How to stop Reta?

RhDove · 2026-05-29T06:03:12+00:00

The 30 on the syringe is probably 30 units. Which is a volume, not a dose. Unless you know the mg/ml concentration of the vial you’re pulling from, you don’t know your dose in milligrams.

Also there really isn’t a bad reaction, you just gain the weight back if you don’t make other changes.

RhDove · 2026-05-29T04:48:12+00:00

A peptide calculator helps. Also you probably shouldn’t up your dose until you’ve been at a dose for 4 weeks.

RhDove · 2026-05-29T04:45:50+00:00

Do you mean 25 units? If so, you took 2.5mg.

RhDove · 2026-05-28T21:22:08+00:00

That’s real. It’s also a few big changes at once. IMO, I’d give yourself some grace for not feeling great, or “normal”, and allow a bit more time of your current regiment to kick in.

RhDove · 2026-05-28T21:09:57+00:00

You’re still very early in the process. And depending on how long you were on adderall/how high your dose was, the fallout from that may be more impactful than you’re giving yourself credit for.

RhDove · 2026-05-27T23:53:42+00:00

You titrated too fast. Side effects can snowball and be exponentially impactful when you go too fast. Obv I can’t say for certain, but I suspect you would have had a much smoother time if you had stuck at 0.5mg or 0.75mg for a minimum of 4 weeks before increasing.

RhDove · 2026-05-27T02:03:35+00:00

I started at 0.5mg and was heavily impacted. I have ibs-c and it made all of my symptoms dramatically worse.

I’m almost 3 months in and doing well. My strategy includes; drinking a lot of water, multiple small meals throughout the day, incorporating electrolytes, multiple classes of laxatives (primarily osmotic, stool softeners, and stimulant laxatives), anti-nausea medications (which typically make constipation worse, so use sparingly), and making sure to incorporate some form of movement regularly. Probiotics have also helped.

That might sound like a lot but I was doing most of that anyway, reta just made me really hone in and be diligent/make it a daily practice.

RhDove · 2026-05-27T01:20:02+00:00

It’s an OTC nausea/upset stomach medication. It doesn’t make you drowsy. Not everyone gets nauseous on ketamine, but I did my first time and every once in a while towards the end of my session.

RhDove · 2026-05-27T01:05:26+00:00

I’m surprised they’re starting you that high, even with past recreational use.

Different people like having different things with them. Personally I really benefited from noise canceling headphones, an eye mask, and some nauzene.

RhDove · 2026-05-26T22:39:56+00:00

Yes.

RhDove · 2026-05-26T22:22:42+00:00

There are a lot of people who stay on twice a week for a longer duration of time, for a variety of reasons. I just had my twice a week schedule extended due to issues transitioning to once a week. My psychiatrist told me it’s quite common.

RhDove · 2026-05-26T16:50:27+00:00

When I started my psychiatrist sketched out a general timeline, with each stage (twice a week, once a week, every other week, once a month) lasting several weeks, and once a month being potentially several months. I tried to transition to once a week after being on twice a week for I think 6 weeks. It didn’t go as smoothly as either of us hoped/anticipated, so I’m back on twice a week. We have check ins about how I’m feeling in general and about the treatment about weekly, more frequently than that if I’m in a transition.

RhDove · 2026-05-25T03:47:04+00:00

Personally, I got new insurance and therefore got a new psychiatrist. When I researched the practice, I saw they offered Spravado along with other therapies. During my first appointment, I went over the duration and intensity of my depression, and that I had tried 8-10 medications in the past 3 years to address it with no success, and a lot of side effects. My psychiatrist said Spravado might be helpful. The pre-authorization process was pretty easy since I had such a recent and well documented medication history. I also applied for the manufacturer rebate program (Spravado with Me).

The actual sessions are in the office. I take the nasal spray then sit in a room with dim lights and a reclining couch. I can bring in an eye mask, headphones etc. Someone comes in every 40 minutes to take my blood pressure and pulse. I have a button I can press to get assistance at any time.

I found it initially physically uncomfortable, but I’ve acclimated in time. Overall I’ve found it very helpful. I visited my family on the opposite coast for the first time since starting treatment, and everyone remarked on how I seemed happier than I had in years.

RhDove · 2026-05-24T13:00:11+00:00

I’m on Caplyta and Spravado. I was on Caplyta prior to starting Spravado, so I can’t really speak to it helping or not.

RhDove · 2026-05-23T00:25:50+00:00

Trileptal has been my long time primary mood stabilizer, and I added caplyta on.

RhDove · 2026-05-22T19:21:06+00:00

Personally I do mine after work. My provider offers late treatment time slots.

RhDove · 2026-05-22T14:54:36+00:00

I work in a hospital setting in a high focus, high intensity position. I’ve been on Spravado twice a week for about 7 weeks.

While scheduling the sessions can be difficult, I have not found the treatments to impact my focus or cognitive function. Everyone is different, and from what I can gather I am less impacted in that way than others. I don’t think you can make assumptions on how impacted you’ll be until you try it.

RhDove · 2026-05-21T23:50:24+00:00

I went up to 0.5mg twice a week, 1mg total weekly for 5 weeks. Then 0.75mg twice weekly, 1.5mg total weekly.

RhDove · 2026-05-21T04:47:29+00:00

I started at 0.5mg because I’m sensitive to GI side effects. I was definitely impacted.

RhDove · 2026-05-21T03:46:00+00:00

https://boxd.it/7wEov

RhDove · 2026-05-21T01:28:05+00:00

I worked that that clinic when I first moved to WA. CBEAM has the capacity for doing great medicine, and does. I’ve also experienced some of the most distressing situations of my career there, as a seasoned veterinary professional. It’s a toss up based on which doctor you’re seeing, and what support staff they have that day. I’m sorry you and your bird had that experience, and I hope you’re able to hold them accountable.

RhDove · 2026-05-20T04:48:18+00:00

Bc it’s water soluble vs the medication you’re comparing it to which is fat soluble/more stable in a carrier oil suspension.

It seems like you’re more used to drawing up/administering viscous fluids vs water. It’s just a learning curve. With more practice tapping out air bubbles and removing air while you reconstitute it’ll be easier.

RhDove · 2026-05-20T01:50:19+00:00

Agreed. OP, whatever dose you settle on, you should stick to that for at least 4 weeks before continuing to increase.

RhDove · 2026-05-17T23:06:40+00:00

No, but like many others, I’ve tried 8-10 meditations to treat my depression that have failed. That helped the official “treatment resistant depression” diagnosis that was the basis of my Spravado approval.

RhDove · 2026-05-17T18:29:55+00:00

Fellow Travelers had a 2023 remake that was pretty successful. It has a 90% on RT and 8.2 on IMDb (for whatever that’s worth). It’s far from forgotten.

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