PATIENT FAQ’S



  • What is a Ketamine IV Infusion?
  • Are Ketamine Infusions an Option for Me?
  • Does My Psychiatrist or Doctor Have to Prescribe Ketamine?
  • How Long Do Ketamine Infusions Last?
  • Do I Need Someone to Drive Me Home from the Infusions?
  • What Should I Do to Be Ready for the Infusion?
  • What Should I Do During the Infusion?
  • What is the Ketamine Infusion Experience Like?
  • How Many Infusions Do I Need?
  • Can Insurance Pay for My Ketamine Infusions?
  • Why Choose New Pathways Clinic for Your Ketamine Treatments?
What is a Ketamine IV Infusion?

IV infusions are a simple and common medical procedure. An IV is started in your arm and a bag of saline is mixed with Ketamine, the amount of which is based on your weight. It will be slowly given to you in a predetermined schedule of 40 to 60 minutes, based on dosage.  

Are Ketamine Infusions an Option for Me?

If you suffer from the crippling symptoms of: depression, PTSD, an anxiety disorder, bipolar disorder, nerve pain, or migraines, then Ketamine infusions could be a new option for your care. Studies have only been conducted on treatment resistant patients, those who have failed to find relief from two or more treatments. At this time, we can only offer treatments to patients who have not found success with at least two medications or a single medication and therapy.  

Only patients with serious cardiac, cardiovascular, liver, or respiratory issues will be excluded from treatment for preexisting medical conditions.

 Unlike other psychiatric medications it typically has no lasting side effects 24 hours past the treatment and usually only produces a drowsiness and fatigue for a short period of time. While Ketamine has shown to occasionally cause bladder issues for chronic users, it is typically from higher doses than what New Pathways offers. 

Does My Psychiatrist or Doctor Have to Prescribe Ketamine?

New Pathways Clinic always prefers to work with your existing mental health and primary care providers. However, we also understand that not all patients are able to easily see a psychiatrist or doctor to get a prescription. Nora Finnegan, as a Psychiatric Nurse Practitioner, can independently prescribe your ketamine infusions, if you are deemed appropriate for treatment after our mental and physical assessments. 

While we are experts in providing ketamine infusions, we are not pain management specialists. We require a referral from the physician overseeing your pain management for all chronic pain and migraine treatments. 

How Long Do Ketamine Infusions Last?

Your appointments will be blocked off in 1 and ½ hour time slots. While the infusion itself usually only lasts about 45 minutes, we always allow time for preparation and assessment before and 15-30 minutes after to recover.  

Do I Need Someone to Drive Me Home from the Infusions?

Yes, you cannot be treated without proof of a responsible adult to drive you home for your own safety. You cannot drive the day of the infusion after treatment. Your companion for your treatments is welcome to sit in the treatment or waiting room and can also drop you off and pick you up.  

What Should I Do to Be Ready for the Infusion?
  • Avoid negative or stressful situations and content if possible. Your mind state coming into the clinic can shape your Ketamine infusion experience. 
  • Avoid eating heavy meals the day of the infusion, we recommend no eating 4 hours before treatment. 
  • We recommend staying hydrated, but no fluids 1-2 hours before the infusion. 
  • Wear comfortable clothes 
  • Please refrain from taking Benzodiazepines, Amphetamines, and Opioids the day of treatment, if possible, without harm. I.E. (Xanax, Ativan, Valium, Klonopin, Adderall, Percocet and Oxycodone). Any other medication, including SSRI’s and other anti-depressants, can be taken normally. 
What Should I Do During the Infusion?
  • Relax! Ketamine infusions are most therapeutic when your mind is at peace. 
  • Don’t Worry! Even if you distracted or anxious, the Ketamine is still healing your brain. 
  • Based on patient feedback, we recommend listening to music, without lyrics, that is calming to you.  
  • Because Ketamine infusions can provide profound realizations and self-psychotherapy, we do not recommend other uses of electronic devices. 
  • We also provide eye masks upon request for enhanced focus. 
  • Lastly, enjoy this precious uninterrupted time for healing. 
What is the Ketamine Infusion Experience Like?

Most patients report a pleasurable and soothing experience. At the low doses New Pathways Clinic provides, it is usually not an intense experience. It is generally reported to provide a loose and abstract state of mind. This allows observations about thought patterns, trauma, and life to be made at higher levels, without the normal accompanying emotions that can be distracting.

While some patients experience dizziness, nausea, and anxiety during treatments, medications can be given as needed to reduce those effects. If the treatment ever becomes overwhelming it can be immediately stopped and a return to baseline usually happens within minutes.  

How Many Infusions Do I Need?

Dozens of scientific studies have determined six infusions is the ideal treatment plan for mental health conditions and migraines. Each treatment results in more neuron growth and repair in the brain. 

By the end of six infusions, about 20% respond so well that they never need another treatment. A majority of patients experience significant or complete relief, but require booster infusions to sustain the effects. We offer customized booster infusion plans based on patient response, ranging from every month to once a year. 

Chronic pain treatment schedules vary from 2-6 treatments based on response. 

Can Insurance Pay for My Ketamine Infusions?

With Nora Finnegan’s extensive history in dealing with insurance companies for Ketamine infusions, we will always do our best to maximize your insurances coverage of the treatments. All you have to do is provide your health insurance card and we will do the rest! Based on her experience, we know most patients will have a majority of the costs covered. 

Insurance coverage  varies from patient to patient even if they have the same health insurance company. Because Ketamine is not an FDA approved treatment for mental health and pain conditions, we cannot guarantee that you it will be fully covered.  

As an independently operated clinic, please understand that we require upfront payment for Co-pays, Co-insurance, Deductibles, and out-of-pocket costs. HSA/FSA Cards, Credit Cards, Debit Cards, Money Orders, or patient financing with Advanced Care are all acceptable forms of payment.  

See our Insurance and Payments Page for more details.

Why Choose New Pathways Clinic for Your Ketamine Treatments?

Nora Finnegan has 10 years of experience treating psychiatric conditions with Ketamine from her time with the Cleveland Clinic. With a 70% success rate in significant reduction of depression and other symptoms, Ketamine treatments provide new hope for relief for those suffering from oppressive symptoms. 

FMRI brain scans have shown Ketamine also promotes the growth of new synapses in the prefrontal cortex, resulting in greater connectivity in the brain, while also switching certain connections on and off. This combination of events is thought to be the main reason for the rapid anti-depressant effect. 

Do medications feel like they are merely treating surface level symptoms? Have pills and counseling left you feeling like no treatment works for you?  Schedule a free consultation with the experienced team at New Pathways Clinic and see if Ketamine treatments could help you. 



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Stay informed on Ketamine treatments and mental wellness at New Pathways Clinic in Cleveland

Our mission at New Pathways Clinic is to create a holistic mental wellness campus for the greater Cleveland region, combining cutting-edge treatments like Ketamine infusions and Spravato with health professionals specialized in providing accompanying therapy and lifestyle education. We strive to grow and adapt as the scientific body of research continues to expand and diversify for innovative mental health treatments that will lead Cleveland into a healthier future.