Start with one row for every product you take, sometimes take, or recently stopped. The governed core guide to ketamine and dissociative treatment questions can help frame the discussion, while Living Longer Recovery admissions information for call preparation, aD can help you plan what to ask. Do not change, skip, restart, or combine any medication based on this worksheet. Its purpose is to support a conversation with qualified professionals.
A useful row has nine fields: product name, strength, amount taken, route, usual time, reason it was prescribed or used, prescriber, pharmacy, and status. Copy the name and strength exactly from the label when possible. If you know the name but not the dose, write “dose unknown.” If you take it only sometimes, record what prompts use and the most recent time you took it, without trying to turn an irregular pattern into a precise schedule.
Include prescription medicines, over-the-counter pain or sleep products, cold remedies, vitamins, herbal products, workout supplements, and any medication obtained outside your usual pharmacy. Add injections, patches, inhaled products, creams, and eye drops if they are in use. Create a separate “recently stopped or changed” area with the product, approximate date, reason if known, and who directed the change. Do not infer that a product is irrelevant because it seems routine or unrelated to ketamine use.
- Exact product name from the container or record
- Strength and dose, each marked confirmed or unknown
- How it is taken and usual time of day, if knownD