Daily low dose ketamine troches for symptom management

Firstly I hope this is ok to post!

Also this is a very niche question so totally understand if no one has recommendations.

My surgeon and his team have recommended that I seek out a prescription for low dose ketamine troches to help with ongoing mast cell/ inflammation/pain issues, but I’m having a very hard time finding the right prescriber in California.

It was recommended that I try this therapy as it could help with the post op jugular decompression period I’m currently in and that it may also be a good long term symptom management to consider( like if jugular decompression doesn’t resolve everything on its own).

Has anyone here done this type of microdose therapy( who has dealt mast cell issues/ lots of pain/ jugular compression, etc)? and if so does anyone know of a Dr or practice that can prescribe in California?

Would also love to hear about anyone experience with it in general.

Most of the Drs I’ve contacted, either prescribe much higher doses/primarily do IV’s, don’t offer a low dose daily option and/ or they have no knowledge of any of the medical conditions I’m dealing with. Even someone who knows the basics about some* of my diagnosis or even just has experience with prescribing it for medical purposes( instead of just anxiety/ depression like most places) would probably be good. For the mast cell stabilization, it’s my understanding it would have to be used daily rather than a few times a week or month.

Anyway thanks for reading and for any suggestions!

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I hope you can find the info you need, I’ve not ever heard of this I’m afraid…

I’ve heard of ketamine (& also LSD) being successfully used in low dose for PTSD & other traumatic nervous system or psychologically challenging disorders, but not for MCAS. That doesn’t mean it wouldn’t help with it though. If you’re not opposed to trying it, I say go for it. Since it’s low dose, your might not have any side effects & if you do, you can stop it immediately. You might just find something new & very helpful in reducing your symptoms.

I was given ketamine prior to my hip replacement surgery, & it zapped me into a very bizarre hallucination for a few min which gradually faded away. I’m quite sure the dose I was given wasn’t “low”!

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