program is disappointing — offering the bare minimum in terms of helping users actually get to the “root cause.” This company is essentially just a ketamine pharmacy at this point.
Better U offers 2 packages; the first costs $596 for 4 DIY ketamine sessions and 1 integration session. The second option costs $996 for 8 DIY sessions and 2 integration sessions. Both include a “Brain Box” and a 15-minute “preparation appointment.”
Better U is available in: California, Nevada, Florida, Colorado, Arizona, Washington, Alaska, Texas, Oregon, and New York.
NUE LIFE
Nue Life launched in 2020 and has so far raised over $23 million from venture capital firms. They position themselves as a “next-gen mental wellness company that believes in the power of psychedelics to catalyze lasting change.”
The company’s introductory program (Nue.Reset) costs $1400 for 6 sessions and includes access to the company’s app, a month of “telemedicine care,” 3 follow-up visits, and 4 group integration sessions.
You can upgrade to the Nue.You program for 18 additional ketamine sessions for $2,999.
Nue Life is available in: Arizona, California, Colorado, Connecticut, Florida, Georgia, Iowa, Illinois, Kentucky, Massachusetts, Minnesota, Nebraska, New Jersey, New Mexico, New York, Ohio, Tennessee, Texas, Utah, Virginia, Washington and Wisconsin.
JOYOUS
Joyous was founded in 2021 and positions itself as the most budget-friendly online ketamine provider.
But you get what you pay for.
Each lozenge contains just 60 mg of ketamine, which is meant to be broken up into four 15 mg doses. This is nowhere near enough to provide the type of health benefits the research suggests for ketamine. This company appears to be riding the microdose hype wave and selling what we view as the most counterproductive ketamine lozenges on the market so far.
We recommend avoiding companies like this.
Along with an ongoing $129/month subscription, you get (30) 15 mg doses of ketamine (bundled into 60 mg breakable tablets) and virtually no clinical support. You’ll get text messages asking you how you’re doing and the occasional journal prompt.
That’s it.
Joyous is available in: Arizona, California, Colorado, Connecticut, Delaware, Florida, Iowa, Illinois, Massachusetts, Maine, Missouri, Montana, New Jersey, New Mexico, Nevada, New York, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Washington, Wisconsin, Wyoming
WONDERMED
Wondermed was founded in 2020 and has so far raised about $4.2 million in venture capital funding.
This is another “budget-friendly” online ketamine provider. You can get 4 “low dose” ketamine lozenges for just $399. Included with this cost are a music playlist, one clinical consultation, and various “digital tools and integration support.” You’ll also get a starter box with an eye mask, blood pressure monitor, journal, and a few ginger capsules to help with nausea.
Wondermed is available in: California, New York, Florida and Texas.
CHOOSE YOUR HORIZON
Choose Your Horizon (rebranded from Choose Ketamine) was founded in 2021 and is based out of Austin, Texas.
This company is, by far, the most vague about its treatment options.
I argued with a “customer service rep” (probably a chatbot) for over an hour trying to get more details about the dose or how the company manages the therapy side of the process — but didn’t get anything but generic answers and links to their sign-up page.
This company sells 3 online ketamine packages:
- 4 treatments for $689
- 6 treatments for $948
- 8 treatments for $1264
Each package comes with 2 or 3 psychiatric evaluations, a welcome pack, and 4–8 guided sessions.
Choose Your Horizon is available in: Arizona, Colorado, California, Texas, Florida, Georgia, Ohio, Connecticut, Washington State, Michigan, Massachusetts, Iowa, and Minnesota.
SAFE HAVEN HEALTH
Safe Haven Health was founded by Giovanni Pierre in 2021. His company offers a subscription model that costs $250/month for ten 100–200 mg doses (per month).
What you get with this monthly subscription is one medical consultation (to prescribe the ketamine), a “personalized treatment plan,” coaching sessions, and general access to doctors who can answer questions that arise during the process.
