Ketamine Troches

What exactly is a ketamine troche?

A troche (pronounced “TRO-key”) is a small tablet that dissolves slowly in your mouth — either under your tongue or between your cheek and gum. The medicine absorbs through the lining of your mouth and enters your bloodstream without needing a needle or IV.

What will I feel, and how long does it last?

Most people notice effects within 20–40 minutes of the troche dissolving. You may feel calm, relaxed, or a gentle quieting of racing thoughts. The experience typically lasts 45–90 minutes.

Who is this treatment for?

Troches are often a good fit for people managing depression, anxiety, PTSD, or chronic stress — especially those maintaining progress after completing in-clinic ketamine sessions.

Is it safe to use at home?

Yes, when prescribed and monitored by a medical provider. You should have a trusted adult with you, avoid alcohol, and never drive on treatment days.

How is a troche different from an IV treatment?

Troches are less intense than IV ketamine, making them a gentler experience. They’re more convenient but absorb less predictably, so they work best for maintenance rather than acute or severe symptoms.