Ketamine troches

Ketamine troches [lozenges] by Dr Stephen Hyde :


This formulation is now available through most compounding pharmacists in Australia and has the advantage over the liquid solution that it is stable for six months and at the 50 and 100mg doses it is cheaper for the patient.


It is available in 20mg, 50mg and 100mg dosages


  1. 10x 20mg lozenges [200mg total] cost $38
  2. 10x 50mg lozenges [500mg total] cost $58
  3. 5x 100mg lozenges [500mg total] cost $58


It can be easily halved and quartered.

It takes a little longer to absorb than the oral liquid, it is best that patients have a warm drink just before hand to moisten the mouth and it is well absorbed buccally as well as sublingually – bigger doses can be divided and placed in both cheeks.

Absorption takes 8-10 minutes; any remnants can be swallowed and will still be active.

28 thoughts on “Ketamine troches

  1. Thank you! I am researching for myself. I have CRPS and the nasal is not nearly enough. I thought there might be something for flares. If I could afford infusions, like most others, i would!


  2. Hi, I am interested in these lozenges to treat nerve pain after three bowel surgeries & opioid medication the last three years. I intend to speak to my GP about it & show him this webpage. I live in Rockhampton Queensland would it be available at pharmacies here or only on a special order?
    Thank you in advance for your advice.


    • Ketamine troches are special order via compounding pharmacies . I don’t know if any are providing this in Rockhampton . Please discuss with your GP for individualised health advice


  3. I also live in PA, USA. I have fourth stage RSD from two back surgeries gone terribly wrong that cut off the nerve passages to my Thecal Sac for more than a month. I have had this terrible disease for over ten years, during which the first two years I could not walk or function at all. I am looking for an alternative to the pain medicine I have been on for over ten years. I employ various methods of dealing with my pain on a daily basis and only have medicine to bring pain level to where it is tolerable for me. 6-7 out 10 on pain scale is the best it ever is and creeps up from there with each passing hour.
    Is this available in the USA and how would I go about talking to someone about it. Also, is it as addictive as other medications?


    • Yes it’s available in USA from compounding pharmacies but you’ll need a prescription from a physician . I’d suggest you see a pain medicine physician. Ketamine has addiction risk like morphine but it varies with the person and the condition


  4. I work for a compounding pharmacy that specializes in Ketamine in Troche, capsule, suppository, etc forms. We work hard to make sure pricing affordable to the vast majority of those who need it. We have seen so many different compounding pharmacies and different providers that charge so much for Ketamine treatments, so we work with a number of providers that make getting treatment more affordable for everyone who wants treatment. I am happy to give any input for anyone searching for help to get this medication. Feel Free to reach out to us here at 435-738-3784. We are A&W Pharmacy. We are located in Utah and we have licenses in other states throughout the country. My name is Justin. Our email address is Don’t hesitate and put off treatment because your scared or feel like you cant afford it. I’ve personally witnessed to many friends and family suffer from these forms of illness and refuse to stand by and force people to choose between food on the table or medicine.


  5. I have nerve pain
    I recently changed from taking Ketamine HCL 64mg pill 3 x daily to splitting a 128mg troche and taking that four times throughout the day, getting the same relief with less use of Ketamine. I live in Tacoma, Wa.


  6. I have two types of Leukemia.CLL and LGL along with rectulin fibrosis and other health issues. I get the 100mg ketamine torches 1 every 8 hrs. Been getting these for over a month. I also have 100mcg fentynal patches. I am terminal. Why is it that the ketamine seems to be short acting meaning it helps for 3-4 hours. Sometimes less. Some that i take you can feel it working and yet others i am taking have no real affect. Is this norm?


  7. What is the best way to get the pain relief i need with the ketamine. It feels as if i am walking on broken bones i have a PICC line for infusions , and would the methed of iv work better or longer than the torches?


      • I will be speaking to my pain management doctor as I take the 100mg troches 3 x a day and the 50mg nasal spray every 4 hours plus 125 in fentanyl patches and 800mg fentanyl suckers. I am alergic to alot of meds including pain meds but my pain is not controlled as hoped. On a scale of 1-10 my base and lowest was 5/6 as docs said that too high but i dealt with it because i dont want to be non functional, sleeping my days away etc. But my pain is increasing where I cry and now my best is a 7/8 . What is the higest dose of ketamine troches that can be used and be safe still. And if IV is better as i have a picc line. It seems theough the iv works better when in the hospital but at home its nasal and troches i take. I wod be happy just to get my pain back down to a 5/6 these days. I take all my meds as prescribed and directed. If a troche doest work i wait for the next time I can take one and deal with the pain with a fentanyl sucker in between. I want to stay safe but get better pain control. Any thoughts that might help ? Would ketamine through IV be better to try?


    • I’m sure u have ur answer by now – but for the others… just as a starter ….
      Physician need license forn the state ur in…


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