At Vita Nova Ketamine & Wellness Clinic, we believe patients deserve clear and compassionate explanations about any potential risks. Below you’ll find a detailed breakdown of possible side effects across all treatments we offer, including FDA-approved and off-label services. Every treatment decision is made only after a full medical evaluation and informed consent.
Used for:
Depression, anxiety, PTSD, OCD, chronic pain, and other conditions (off-label)
FDA Status:
Ketamine is not FDA-approved for mental health or pain conditions and is used off-label under medical supervision.
😵 Dissociation
Feeling disconnected from surroundings or self. Temporary and monitored.
🤢 Nausea
Mild queasiness or vomiting. Anti-nausea medication is available if needed.
❤️🔥 Increased Heart Rate or Blood Pressure
Temporary changes monitored throughout treatment.
😴 Fatigue or Drowsiness
May last a few hours post-treatment. Avoid driving the same day.
🔄 Visual Distortions or Hallucinations
Mild perceptual changes, especially with higher sensitivity.
💓 Palpitations or Chest Discomfort
Often brief and resolves without intervention.
FDA-Approved For:
Treatment-Resistant Depression (TRD)
Major Depressive Disorder with Suicidal Thoughts or Behavior
Off-Label Uses Offered at Vita Nova:
Postpartum Depression
Bipolar Depression
Obsessive-Compulsive Disorder (OCD)
Post-Traumatic Stress Disorder (PTSD)
Emotional Numbness or Disconnection
Anxiety with Co-Occurring Depression
Important:
SPRAVATO® is FDA-approved only for TRD and MDD with suicidal ideation. All other uses listed above are off-label and reviewed individually by our licensed medical team.
😵💫 Dissociation
Altered perception or feeling of detachment, typically short-lived.
😵 Dizziness or Lightheadedness
Can occur during or shortly after treatment.
💤 Sedation
You may feel drowsy or slowed. A ride home is required after sessions.
💓 Elevated Blood Pressure
Vital signs are monitored before, during, and after dosing.
Used for:
Fatigue, brain fog, cellular repair, aging support
FDA Status:
NAD+ therapy is experimental and not FDA-evaluated for treatment of any condition.
🔥 Flushing or Warm Sensations
Heat in face or chest during infusion.
💢 Chest Tightness or Pressure
Often dose-rate dependent and adjusted if needed.
😩 Head Pressure or Fatigue
May occur during or after infusion.
🩹 Vein Irritation
Minor redness or tenderness at the IV site.
Used for:
Wellness support including hydration, immune strength, energy, and recovery
FDA Status:
These therapies are not FDA-evaluated and are not intended to diagnose, treat, cure, or prevent any disease.
💉 Injection Site Soreness
Mild pain, redness, or bruising after a shot or IV.
🌀 Lightheadedness
Especially in dehydrated patients or those who haven’t eaten.
🤢 Upset Stomach or Nausea
Rare but possible with some vitamin blends.
🌡️ Flushing or Tingling Sensations
Usually from B-vitamins or magnesium.
🌈 Bright Yellow Urine
Normal after B-complex shots.
🧴 Mild Rash or Itching
Rare but may occur in sensitive individuals.
If you experience any side effects during or after your treatment that concern you, please contact us right away.
Ketamine therapy for mental health and chronic pain is considered off-label and is not FDA-approved for these uses.
SPRAVATO® is FDA-approved only for treatment-resistant depression (TRD) and for major depressive disorder (MDD) with suicidal thoughts or behavior. All other uses are considered off-label.
NAD+ IV therapy is experimental and not FDA-evaluated.
IV and IM therapies are not FDA-evaluated and are not intended to diagnose, treat, cure, or prevent any disease.
All treatments are offered only after medical screening and are administered by licensed professionals in accordance with best clinical practices.
Baltimore's physician-led clinic for Ketamine, IV vitamin infusions, Iron IV, and NAD+ therapy — serving our community with integrity and care.

Providing compliant, physician-led ketamine & IV therapy care — one of the few clinics certified in Maryland.
See Our Certification →Founded & directed by Dr. Brijen L. Joshi MD, Johns Hopkins School of Medicine faculty.
Meet Dr. Joshi →© 2026 Vita Nova Ketamine & Wellness Clinic. All Rights Reserved.
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