iKare

iKare in San Antonio, Texas offers IM ketamine and Spravato for adults with treatment-resistant depression, major depressive disorder, PTSD, and bipolar depression. Ketamine is administered as an intramuscular injection in-house by an experienced psychiatric team, with effects often beginning within hours to days rather than the weeks required by traditional antidepressants.

Ketamine acts on the glutamate system to rapidly promote neuroplasticity, the growth of new neural connections in areas eroded by depression and trauma. A standard course is six sessions over two to three weeks, with many patients noticing improvement after the second or third session and maintenance sessions available as needed.

The clinic also offers Spravato, an FDA-approved nasal spray administered under supervision, and TMS therapy. A unique ketamine priming protocol combines an injection before TMS to enhance the brain's receptivity to stimulation. Patients are monitored throughout each session in a calm, comfortable setting.