SA PROS: Klarisana

6335 Camp Bullis Road, Suite B-38
San Antonio, TX 78257

Klarisana is an innovative health care center which offers outpatient ketamine infusion therapy for the treatment of severe depression, post traumatic stress disorder (PTSD), and various forms of chronic pain.

Ketamine infusion therapy is an exciting and progressive treatment which has been getting a great deal of attention in the last few years because of its potential to rapidly improve the symptoms of treatment-resistant depression with a series of six low-dose outpatient infusions.

Additionally ketamine has long been known to have positive effects at treating various types of chronic pain such as rheumatoid arthritis, fibromyalgia, migraine headaches, and neuropathic pain.

Ketamine can play a valuable role in helping patients with chronic pain potentially decrease or eliminate their reliance on dangerous and addictive narcotic pain pills.

Ketamine has an established track record in emergency medicine and anesthesia settings for over forty years.

The doses used in an outpatient setting however are much lower than what has been traditionally used in the hospital setting. So even though ketamine is a familiar medication, the way it is being used at outpatient centers like Klarisana is a new and fundamentally different approach to ketamine.

Klarisana serves the greater San Antonio, San Marcos, and Austin areas. We also have many patients who travel from Houston and other states for treatment. Veterans are encouraged to contact us for more information as we are part of the VA Choice network and can work with certain forms of Tricare with an appropriate referral.

For more information, please look at our website at



Q: What conditions can ketamine infusions treat?

A: Ketamine infusions can be effective in the treatment of severe, treatment-resistant depression, PTSD, and many chronic pain conditions such as fibromyalgia, rheumatoid arthritis, and neuropathic pain. Outpatient infusions at Klarisana are NOT sedation as ketamine has traditionally been used. With regards to the treatment of mental health conditions we consider our infusions to be more appropriately referred to as “Psychotropic Infusion Therapy.”

Q: What is involved in receiving a ketamine infusion?

A: Infusions are delivered in a private room, with full heart and vital signs monitoring, and with one-to-one monitoring by Klarisana staff. After the clinician determines the appropriate dose of ketamine and any ancillary medications, an intravenous catheter is placed in the patient’s vein and a precise amount of medication is delivered over the prescribed time. This is usually one hour for most conditions but can be longer for some pain conditions. The vast majority of patients report that a ketamine infusion is a very peaceful, relaxing, and introspective experience.

Q: Are ketamine infusions safe?

A: Ketamine has been approved for use in humans for over 40 years. It has been used extensively in emergency departments, operating rooms, and in military conflicts with a very safe track record. Historically it has been used in high doses as a dissociative anaesthetic. Outpatient infusions at Klarisana are fundamentally different than the use of ketamine in an ER or operating room. The doses of ketamine are much lower than those used in a hospital setting. Patients are still conversant and very aware during the infusions. Additionally there is no “bolus” of ketamine; we administer ketamine (and other medications such as lidocaine and magnesium) as a slow steady drip; usually over an hour but sometimes longer for certain pain conditions.

Q: Do I need a referral from my doctor?

A: A referral is not needed however we do like to work closely with a patient’s primary care physician and/or primary mental health provider. Ketamine infusions can be very effective but it is also important to make them part of a comprehensive program for treating mental health and/or chronic pain conditions. Klarisana is a consultative service with regards to mental health treatment and does not replace your primary mental health provider.

Q: What is “Facilitated Counselling?”

A: Facilitated Counselling is when one of our therapists conducts a session while the patient is receiving a ketamine infusion. This is a modality that was used extensively during World War II with some good results. It was largely forgotten about until recent years when some forward thinking clinicians recognized that ketamine combined with counselling therapy can produce some promising results. The dose of ketamine for a mental health infusion is relatively low but there is still a mild sense of disconnection that occurs in the patient along with some alterations in sensory perception. Some would suggest that these effects are unwanted, but quite to the contrary, we believe that these effects are actually a critical part of the therapy. This collection of mental and sensory effects that occur with a ketamine infusion are what we call the “Psychotropic Therapeutic Response” (PTR). We have found that having a mental health therapist work with a patient while he or she is in the PTR produces a very unique ability for a patient to address issues in a way they otherwise would not be able to.


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