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Ketamine Therapy

What to Expect After Ketamine Treatment

Your complete guide to the first 24 hours and beyond

Published Nov 6, 2024 8 min read

Understanding what happens after your ketamine infusion is crucial for maximizing your treatment results and ensuring a safe, comfortable recovery. This comprehensive guide walks you through everything you need to know about the hours and days following your ketamine therapy session.

Immediately After Your Infusion

As your ketamine infusion ends, you'll remain in our care for a brief observation period. Most patients feel alert and ready to leave within 15-30 minutes after the IV is removed. However, it's important to understand that ketamine can temporarily affect your coordination and judgment.

Can You Drive After Ketamine Treatment?

No, you cannot drive after ketamine treatment. This is one of the most important safety guidelines we emphasize at Klarity Clinic. You must arrange for a responsible adult to drive you home after every ketamine session. This requirement applies for at least 24 hours after treatment.

Plan to have someone drive you to and from your appointment. Ride-sharing services like Uber or Lyft are acceptable alternatives if you don't have a friend or family member available.

The First 24 Hours After Ketamine Treatment

The day after your ketamine infusion is when many patients begin noticing the therapeutic effects. Here's what typically happens during this critical period:

Immediate Effects (0-4 Hours)

  • Mild dissociation: Feeling slightly "floaty" or detached is normal and typically resolves within 1-2 hours
  • Fatigue or energy: Some patients feel tired and want to nap, while others experience a surge of energy
  • Emotional shifts: You might notice your mood beginning to lift or feel more emotionally stable
  • Vivid dreams: If you nap after treatment, dreams may be more vivid than usual

6-12 Hours Post-Treatment

Many patients report the first noticeable improvements in mood during this window. Depression symptoms may feel less intense, and anxious thoughts might quiet down. This is when the ketamine's rapid-acting antidepressant effects typically begin to manifest.

12-24 Hours Post-Treatment

By the next morning, most acute effects of the ketamine have completely resolved. You should feel back to your normal baseline in terms of coordination and alertness. However, the therapeutic benefits are often becoming more apparent:

  • Improved mood and reduced depression symptoms
  • Decreased anxiety and worry
  • Better mental clarity and focus
  • Reduced suicidal thoughts (if present before treatment)
  • Increased motivation and energy

What to Do After Ketamine Treatment

Following these guidelines will help you get the most benefit from your ketamine therapy:

Day of Treatment

  • Rest and relax: Plan for a quiet day at home with no demanding activities
  • Stay hydrated: Drink plenty of water throughout the day
  • Eat light meals: Your appetite might be affected; listen to your body
  • Avoid alcohol: No alcohol for at least 24 hours after treatment
  • Skip important decisions: Don't make major life decisions on treatment day
  • Journal if helpful: Some patients find it beneficial to write down their experiences and thoughts

The Day After Treatment

Most patients can resume normal activities the day after their ketamine infusion, including:

  • Returning to work (if you feel ready)
  • Driving and operating machinery
  • Exercise and physical activity
  • Social activities and responsibilities

The Week Following Treatment

During your initial series of treatments (typically 6 infusions over 2-3 weeks), you'll want to:

  • Maintain consistency: Stick to your scheduled treatment plan for best results
  • Track your progress: Keep a mood diary or use symptom tracking apps
  • Continue therapy: If you're in talk therapy, continue your sessions
  • Practice self-care: Prioritize sleep, nutrition, and stress management
  • Stay connected: Reach out to your support system and treatment team

What to Expect After Ketamine Treatment for Depression

If you're receiving ketamine therapy specifically for treatment-resistant depression, here's what the recovery and improvement timeline typically looks like:

Week 1 (Infusions 1-3)

  • Initial mood improvements often noticed after the first or second treatment
  • Reduction in negative thought patterns
  • Improved ability to experience pleasure (reduced anhedonia)
  • Better energy levels and motivation

Week 2-3 (Infusions 4-6)

  • Cumulative benefits become more pronounced
  • More sustained mood stability between treatments
  • Continued reduction in depressive symptoms
  • Improved cognitive function and mental clarity

Post-Initial Series

After completing your initial 6 infusions, you'll work with your Klarity Clinic physician to develop a maintenance schedule. Most patients benefit from periodic booster treatments to maintain their results, typically every 2-6 weeks depending on individual response.

Potential Side Effects the Day After

While most side effects resolve within hours of treatment, some patients may experience mild effects the next day:

  • Mild headache: Usually resolves with over-the-counter pain medication
  • Fatigue: Some patients feel more tired than usual; this typically improves after a good night's sleep
  • Vivid dreams: Dreams may remain more intense for a night or two
  • Emotional processing: You might feel more introspective or process emotions differently

These effects are generally mild and resolve on their own. Contact your treatment team if you experience any concerning symptoms.

Maximizing Your Ketamine Treatment Results

To get the most benefit from your ketamine therapy:

  1. Complete the full initial series: Don't stop after 1-2 treatments; the full benefits typically require completing all 6 initial infusions
  2. Combine with therapy: Ketamine works best when paired with psychotherapy
  3. Maintain healthy habits: Good sleep, nutrition, and exercise support your recovery
  4. Be patient: While many patients notice rapid improvements, full benefits may take several treatments
  5. Communicate with your team: Keep your Klarity Clinic physicians informed about your progress and any concerns

When to Contact Your Care Team

While serious side effects are rare, contact Klarity Clinic if you experience:

  • Severe headache that doesn't respond to medication
  • Persistent nausea or vomiting
  • Significant mood worsening or increased suicidal thoughts
  • Any symptoms that concern you

Our medical team is available to address any questions or concerns you have after your treatment.