Innovative Therapy • Prescription Required
Ketamine: Innovative Solutions for Complex Health Challenges
At Rock Ridge Pharmacy, we prepare customized Ketamine formulations under prescriber guidance.
Used in cutting-edge protocols for treatment-resistant depression, chronic pain,
and other integrative therapies where standard options may fall short.
What Is Ketamine?
Ketamine, originally developed as an anesthetic, has gained recognition as a breakthrough therapy for conditions beyond surgery. Classified as a Schedule III controlled substance, it is now used under strict medical supervision to address mental health and chronic pain challenges.
Today, ketamine is being prescribed in specialized protocols for treatment-resistant depression, PTSD, anxiety disorders, and chronic pain syndromes. Its unique action on NMDA receptors offers rapid symptom relief, often when other therapies have failed, bringing hope to patients seeking new solutions.
How Does Ketamine Work?
Originally developed as an anesthetic, ketamine’s unique mechanism has made it a valuable tool in modern medicine. Unlike traditional treatments, ketamine works by blocking NMDA receptors in the brain, providing rapid relief from depression, anxiety, PTSD, and chronic pain—often when other medications have failed.
At Rock Ridge Pharmacy, we specialize in custom-compounded ketamine to meet individual patient needs. Compounding allows us to create personalized solutions beyond commercially available options, supporting better outcomes and patient comfort.
| Dosage Form | Description | Usual Dosage | Indications | Key Notes |
|---|---|---|---|---|
| Nasal Spray | Allows rapid absorption through nasal mucosa. | 10mg per spray, as directed. | Depression, Chronic Pain | Quick onset; used for acute symptom relief. |
| Troches (Lozenges) | Slow-dissolving for buccal or sublingual absorption. | 100mg per troche, 1–2 times daily. | PTSD, Anxiety | Longer duration; ideal for sustained relief. |
| Rapid Dissolve Tablets (RDTs) | Designed for quick dissolution and absorption. | 50–150mg dissolved on the tongue. | Treatment-resistant Depression | Fast-acting; flexible dosing options. |
| Oral Capsules | Capsules for oral ingestion with extended effect. | 10–100mg per capsule. | Chronic Pain, Neuropathic Pain | Slower onset; longer-lasting. |
| Sublingual / Oral Solutions | Liquid formulations for immediate effect. | Starting from 10mg/mL, adjusted to patient needs. | Anxiety, Depression, Chronic Pain | Quick absorption; easy dose adjustments. |
Ketamine Compounded Dosage Forms
Rock Ridge Pharmacy offers multiple customized formulations of ketamine. Expand each section to learn more about benefits, usage, side effects, and safety.
Ketamine Nasal Spray – Rapid Relief
Key Benefits
- Fast-Acting: Quick absorption for immediate relief.
- Self-Administered: At-home convenience.
- Custom Dosages: Tailored to individual needs.
- Fewer Side Effects: Targeted delivery reduces systemic risks.
Usage
Typically one spray in each nostril as prescribed. Dose frequency is adjusted per patient response.
Potential Side Effects
Nasal irritation, dizziness, nausea, increased blood pressure, dissociation.
Safety Guidelines
Avoid CNS depressants, do not drive until effects are known, and schedule regular provider follow-ups.
Ketamine Troches / Lozenges – Controlled Release
Key Benefits
- Controlled release for extended relief.
- Discreet and private administration.
- Flavor options improve experience.
- Personalized dosages available.
Usage
Dissolve under the tongue or in cheek pouch, typically 1–2 times daily as prescribed.
Potential Side Effects
Taste alteration, mild GI upset, oral numbness, drowsiness.
Safety Guidelines
Do not chew/swallow whole. Avoid food/drink immediately after use. Regular consultations are required.
Ketamine Rapid Dissolve Tablets (RDTs) – Fast Acting
Key Benefits
- Immediate effects for quick relief.
- Easy dosing with split tablets.
- Convenient, no water needed.
- Customized strengths.
Usage
Place tablet under tongue, allow to dissolve fully. Taken as needed per provider’s plan.
Potential Side Effects
Mouth irritation, dizziness, nausea, transient dissociation.
Safety Guidelines
Follow prescription exactly, avoid CNS depressants, and keep regular provider visits.
Ketamine Oral Capsules – Long-Lasting Relief
Key Benefits
- Extended relief with slow-release.
- Familiar capsule form.
- Custom dosages available.
- Effective for multiple chronic conditions.
Usage
Take orally with water, usually once or twice daily, as directed by your provider.
Potential Side Effects
GI discomfort, sedation, blurred vision.
