Does anyone have any experience with ketamine for neuropathy pain?

Posted by jeffrapp @jeffrapp, Jul 11, 2023

Does anyone have any experience with, or knowledge of, the use of ketamine for the pain of peripheral neuropathy?

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Hi @jeffrap, There are a few discussions on the topic that might be helpful.

--- Lidocaine or Ketamine Infusions: https://connect.mayoclinic.org/discussion/lidocaine-or-ketamine-infusions/
--- Anyone undergo routine ketamine infusions for SFN?: https://connect.mayoclinic.org/discussion/ketamine-infusion/
--- ketamine infusion and topamax??
https://connect.mayoclinic.org/discussion/ketamine-infusion-and-topamax/

At one of the meetings of the Minnesota Neuropathy Association before it disbanded there were a few members that were using a compounded topical that contained ketamine along with THC and found it helpful. They had to have it specially made at a compounding pharmacy. Are you thinking about infusions are searching for a topical medication?

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@johnbishop

Hi @jeffrap, There are a few discussions on the topic that might be helpful.

--- Lidocaine or Ketamine Infusions: https://connect.mayoclinic.org/discussion/lidocaine-or-ketamine-infusions/
--- Anyone undergo routine ketamine infusions for SFN?: https://connect.mayoclinic.org/discussion/ketamine-infusion/
--- ketamine infusion and topamax??
https://connect.mayoclinic.org/discussion/ketamine-infusion-and-topamax/

At one of the meetings of the Minnesota Neuropathy Association before it disbanded there were a few members that were using a compounded topical that contained ketamine along with THC and found it helpful. They had to have it specially made at a compounding pharmacy. Are you thinking about infusions are searching for a topical medication?

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Hi John
Thanks as usual for your excellent help.
I should have been more specific. I was referring to ketamine nasal spray and/or patches.

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@jeffrapp

Hi John
Thanks as usual for your excellent help.
I should have been more specific. I was referring to ketamine nasal spray and/or patches.

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Hi Jeff,
Here's one on nasal spray but in a different group:
--- Compounded Ketamine nasal spray for pain and anxiety: https://connect.mayoclinic.org/discussion/compounded-ketamine-nasal-spray-for-pain-and-anxiety/

Looks like there have been 39 posts on the ketamine nasal spray: https://connect.mayoclinic.org/search/?search=ketamine+nasal+spray

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@johnbishop

Hi Jeff,
Here's one on nasal spray but in a different group:
--- Compounded Ketamine nasal spray for pain and anxiety: https://connect.mayoclinic.org/discussion/compounded-ketamine-nasal-spray-for-pain-and-anxiety/

Looks like there have been 39 posts on the ketamine nasal spray: https://connect.mayoclinic.org/search/?search=ketamine+nasal+spray

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Thanks, John
I messaged my pain doc at UC. If I get any info I'll post it here.

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My doctor prescribed a Ketamine compound to rub on my feet at night. I didn’t find it helped and am not currently using it.

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I have quite the opposite effect w Ketamine compound. It is extremely helpful when my feet are burning from neuropathy. Yes, it's a bit messy but it's as important as my other pain meds.

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@nancyannmary

I have quite the opposite effect w Ketamine compound. It is extremely helpful when my feet are burning from neuropathy. Yes, it's a bit messy but it's as important as my other pain meds.

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Hi Nancy
Can you please tell us the formula of the ketamine compound you use. Does it just contain ketamine, or are there other medicines, what is the % of ketamine and any other medicines in it? How much do you use for one application, and how often. How much does it cost?
I have tried ketamine compounded with other agents, and never found it helpful. It may be that it didn't contain enough ketamine, or I wasn't using enough. It was very expensive, and if I used more, I would use it up in a few days.
Messy or not, I (and I'm sure others) would appreciate knowing about your experiences.
Thanks in advance.
Jeff

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Jeff,
It contains the following:
3FD5SP-Ketamine5/Baclofen2/Diclofenacsodium3/Gabapentin5/LidocaineHCL4% SP Cream
A 30 day supply is $40 and isn't covered by insurance.
Dose is 1 gram; about the size of a pea. I usually use ~2 grams and only for the freezing/burning pain (it is the most effective for that kind of pain, for me).
I wouldn't want to be without it in my arsenal.
Once, the compounding pharmacy mistakenly filled the prescription w/o the ketamine and it had no effect at all.

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Hi Nancy
Thanks so much for the info!
Do you mind telling us who wrote your prescription (internist, neurologist, etc.), who filled it, and what state you live in?
Thanks again.

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It was originally written by my podiatrist.
Your doctor will know who makes the compound in your area or you can look online.

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