Brickell, Miami305.924.7800
IV Ketamine Therapy · Brickell, Miami

IV Ketamine Therapy in Miami & South Florida

Medically supervised ketamine infusions at our Brickell, Miami office for eligible patients seeking support for depression, anxiety, PTSD, chronic pain, and addiction-related care. Patients visit from throughout South Florida.

$400 / infusionInterested in multiple treatments? Ask about available ketamine infusion package options during your consultation.

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On desktop? Email us at info@infinitymedwellness.com or call 305.924.7800.

Overview

What is IV ketamine therapy?

IV (intravenous) ketamine therapy delivers a precisely measured, low dose of ketamine directly into the bloodstream over a controlled infusion. Because dosing is steady and adjustable, IV delivery gives your provider close control over the experience from start to finish — all within a calm, monitored clinical setting at our Brickell office.

Ketamine is a long-established, FDA-approved anesthetic. Its use for depression, anxiety, and PTSD is considered off-label and is supported by a growing body of research. Rather than acting primarily on serotonin like most antidepressants, ketamine works through the brain's glutamate system and is thought to support the formation of new neural connections — which is one reason some patients notice changes more quickly than with conventional medications.

Evidence-Based Care

What Medical Research Says About Ketamine Therapy

Peer-reviewed studies have evaluated ketamine and esketamine for treatment-resistant depression and related symptoms. Treatment is not appropriate for everyone, and eligibility is determined after medical evaluation.

Peer-reviewed research has studied ketamine-based treatments for treatment-resistant depression and other complex mood symptoms. Some studies suggest that ketamine may produce rapid antidepressant effects in certain carefully selected patients, particularly when administered under medical supervision. However, results vary, treatment is not appropriate for everyone, and ketamine therapy should only be considered after a medical evaluation.

Below is a plain-language look at the ketamine infusion research most relevant to patients considering medically supervised ketamine therapy — including how IV ketamine infusions in Miami compare with Spravato and ketamine troches.

Off-label

IV Ketamine Infusions

Intravenous racemic ketamine has been studied as an off-label treatment option for treatment-resistant depression.[2] Because IV administration delivers medication directly into the bloodstream, bioavailability is considered approximately 100%, allowing clinicians to control dosing and monitor patients closely during treatment. Research suggests IV ketamine may provide rapid symptom improvement for some patients, though response varies and ongoing follow-up is important.[1][3]

  • Administered by IV infusion in a monitored clinical setting
  • Approximately 100% bioavailability by route of administration
  • Studied off-label for treatment-resistant depression
  • Dosing and monitoring are individualized
  • Not appropriate for every patient
FDA-approved (esketamine)

Spravato® / Esketamine Nasal Spray

Spravato® is the brand name for esketamine nasal spray. Unlike IV racemic ketamine, Spravato® is an FDA-approved medication for certain adults with treatment-resistant depression and for depressive symptoms in adults with major depressive disorder who have acute suicidal ideation or behavior, depending on current labeling.[4] Spravato® must be administered under medical supervision and is only available through a restricted REMS program because of risks including sedation, dissociation, increases in blood pressure, respiratory depression, and the potential for abuse and misuse.[4][5] Its bioavailability is lower than intravenous administration.[2]

  • FDA-approved esketamine nasal spray for specific depression indications
  • Administered intranasally in a certified/monitored setting
  • Requires REMS program compliance
  • Patients are monitored for at least two hours
  • Bioavailability is lower than IV administration
Compounded / off-label

Ketamine Troches / Sublingual Ketamine

Ketamine troches are dissolvable oral/sublingual formulations that are sometimes prescribed off-label.[7] Compared with IV ketamine and Spravato®, troches may be more convenient, but the evidence base is less established, absorption can be more variable, and dosing may be less predictable.[2] Published research and pharmacokinetic literature suggest sublingual ketamine has lower and more variable bioavailability than IV administration.[6] Troches should only be used under the direction of a qualified provider with appropriate screening and follow-up.