No details on how many sessions, how frequent the personal sessions are, or what additional support is provided.
Safe Haven Health is available in: Maryland, Florida, Colorado, Virginia, Connecticut, Delaware, Oregon, Vermont, and New Mexico.
IS ONLINE KETAMINE THERAPY SAFE?
Ketamine itself has an impressive safety profile — especially in lozenge form. This is why the vast majority of online ketamine programs rely solely on this milder form of ketamine.
Ketamine is a potent dissociative and anesthetic in high doses but doesn’t interfere with breathing or heart rate the way other anesthetic drugs do. It also has a short duration of effect, which makes it much more difficult to achieve fatal overdoses.
But that doesn’t make it inherently safe — especially in the long-term, in a largely unconscious or escapist context, which is the way most of these companies are selling them.
The two biggest concerns with this form of therapy is the potential for addiction, and kidney/bladder disease.
ADDICTION
What most ketamine providers fail to mention is that ketamine is, in fact, addictive.
The way it’s being distributed in packets of 6–30 doses at a time and marketed as being “totally safe” is misleading, at best.
MindBloom advertises, “In the largest ketamine therapy study of over 1200 Mindbloom clients, fewer than 5% reported any side effects.” They don’t mention any of the risks frequent and repeated ketamine use can lead to even once — addiction being a strong concern.
Ketamine is habit-forming and can become physically addictive over time — especially if people are conditioned into a habit of taking ketamine to “zen-out” (escape) whenever they’re feeling anxious or depressed.
ONLINE KETAMINE THERAPY IN NEW ZEALAND
Most online ketamine providers offer the bare minimum in terms of clinical support and advertise discounted medication refills to coax users to re-up whenever they run out. Joyous and Safe Haven Health even base treatment on an ongoing subscription service.
Many of these companies are building their model around long-term customers.
This runs completely antithetical to the original argument that psychedelic therapy (including ketamine) offers a rapid but long-term fix for depression, PTSD, and anxiety. The finger is pointed at conventional SSRI therapy as the bad guy — yet these companies set up treatment protocols that ensure customers need ongoing treatment to maintain efficacy.
A comparative ranking of 20 substances with the potential for misuse, led by psychedelic researcher David Nutt and his team, ranked ketamine as sixth overall based on a massive review of the available literature [7]. The physical harm rating and dependency risk for ketamine were on par with drugs like benzodiazepines and amphetamines. Only heroin, cocaine, barbiturates, street methadone, and alcohol carried a higher risk for abuse than ketamine.
This comes despite the fact that ketamine shows fewer signs of physical dependence than most other drugs [8]. The issue with ketamine is primarily psychological dependence — where people believe they need the drug to feel alright or to escape the pain of daily stress, depression, or trauma. Ketamine offers a “quick fix” for these feelings, but the more often you take it, the less able you become to deal with these emotions on your own.
BLADDER DISEASE
Ketamine is also well-known to cause serious kidney and bladder disease when used over long periods of time. This condition is known as ketamine cystitis and is something inherent to most arylcyclohexylamines (including PCP, DCK, HXE, and dozens of others). It’s a well-known issue at this point, yet it’s something none of the online ketamine providers listed here are being honest about.
Upon searching for the keywords “bladder,” “bladder disease,” “LUTS,” and “cystitis,” only two companies offered any warning about this.
The first was MindBloom, but they only included this information on a hidden safety page. The front-facing safety page, which is linked to from everywhere else on the site, has no mention of bladder disease whatsoever — neither do any of their blog posts.
HOW MUCH IS ONLINE KETAMINE THERAPY IN EUROPE?
Nue Life is the other one. They suggest in their FAQ that bladder disease is very rare with long-term ketamine users. However, this study suggests otherwise. Reporting an incidence of lower urinary tract symptoms (LUTS) — to be around 30% in frequent ketamine users. An even larger Hong Kong study reported LUTS at significantly higher rates among ketamine users — closer to 46%.
