Understanding Ketamine Troches
A guide to Use and Benefits
At Atomic Mindworks, we may prescribe ketamine troches (pronounced TRO-KEYS) to be used in addition to infusions. We’re committed to providing our patients with detailed, accessible information about all aspects of their treatment. This page is designed to help you understand what ketaminetroches are and how to use them safely and effectively.
What are Ketamine Troches?
Ketamine troches are small, lozenge-like tablets that dissolve slowly in the mouth. They are a form of sublingual
administration, where the medication is absorbed through the mucous membranes under the tongue. This method allows for ketamine to enter the bloodstream more directly, bypassing the digestive system for quicker, more efficient absorption.
Convenient
Easy to administer
Controlled Dosing
Allows for precise dosing in accordance with your physical needs
Rapid Onset
Quick absorption means faster onset of therapeutic effects.
How Do Ketamine Troches Work?
Ketamine is known for its rapid-acting effects on various mental health conditions including depression, anxiety, and PTSD. When taken as a troche, ketamine acts on the NMDA receptors in the brain, leading to rapid
improvements in mood. This form of administration can be particularly beneficial for patients who need a more
controlled dosage and a convenient way to take their medication.
When taking a ketamine troche, it’s important to follow specific guidelines to ensure both effective treatment and safety. Below are detailed instructions, including how to prepare for and manage the experience:
Instructions For Use
Dosage
Administration
Always adhere to the dosage instructions provided. Do not change the dose without consulting us first.
Place the troche under your tongue and allow it to dissolve completely, which can take several minutes. Avoid swallowing the troche; it should be absorbed sublingually. Do not be concerned if some is inadvertently swallowed.
Timing
Storage
Side Effects
Take the troche at the times recommended by your doctor for consistent and optimal results.
Keep the troches in a cool, dry place, away from direct sunlight and out of the reach of children.
Be aware of potential side effects like dizziness, nausea, or mood changes. Contact your healthcare provider immediately if you experience any severe side effects.
Safety Precautions
Do not operate heavy machinery or drive after taking a troche until you understand how it affects you. You must avoid alcohol and other sedatives during this treatment.
Choose a Comfortable Space
Select a familiar and safe environment where you can relax undisturbed, such as a comfortable chair or bed.
Have a Trusted Person Present
Especially for the first session have someone you trust with you. This person can assist if you feel uneasy.
Relaxation and Calmness
Create a calm atmosphere with dim lights, soothing music, and calm visuals.
Comfortable Posture
Chose a chair or sofa where you can relax. Prop your feet on stool or get a pillow for your head.
Avoid Distractions
Turn off phones and other disruptive devices.
Prepare your Body
Stay hydrated and avoid large meals beforehand.
Prepare your Mind
Mentally prepare yourself with mindfulness or relaxation techniques.
Post-Experience Rest
Take time to rest and process the experience after the effects wear off. Contact your healthcare provider if you have any concerns or adverse reactions.