  • Usually compounded and prescribed off-label
  • Often used sublingually or buccally
  • Absorption may be more variable than IV
  • Evidence base is less robust than IV ketamine and FDA-approved esketamine
  • Should only be used under medical supervision

Comparing Ketamine Treatment Modalities

Comparison of IV ketamine infusion, Spravato esketamine, and ketamine troches by route, regulatory status, typical setting, key difference, and monitoring considerations.
ModalityRouteRegulatory StatusTypical SettingKey DifferenceMonitoring Considerations
IV Ketamine InfusionIntravenous infusionUsed off-label for depressionMedical clinic / infusion settingDirect IV delivery with high bioavailability and clinician-controlled dosingVitals and clinical response are monitored during and after treatment
Spravato® / EsketamineIntranasal sprayFDA-approved for specific depression indicationsCertified REMS healthcare settingFDA-approved esketamine product with structured REMS requirementsRequires at least two hours of monitoring after administration
Ketamine TrochesSublingual / buccal dissolvable formulationCompounded and commonly used off-labelOften prescribed for at-home use depending on provider protocolMore convenient but absorption and response may be more variableRequires provider oversight, screening, and clear safety instructions

No single modality is right for every patient. The best option depends on diagnosis, treatment history, medical risk factors, medication use, response to prior treatment, cost, access, and provider recommendation. Infinity Medical Wellness evaluates patients individually before recommending ketamine therapy.

Our Approach: Why We Focus on IV Ketamine

Infinity Medical Wellness specializes in intravenous (IV) ketamine infusions. We do not currently offer Spravato® (esketamine) or compounded ketamine troches — the comparison above is provided purely for education, so you can understand how the options differ and discuss them with a qualified provider.

We focus on the IV route because it offers approximately 100% bioavailability and precise, clinician-controlled dosing in a fully monitored setting. This lets your provider deliver the intended therapeutic dose consistently and use the lowest effective amount, rather than relying on the more variable absorption of oral or sublingual formulations. Minimizing unnecessary cumulative exposure is part of our philosophy as well, since long-term organ health is a recognized clinical consideration with frequent, unsupervised ketamine use.

Why Medical Supervision Matters

Ketamine-based treatments can cause temporary changes in perception, sedation, blood pressure changes, nausea, dizziness, and other side effects. Medical screening and monitoring help determine whether treatment is appropriate and whether additional precautions are needed.

Book a Consultation — reach us your way.

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On desktop? Email us at info@infinitymedwellness.com or call 305.924.7800.

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This information is for educational purposes only and is not medical advice. Ketamine therapy eligibility is determined after medical evaluation by a qualified provider. Results vary, and treatment is not appropriate for every patient. If this is a medical emergency, call 911 or go to the nearest emergency room. If you may harm yourself or someone else, call or text 988 in the United States for immediate crisis support.

References

  1. 1.Zolghadriha A, et al. Rapid and sustained antidepressant effects of intravenous ketamine in patients with major depressive disorder and suicidal ideation. 2024. View source ↗
  2. 2.McIntyre RS, Rosenblat JD, Nemeroff CB, et al. Synthesizing the evidence for ketamine and esketamine in treatment-resistant depression. Am J Psychiatry. 2021;178(5):383-399. View source ↗
  3. 3.Seshadri A, et al. Efficacy of intravenous ketamine and intranasal esketamine in treatment-resistant depression: a systematic review and meta-analysis. J Affect Disord. 2024. View source ↗
  4. 4.U.S. Food and Drug Administration. SPRAVATO® (esketamine) nasal spray prescribing information. View source ↗
  5. 5.Bahr R, Lopez A, Rey JA. Intranasal esketamine for treatment-resistant depression. P T. 2019;44(6):340-375. View source ↗
  6. 6.Rolan P, Lim S, Sunderland V, Liu Y, Molnar V. The absolute bioavailability of racemic ketamine from a novel sublingual formulation. Br J Clin Pharmacol. 2014;77(6):1011-1016. View source ↗
  7. 7.Hassan K, et al. Safety, effectiveness and tolerability of sublingual ketamine in depression and anxiety: a retrospective study. Front Psychiatry. 2022. View source ↗
Pricing & Packages

Ketamine Infusion Pricing & Packages

Because ketamine treatment plans are individualized, the number of sessions recommended may vary based on the patient's medical history, goals, response to treatment, and provider evaluation.