The main culprits of this issue are caused by several metabolites common within the arylcyclohexylamine family — including ketamine. These metabolites include norketamine, dehydronorketamine, hydroxyketamine, and hydroxynorketamine. These metabolites are toxic to the kidney and bladder epithelial cells.
With repeated exposure, these compounds lead to inflammation and destruction of the kidneys and the inside layer of the bladder — leading to significant pain and blood in the urine. Buy ketamine troches China
A 2022 study examining the long-term safety of sublingual ketamine troches (lozenges) found no difference in metabolite content between the troches and other forms of ketamine. This suggests the lozenges being sold through online ketamine pharmacies carry the same level of risk for bladder disease as anything else.
HOW EFFECTIVE I ONLINE KETAMINE THERAPY
Ketamine therapy works surprisingly well — but there are some major caveats…
A MindBloom-funded study published in 2022 found roughly 17% greater improvements in symptoms with ketamine lozenges over “conventional” IV ketamine. The same study reported 54% greater results than psychotherapy alone and 36% greater than SSRI treatments.
The problem with this study, as pointed out by Jules Evans from Ecstatic Integration. It is that this study was led by a non-academic paid advisor to MindBloom. This doesn’t make their findings null and void. But it does draw into question the validity of their study design.
It’s important to note that this study didn’t mention bladder pain. Even once in the entire paper but did suggest, somewhat ambiguously. That one patient had to be removed from the trial after “visiting a urologist.”
ONLINE KETAMINE THERAPY IN EUROPE
The problem with research in this sphere is that companies. They will do whatever they can to inflate the success metrics of their clinical trials and deflate the risks. A skilled medical specialist with a demonstrated history of strong integrity. And an understanding of ethical study design is essential for these studies to be taken seriously.
It’s easy to make alterations in intake criteria, exclusion criteria (especially during the study). And study design to pump up the figures and make outcomes look better than they are. We’re not saying MindBloom has done this, but we do want to issue a call to ketamine researchers. To take a much closer look at this paper and others like it.
This problem isn’t isolated to MindBloom. Here’s what a typical ketamine research paper looks like in the “acknowledgements” section:
In the nature of fair and unbiased science, competing interests like this are a bit of a red flag.
One of the better meta-analyses we’ve seen also reported fast-acting improvements in depression scores following ketamine therapy. In the short term but couldn’t vouch for the efficacy or safety of ketamine in the long term. In virtually all studies without significant competing interests. Researchers were clear to suggest a need for larger and more detailed studies. Before making claims as significant as the MindBloom paper.
THE BOTTOM LINE: ONLINE KETAMINE THERAPY
Online ketamine therapy can be safe. It uses a low-dose form of ketamine that’s pretty difficult to truly overdose on (though not impossible). Being medicalized, these clinics also offer much better assurance that the medication itself isn’t contaminated. Which is already a significant improvement from street-level ketamine.
The problem comes from companies downplaying the risks of addiction or bladder disease — especially from long-term treatment.
Additionally, the truth behind these companies’ claims for “rapid treatment. It is brought into question when you take a closer look at their treatment models.
In order for ketamine to be effective, it needs to be administered alongside high-quality. Personalized therapy — something most of these companies are overpromising on. They list these services on the website. But most people who undergo these programs feel underwhelmed at the actual care provided in this regard.
Taking a single dose of ketamine offers an easing of depression symptoms that last just a few days. Without proper therapy, these effects will simply wear off. So the customer needs to come back for another dose of ketamine. And another and another after that.
How is this any better than conventional long-term depression or anxiety treatments?
If you want to truly benefit from online ketamine therapy, aim to take no more than the allotted 6 doses. Find an external therapist to help you properly prepare for the process. (starting 1 month or more before the first session), and at least 3 months afterward.
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