Dr. Ricardo Febre’s Landauro

What is the Neustart Ketamine Infusion Treatment and Therapy?

Here Dr. Ricardo Febre’s Landauro lists the mostly commonly asked questions by his clients and shares the answers. Feel free to contact me with any further questions, either via a call or email us using the form at the bottom of this page.

Neustart Infusion Therapy; scientists agree
the most remarkable breakthrough in the past 50 years

Will I be treated as an outpatient?

Yes, the Neustart Ketamine Infusions are outpatient procedures and do not require hospital admission. If you are travelling some distance to our clinic, we can arrange comfortable accommodation nearby, although we expect you to have a trusted person accompanying you. If this is not possible, we may be able to make a suitable arrangement with our staff to be with you during your Ketamine Infusion experience.

Do I need a referral from a psychiatrist?

No. Although referrals from a mental health professional are welcomed and encouraged, an initial appointment with Dr Febres Landauro can determine if you are a suitable candidate for the Neustart Ketamine Infusion treatment. We will soon develop the most suitable Ketamine Infusion dose required for your personal needs.

Can all patients with depression be treated using the Neustart ketamine treatment?

No, in most cases, mild to moderate depression can be successfully treated with medication, counselling, and psychotherapy. The treatment of severe treatment-resistant depression is more complex, often requiring much higher levels of care. These can include electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), and now the Neustart infusion therapy — which is reserved for patients with severe depression that have not responded to conventional treatments.

How likely is my severe depression to respond to the Neustart ketamine infusion?

All patients we treat are considered to have treatment-resistant depression, meaning they have not responded to conventional medications and therapies. In many cases, the patients we see have not responded to alternative treatments such as ECT or TMS. Until we begin our treatment sessions, we are unable to predict who will respond well to Ketamine Infusion. However, our experience found around 80% of our patients experience significant mental improvement and no longer have suicidal thoughts. After the first five infusions, we will be able to determine if Ketamine is a suitable treatment or not.


How many Neustart Ketamine Infusions will I need? How long will it take for me to feel better?

If you respond well to the initial five infusions, you will have experienced the full effect of Ketamine, and your brain will have begun new synapse and dendrite growth. While this would be an excellent start to your recovery, you will usually be placed on a maintenance program, returning after a four-week period for a single booster infusion. From there we will develop a series of maintenance boosters that are personalised for your needs. We aim to provide as few boosters as possible and only as many as required. Unfortunately, until treatment has begun, there is no way for us to predict what your treatment needs will be. We will know more once the correct Ketamine Infusion doses for your needs have been developed and administered.

If the Neustart Ketamine Infusions work, will I need them for the rest of my life?

No! Neustart Ketamine infusion therapy is currently the most exciting and effective new therapy for cases of severe depression. We aim to bring an end to your depressive symptoms or at least make them much more tolerable. We are continually developing our protocol and eventually strive to provide stable, long-term remission from depression. From our experience, our current protocol has been highly effective in most cases. We can’t currently claim the Neustart Ketamine Infusion protocol will ultimately end your depression for life, but the way it is developing, the chances of ending your depression are becoming higher each day.

How long does an infusion take?

Each infusion will take around one hour, with an additional 30 minutes before discharge.

Will I be unconscious or asleep?

No. The carefully controlled Ketamine Infusion doses you will receive, do not cause any loss of consciousness.

What will I experience during the Neustart infusion?

The effects of Ketamine tend to have a mild dissociative impact — a feeling of being unattached to yourself and your surroundings, or an experience of inner reflection. Although most patients tolerate the experience of Ketamine rather well, we can improve this for you if you are finding the experience unpleasant in any way. Your thinking will become clear again fifteen to twenty minutes after the infusion has been completed.

Will any medications I might be taking, interfere with the Neustart Ketamine Infusion treatment?

Yes. If used daily at a high dose, benzodiazepine medications such as Xanax, Klonopin, and Ativan interfere with Ketamine. Lamictal (lamotrigine) taken in 100mg/day doses or higher can block the efficacy of ketamine treatment.

Will I have to stop taking other antidepressant medications?

No — other antidepressants do not interfere with Ketamine. Call us to find out more.

What medical conditions would exclude me from ketamine treatment?

Very few. Cardiac-related issues such as heart failure or uncontrolled high blood pressure would need to be corrected before commencing any Ketamine Infusion treatments. Active psychosis or substance intoxication such as alcohol, THC, or other drugs is a definite no-go.

Are there any risks I should know of using Ketamine? Could I become addicted to Ketamine?

No, numerous studies have found Ketamine to be completely safe when used in a controlled medical environment. Ketamine is widely used as an anaesthetic because it is so reliable. While Ketamine is commonly abused as a recreational drug, no evidence currently exists suggesting it is addictive.

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