Oral Ketamine / Troches Clinics
Dissolvable ketamine lozenges taken by mouth, prescribed for in-office or supervised at-home protocols. 34 listed clinics offer this treatment across 17 states.
How Oral Ketamine / Troches Works
Oral ketamine is prescribed as troches (dissolvable lozenges), rapid-dissolve tablets, or liquid, compounded by a pharmacy for each patient. Held in the mouth and absorbed through the cheek and gums, oral ketamine produces gentler, longer effects than IV or IM routes and is the form used in most ketamine-assisted psychotherapy and at-home programs.
In-office protocols use troches during supervised or therapy-paired sessions; some clinics also prescribe low-dose take-home regimens between visits. Because absorption varies more than injectable routes, clinicians titrate dose over the first sessions.
What to Expect at Your Appointment
You'll hold the troche in your mouth for 10–15 minutes while it dissolves, usually reclined with an eye mask in clinic or at home per your protocol. Effects build over 20–30 minutes and taper within one to two hours. The same no-driving rule applies after dosing.
Oral Ketamine / Troches in Arizona
Oral Ketamine / Troches in California
- Retro Therapeutics, Inc. (Capitola)
- Kadima Neuropsychiatry Institute (La Jolla)
- Ketamine Uplift (Marina del Rey)
- Pala Medicine Ketamine Therapy (Pasadena)
- Intuitive Heart Counseling - Ketamine Assisted Psychotherapy (Sacramento)
- Pacific Ketamine and Wellness (Santa Cruz)
- Ketamine Layering Effect (Westlake Village)
Oral Ketamine / Troches in Colorado
Oral Ketamine / Troches in Connecticut
Oral Ketamine / Troches in Florida
Oral Ketamine / Troches in Georgia
Oral Ketamine / Troches in Hawaii
Oral Ketamine / Troches in Massachusetts
Oral Ketamine / Troches in Montana
Oral Ketamine / Troches in Nevada
Oral Ketamine / Troches in New York
Oral Ketamine / Troches in Oregon
Oral Ketamine / Troches in Pennsylvania
Oral Ketamine / Troches in Rhode Island
Oral Ketamine / Troches in Texas
- Suzanne Bartholomew, LCSW - individual therapy, couples counseling, EMDR, Ketamine Assisted Psychotherapy (Austin)
- Heading Health Ketamine Center - Dallas Central (Dallas)
- Ketamine Clinic of the Hill Country (Dripping Springs)
- Heading Health Ketamine Center - Irving (Irving)
- Heading Health Ketamine Center - Dallas Plano (Plano)
Oral Ketamine / Troches in Utah
Oral Ketamine / Troches in Washington
Oral Ketamine / Troches — Frequently Asked Questions
Is oral ketamine as strong as an infusion?
Oral bioavailability is much lower than IV, so blood levels are gentler for the same milligram amount. Clinics choose oral routes for tolerability, therapy pairing, and at-home continuity rather than maximum intensity.
Can I get ketamine troches without visiting a clinic?
Only through a licensed prescriber after evaluation — usually via a telehealth platform or clinic with a supervised at-home protocol. Buying ketamine any other way is illegal and dangerous.
How should troches be stored?
As controlled substances: locked, away from children, per the pharmacy's storage instructions. Clinics review safe-handling rules before prescribing take-home doses.