A consultation and medical evaluation are required first. Every patient must complete a screening and provider evaluation to determine whether they are a candidate for IV ketamine therapy. The pricing below applies only to patients who are cleared for treatment.

Package options may be available for eligible patients who are recommended for a series of treatments. To learn more, schedule a consultation or contact the clinic to ask about current ketamine infusion package options.

$400 starting / per infusion

Package options may be available for eligible patients after consultation.

Call to Discuss Infusion PricingAsk About Ketamine Packages

Per-Infusion Pricing

Transparent per-infusion pricing, confirmed during your consultation.

Individualized Treatment Plans

Treatment frequency and number of sessions are determined after medical evaluation.

Package Inquiries

Package options may be available for eligible patients. Contact us to request current package information.

Book a Consultation — reach us your way.

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On desktop? Email us at info@infinitymedwellness.com or call 305.924.7800.

Conditions

What IV ketamine may help with

Candidacy is always determined by a clinical evaluation. IV ketamine is most often explored for:

Treatment-Resistant Depression

For people whose depression hasn't improved enough after two or more antidepressants. Often the most studied use of ketamine.

Anxiety Conditions

Some patients with persistent anxiety find relief when other treatments have fallen short.

PTSD

May create a window in which trauma-focused therapy and integration become more accessible.

Major Depressive Disorder

Considered as one part of a broader, individualized plan of care.

Suicidal Ideation

Research suggests ketamine may rapidly reduce certain symptoms; emergency situations always require 988 or the ER.

Certain Chronic Pain

Discussed case-by-case with your provider where appropriate.

The Experience

What a session looks like

  1. 1

    Consultation & evaluation

    We review your history, diagnoses, medications, and goals to confirm whether IV ketamine is a reasonable option for you.

  2. 2

    Settling in

    You relax in a comfortable reclined chair in a quiet, private room, often with an eye mask and calming audio.

  3. 3

    The infusion

    Your provider administers a measured infusion (about 40–60 minutes) while monitoring your vital signs throughout.

  4. 4

    Recovery & ride home

    Effects fade shortly after the infusion ends. You'll rest briefly, then go home with a driver — no driving the rest of the day.

  5. 5

    Integration

    Gentle reflection, journaling, and follow-up with a therapist can help you make the most of the experience.

Candidacy

Who may be a candidate

Candidacy is only ever decided by a clinical evaluation with a licensed provider — but these patterns can help you gauge whether a consultation makes sense.

IV ketamine is most often explored by people who…

Have depression, anxiety, or PTSD that hasn't improved enough after standard treatments; are already working with a therapist or prescriber; and can arrange a ride home and a restful treatment day.

Additional evaluation or a different path may be needed if you…

Have certain cardiovascular conditions or uncontrolled blood pressure, a history of psychosis, active substance-use concerns, are pregnant, or take medications that interact with ketamine. None of these is automatically disqualifying — they simply require a more careful medical conversation first.

If you're in immediate crisis, ketamine therapy is not the right first step — call or text 988 or go to the nearest emergency room.

Treatment Schedule

What a course of treatment typically looks like

There is no fixed, one-size-fits-all protocol — your plan is built and adjusted around your response. That said, most treatment courses follow a recognizable arc.

  1. 1

    Initial series

    Many providers, following patterns common in the research literature, begin with a short series of infusions over a few weeks. Your provider will recommend a starting plan based on your evaluation.

  2. 2

    Reassessment

    Response is reviewed during and after the initial series. If treatment isn't helping, the honest recommendation may be to stop or consider other options — continuing is never automatic.

