Medication Management and Deprescribing With Ketamine Therapy
At Northwest Ketamine Clinics, we believe that effective mental health care is about more than adding new treatments. It is also about carefully evaluating what medications you are already taking and whether they are truly helping. For many patients, combining ketamine therapy with thoughtful medication management and deprescribing can be a powerful path toward better outcomes and improved quality of life.
This integrated approach allows patients to reduce unnecessary medications, minimize side effects, and support long-term healing rather than simply layering on more prescriptions.
What Is Medication Management?
Medication management is the ongoing process of reviewing, adjusting, and optimizing psychiatric medications to ensure they are safe, effective, and aligned with a patient’s goals.
For individuals with depression, anxiety, PTSD, or chronic pain, it is common to be prescribed multiple medications over time. Some may no longer be helpful. Others may interact with one another or contribute to fatigue, emotional blunting, brain fog, sleep disruption, or other unwanted effects.
Medication management focuses on:
- Reviewing current medication and dosages
- Evaluating effectiveness and side effects
- Identifying drug interactions or redundancies
- Adjusting medications thoughtfully and safely
- Aligning treatment with symptom improvement and quality of life
This process becomes even more important when ketamine therapy is part of the treatment plan.
What Is Deprescribing?
Deprescribing is the intentional, medically supervised process of reducing or discontinuing medications that may no longer be necessary or beneficial.
Deprescribing does not mean stopping medications abruptly or without care. It is a structured, gradual process designed to minimize withdrawal symptoms and maintain stability.
Deprescribing may be appropriate when:
- Medication are no longer effective
- Side effects outweigh benefits
- Multiple medications were added over time without reassessment
- Ketamine therapy leads to symptoms improvement that allows for simplification
For many patients, deprescribing can lead to improved clarity, energy, sleep, and emotional responsiveness.
Why Combine Medication Management and Deprescribing With Ketamine Therapy?
Firstly, you don’t have to! We have many patients that just choose medication management or ketamine therapy.
Ketamine therapy works differently than traditional psychiatric medications. Rather than targeting serotonin alone, ketamine affects glutamate pathways and supports new neural connections. This can lead to rapid improvements in mood, anxiety, and thought patterns.
When symptoms improve, it creates an opportunity to reassess long-standing medication regimens. In some cases, medications that once felt necessary may no longer be needed at the same dose or at all.
Combining ketamine therapy with medication management and deprescribing allows providers to:
- Support symptom improvement while reducing medication burden
- Minimize overlapping side effects
- Improve treatment clarity and focus
- Build a more sustainable long-term plan
This approach emphasizes thoughtful care rather than reactive prescribing.
Medication Management at Northwest Ketamine Clinics
Northwest Healing & Wellness currently offers cash-pay only medication management and deprescribing services. This allows for longer visits, individualized care, and flexibility without insurance-driven limitations.
Initial Consultation
- $250 one-time consultation fee
- Comprehensive medication and symptom review
- Discussion of treatment goals
- Evaluation of whether medication management and deprescribing are appropriate
- Integration planning with ketamine therapy if applicable
Management Phase
Once enrolled, patients enter the management phase.
- $350 per month
- Two 30-minute video visits per month
- An after-visit summary following each appointment
- Up to five direct messages to your provider per month
- 25% off vitamin infusions
This phase allows for close monitoring, careful medication adjustments, and ongoing support during active changes.
Stabilization Phase
After medication changes have been completed and symptoms are stable, patients move into the stabilization phase.
- $175 per month
- One 30-minute video visit per month
- Up to seven direct messages to your provider per month
- 25% off vitamin infusions
This phase focuses on maintaining progress, monitoring stability, and making small adjustments as needed.
Maintenance Phase
Once long-term stability is achieved, patients transition to maintenance.
- $50 per month
- One 30-minute video visit every three months
- Up to ten direct messages to your provider per month
- 35% off vitamin infusions
Maintenance provides continued access to care while supporting long-term wellness and prevention.
The Role of Vitamin Infusions in Medication Optimization
Vitamin infusions can play a supportive role during ketamine therapy, medication management, and deprescribing.
Nutrient deficiencies and chronic stress can worsen fatigue, brain fog, mood instability, and sleep problems. During periods of medication adjustment, the body may benefit from additional nutritional support.
Vitamin infusions may help support:
- Energy and mental clarity
- nervous system regulation
- Stress response
- Recovery during medication changes
Patients enrolled in medication management receive 25 percent off vitamin infusions, allowing for integrated support during treatment.
A Thoughtful, Patient-Centered Approach
Medication management and deprescribing require time, expertise, and trust. At Northwest Ketamine Clinics, our approach is collaborative and transparent. We work with patients to ensure they feel informed, supported, and involved at every step.
This service is not about removing medications at all costs. It is about helping patients take only what truly supports their health and well-being.
Final Thoughts
When combined with ketamine therapy, medication management and deprescribing can be an incredibly powerful tool. By addressing both what is added and what may no longer be needed, patients often experience clearer thinking, improved mood, and a more sustainable path forward.
If you are interested in exploring medication management and deprescribing alongside ketamine therapy, the team at Northwest Ketamine Clinics is here to help you understand your options and build a personalized plan.
Serving Seattle, Bellevue, and Tacoma, we provide immediate availability, the highest outcomes, and a premium-level experience for every patient we serve.
