Ketamine Nasal Spray for Depression

There has been quite a bit of buzz surrounding the medication Ketamine and it’s potential use in treating depression, especially for patients with treatment resistant depression (TRD). Recently, a new drug was approved by the FDA in the United States speficially for this reason – Spravato. Spravato is actually a specific form of Ketamine called Esketamine.It’s a nasal spray that is taken along with a traditional antidepressant pill. Many patients have found that using Ketamine (in low doses) as a nasal spray has been a helpful way to manage their depression symptoms. Trinova Health offers a compounded Ketamine nasal spray that can be self-administered under the direction and supervision of your doctor. We have had several patients and physicians report beneficial results when using this nasal spray, and it can be a helpful option to use for those who have difficulty in controlling depressive symptoms with standard therapies. We also offer a Ketamine troche (dissolvable lozenge) for patients who don’t wish to use a nasal spray. Ketamine nasal spray, when self-administered, is very affordable. Until now, many patients desiring to try Ketamine treatment have needed to go to a special clinic to receive the medication by an IV, which can be hundreds or even thousands of dollars per visit. It’s important to remember that Ketamine is a controlled substance, which means that it has the potential to be addictive. It also hasn’t been studied yet in those under the age of 18. It’s important to discuss the potential benefits and risks with your doctor before starting any new medication. Additional Information Ketamine for major depression: New tool, new questions...

Pharmacy Compounding and Patient Access

Throughout the years the regulations surrounding pharmacy compounding have changed rapidly and generated the most questions outweighing all other topics by far. In an attempt to demystify and shed light on the current regulatory landscape surrounding pharmacy compounding, compounded medications, and patient access, I have written this post. Pharmacy regulations allow compounding of unique, novel, or one-of-a-kind combinations or version of medications prescribed by a physician. The major distinction between manufactured prescription medications one-size fits all approach is that compounded medications are individually tailored to an individual patient’s needs (e.g. flavor, dosage form, route of administration, dosage, and dosage combinations). Federal and state regulations allow for compounding any medications as long as the FDA has not removed, restricted, or banned that particular medication from the marketplace. In recent years, the Drug Quality and Safety Act (2013) gave regulatory authority to the FDA over compounded medications which was a major shift in the regulatory landscape for pharmacies. While the driving factor for this change is patient safety, what has ultimately occurred is decreased patient access to compounded medications vital for patient health. I believe there is a responsible balance between patient safety and patient access that can be achieved; however the restrictive nature of current regulatory environment has created confusion for patients, prescribers, pharmacists, and pharmacies. As a premier pharmacy that offers quality compounded medications Trinova Health is committed to meeting all your health care needs which included access to vital compounded medication while adhering to the strict regulations. If you have any questions contact us today! Silas Raymond,...

Low Dose Naltrexone FAQ (Frequently Asked Questions)

As a pharmacist, I have often found that many patients that are new to LDN (low dose naltrexone) therapy tend to have many questions about it. This isn’t surprising, given that LDN is not a mass-marketed medication and there is a lack of good, reliable information online available. The following is an FAQ for LDN therapy that I hope will help answer many common questions I receive about LDN. What are the side effects? In general, most patients tend to have few, if any side effects when starting low dose naltrexone therapy. The most common side effect that can occur from LDN therapy is sleep interference. Some patients sleep better and more deeply, some have difficulty staying asleep. It seems to be a flip of the coin. I would say I tend to see about 5% of patients have either side effect. Most patients have no issues at all with their sleep while taking LDN. I recommend to patients that if LDN is causing them difficulty sleeping, to simply take their LDN in the morning vs at night. I firmly believe that they will still reap the benefits of LDN, without the sleep difficulties. Is LDN expensive? No – at Trinova Health, it is less than $1 per day. Does my insurance cover it? As a rule of thumb, the general answer is no. I always advise patients to check with their plan to see if their health plan provides coverage for compounded medications, but in general, many insurance plans do not cover compounded medications. The usual cost per month often ends up being less expensive than a typical monthly...

Get Low Dose Naltrexone Now

Are you interested in taking Low Dose Naltrexone, but not sure where to turn to? Maybe you’ve read about the possible benefits for patients with fibromyalgia, Crohn’s, rheumatoid arthritis (RA), Hashimoto’s, chronic pain, depression, or many other conditions? Discover what thousands of other patients already have – the benefits of Low Dose Naltrexone! LDN has been shown to help improve and address the root cause of Hashimoto’s disease by balancing the immune system and restoring it to healthy function. Many patents have been able to reduce or even eliminate the need for synthetic thyroid replacement medications through LDN! Do you suffer from fibromyalgia, chronic fatigue, or chronic pain? Discover what thousands of patients have – LDN! Trinova Health has partnered with some of the nation’s leading doctors to provide low cost consultations for patients wishing to use his revolutionary new therapy. Using the power of telehealth, a licensed physician is able to evaluate you from the comfort of your own home. Simply fill out our confidential contact form below, and a representative will contact you right away! You can also reach us toll free at 844-219-2139 – help is just a phone call away! Name(required) Email(required) Telephone Number Comment(required) Submit DISCLAIMER Trinova Health is a licensed pharmacy located in Tampa, Florida that only engages in compounding in response to a practitioners prescription. A written prescription from a licensed practitioner is required for compounded medication from our pharmacy. The information on the site is general in nature and is only intended for use as an educational tool. You should consult your physician or a Trinova Health pharmacist if you have any specific...