  3. 3

    Maintenance & boosters

    Some patients who respond well return for occasional single infusions when symptoms begin to creep back. Timing varies widely from person to person; there's no fixed interval.

How long benefits last also varies — some people notice effects fading after weeks, others go considerably longer between sessions. Your provider will help you recognize your own pattern rather than promise a timeline.

Safety

Safety, side effects & monitoring

When delivered in a clinical setting with appropriate screening and monitoring, IV ketamine has a well-established safety profile.

Every patient is evaluated before treatment, and vital signs are monitored during each session. Ketamine is not appropriate for everyone — certain cardiovascular conditions, uncontrolled blood pressure, and some other factors may make it unsuitable. That's exactly why a thorough evaluation always comes first. We'll discuss the evidence, benefits, and risks openly so you can make an informed decision.

Common, expected effects during and shortly after a session

Temporary dissociation (a dream-like, floating feeling), dizziness, mild nausea, blurred vision, and a short-lived rise in blood pressure and heart rate are the most commonly reported effects. These typically resolve within a few hours of the infusion ending, which is why you rest at the clinic afterward and arrange a ride home rather than driving.

Why in-clinic treatment matters

Because dosing is intravenous and adjustable, your provider can slow or pause the infusion if anything feels uncomfortable — a level of control that at-home or unsupervised use cannot offer. Long-term risks reported in the literature are associated primarily with frequent, unsupervised, high-dose use, not with periodic monitored infusions; your provider will discuss this openly.

IV ketamine is not a cure, and results vary from person to person. For many people it works best as one part of a broader plan that may include therapy, medication management with your existing prescriber, and lifestyle support.

Location & Service Area

One Brickell office, serving South Florida

All treatment takes place at our private office at 40 SW 13th St #406 in Brickell, Miami — minutes from Downtown and easily reached from I-95 and the Metromover. Patients visit our Brickell location from across Miami-Dade, Broward, and Palm Beach counties — a treatment course involves a limited number of visits, which many patients weigh when considering the drive from cities like Fort Lauderdale, Boca Raton, or West Palm Beach.

See directions and travel notes on our Areas We Serve page, or find parking and contact details on the Contact page.

Get in Touch

Ask About Ketamine Packages

Text us to ask about consultation availability, infusion pricing, and package options. On desktop you can also call or email us. We don't collect any personal information through this website.

Book a Consultation — reach us your way.

Text UsCall UsEmail Us

On desktop? Email us at info@infinitymedwellness.com or call 305.924.7800.

A medical consultation is required to determine whether ketamine therapy is appropriate.

FAQs

IV Ketamine Therapy FAQs

IV (intravenous) ketamine therapy delivers a precisely measured, low dose of ketamine into the bloodstream over a controlled infusion in our Brickell office. It is administered and monitored by a licensed medical provider and is used to support people living with depression, anxiety, and PTSD when other approaches have not provided enough relief.

Keep Reading

Explore More

Ketamine for Depression

IV ketamine for major and treatment-resistant depression in Miami.

Ketamine for Anxiety

How IV ketamine may ease persistent, treatment-resistant anxiety.

Ketamine for PTSD

Using IV ketamine to help make trauma-focused care more accessible.

Ketamine for Chronic Pain

When IV ketamine is considered for certain chronic pain conditions.

Ready to talk it through?

Begin with a consultation. We'll review your history, answer your questions, and help you decide if IV ketamine therapy is right for you.

Book a Consultation — reach us your way.

Text UsCall UsEmail Us

On desktop? Email us at info@infinitymedwellness.com or call 305.924.7800.

Consultations are scheduled privately by phone and email — no online intake form.

Medical disclaimer. This page is for educational purposes only and does not provide medical advice, diagnosis, or treatment. Ketamine is used off-label for mental health conditions, is not appropriate for everyone, and individual results vary. Candidacy is determined only after a clinical evaluation by a licensed medical provider. If you are in crisis or thinking about harming yourself, call or text 988 or go to the nearest emergency room.