Sample Oral/sublingual Ketamine prescriptions

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(For educational purposes ONLY, this extract has been reproduced with permission by Dr Stephen Hyde from his book, Ketamine for Depression)

Ketamine Prescriptions
In Australia, ketamine is designated as an S8 medication.
Notification of state pharmacy services is required when used for more than two months. It is not covered by the PBS, and it is prescribed using standard script forms. Cost to the patient is around $40 for the 10 mg/ml oral solution (200 mg dispensed in a bottle with a 1 ml syringe for drawing up the sublingual dose). It is also available as a 100 mg/ml oral solution (500 mg in total dispensed in five 1 ml syringes), the cost of this concentration being $75. Some of these prescription costs maybe refundable to those with private health coverage.
1. Herewith is a sample prescription for the 10 mg/ml oral solution:
Rx:
Ketamine hydrochloride oral solution 10 mg/ml.
Take 1–3 ml (one to three millilitres) sublingually every second day.
Mitte:
20 ml (twenty millilitres) of 10 mg/ml oral solution and two repeats.
Minimum dispensing interval 7 days.

2. Herewith is a sample prescription for the 100 mg/ml oral
solution:
Rx:
Ketamine hydrochloride oral solution 100 mg/ml.
Take 0.5–1.0 ml (point five to one millilitres) sublingually every
two to seven days.
Mitte:
5 ml (5 millilitres) of the 100 mg/ml oral solution and two repeats.
Minimum dispensing interval 10 days.

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