Safety Guidelines
Do not open or crush capsules. Always follow prescribed dose and maintain regular monitoring.
Ketamine Sublingual / Oral Solution – Personalized Care
Key Benefits
- Quick absorption for rapid relief.
- Precise dosing flexibility.
- Easy administration alternative.
- Tailored formulations.
Usage
Administer under the tongue or orally as prescribed, usually 1–2 times daily.
Potential Side Effects
Oral discomfort, taste changes, nausea, dizziness, dissociation.
Safety Guidelines
Avoid alcohol and CNS depressants. Do not drive until effects are known. Ongoing provider monitoring required.
Cost of Compounded Ketamine
The cost of compounded ketamine depends on the dosage strength, formulation, and quantity. All prescriptions are prepared in our USP <795>/<800> compliant compounding lab in Glen Rock, NJ, using pharmaceutical-grade ingredients for accuracy, purity, and safety.
Each prescription is customized to the patient — available in nasal sprays, rapid-dissolve tablets, troches/lozenges, oral capsules, or liquid solutions. Personalized compounding supports precise dosing, better tolerability, and flexible delivery options based on clinical goals.
Rock Ridge Pharmacy offers a 24–48 hour turnaround on most compounded ketamine prescriptions. Our pharmacists are available to review interactions, provide counseling, and ensure your therapy is safe and effective.
For details on ketamine pricing, please call Rock Ridge Pharmacy at (201) 444-4190 or email us at info@rockridgepharmacy.com .
Why Rock Ridge Pharmacy for Compounded Ketamine?
- Custom formulations including nasal spray, RDTs, lozenges, capsules, and oral solutions.
- USP <795> & <800> compliant lab ensuring precision, purity, and safety in every preparation.
- Quick turnaround — most prescriptions compounded within 24–48 hours.
Our pharmacists oversee each step of the compounding process — from selecting ingredients to quality assurance — ensuring every ketamine prescription aligns with your provider’s treatment plan.
Patients also receive personalized pharmacist counseling on dosing, safety, and monitoring, so ketamine therapy is both effective and well-managed for your individual needs.
FAQs About Ketamine at Rock Ridge Pharmacy
What is Compounded Ketamine?
Compounded Ketamine is a personalized medication prepared by pharmacists to meet patient-specific needs not addressed by commercial products. It may involve custom dosages, alternative delivery forms, or flavoring for ease of use.
Why Might Someone Need Compounded Ketamine?
Patients with treatment-resistant depression, PTSD, anxiety, or chronic pain may require compounded Ketamine if standard therapies are ineffective. It allows for tailored dosing and alternative administration routes.
In What Forms Can Ketamine Be Compounded?
At Rock Ridge Pharmacy, Ketamine can be compounded into nasal sprays, lozenges/troches, rapid-dissolve tablets, oral capsules, or sublingual/oral solutions depending on prescriber guidance and patient needs.
How is the Dosage of Compounded Ketamine Determined?
Dosage is determined by the prescriber based on medical history, diagnosis, and treatment goals. Pharmacists compound the medication to ensure accuracy and safety for each individual patient.
What Are The Potential Benefits of Ketamine?
Ketamine may provide rapid relief from depression, reduce chronic pain, and improve symptoms of PTSD and anxiety — often when other therapies have failed.
Are There Any Side Effects of Compounded Ketamine?
Possible side effects include dizziness, nausea, increased blood pressure, or mild dissociative effects. Side effects vary by dosage form and should be discussed with a healthcare provider.
How Can I Get a Prescription for Compounded Ketamine?
A valid prescription from your licensed provider is required. Prescriptions can be sent via e-prescription, fax, or directly by your provider to Rock Ridge Pharmacy.
What Role Does the Pharmacist Play In Ketamine Compounding?
Our pharmacists prepare, verify, and dispense each Ketamine prescription, monitor potential interactions, and provide counseling to ensure safe, effective use tailored to your treatment plan.
How to Store Compounded Ketamine?
Storage instructions depend on the formulation. Generally, keep it in a cool, dry place away from light, and follow specific guidance provided with your prescription.
Is Compounded Ketamine FDA Approved?
Commercial Ketamine is FDA-approved for anesthesia. Compounded Ketamine for conditions like depression or pain is off-label and prepared under prescription in our USP <795>/<800> compliant lab.
Does Rock Ridge Pharmacy Ship Compounded Ketamine?
Yes. We provide statewide shipping within New Jersey for valid prescriptions. Contact us at info@rockridgepharmacy.com or (201) 444-4190 for details.
