Compounding Pharmacies that offer Ketamine

A growing number of compounding pharmacies offer ketamine in various forms. These pharmacies can make ketamine creams, ointments, capsules, troches, dissolving tablets, nasal sprays, and suppositories. Under expert pharmacists, the compound pharmacies can carefully dose ketamine to the correct milligram strength prescribed by physicians and other medical professionals. Many patients who receive IV ketamine therapy require ongoing treatment with a lower dose form of ketamine. Medical providers may prescribe ketamine creams, capsules, or troches that dissolve in the mouth to offer their patients a milder ketamine effect that helps prevent relapse in depression, OCD, PTSD, or pain symptoms. The nasal spray for of delivery is restricted, and must be administered in a clinic location. Extra safety is required because of the risk of serious adverse outcomes resulting from sedation and dissociation caused by esketamine nasal spray (also known as Spravato) administration, and the potential for abuse and misuse of the drug. It is offered through a restricted distribution system under a Risk Evaluation and Mitigation Strategy (REMS).

Different Forms of Ketamine

Ketamine can be prepared in various forms by compounding pharmacies. A prescription is required to obtain ketamine in one of these formulations. Dosage forms that can be chewed or dissolve slowly in the mouth are called troches, lozenges, or drops. These are more popular in the pediatric and senior populations for their ease-of-use. Intravenous ketamine preparations are the most rapid-acting delivery system and can exact the most rapid benefit and side effects of ketamine. Nasal sprays offer a reduced dose of ketamine through the nasal passage, with the benefit of an often milder and less rapid onset of side effects as compared to that of IV delivery. Given the reduced dose, this option may not be suitable for patients who require stronger ketamine doses such as to treat severe cancer and CRPS pain.

List of Ketamine Compounding Pharmacies

The following is a growing list of compound pharmacies that can offer ketamine formulations. We are not making any claims as to the quality of product or service by listing on this website. They are presented by state alphabetically.

Pacific Compounding Pharmacy in Stockton, California

Advanced Scripts Compounding Pharmacy in DeBary, Florida

Reddish Pharmacy in Nampa, Idaho

Rock Valley Compounding Pharmacy in Rockford, Illinois

Las Colinas Pharmacy Compounding & Wellness in Irving, Texas