Side Effects & Risk Disclosures

Vita Nova Ketamine & Wellness Clinic – Baltimore, MD

Transparent Care Backed by Clinical Oversight

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.

💉 Ketamine Infusion Therapy – Side Effects

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.

Common Side Effects:

😵 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.

Less Common:

🔄 Visual Distortions or Hallucinations
Mild perceptual changes, especially with higher sensitivity.
💓 Palpitations or Chest Discomfort
Often brief and resolves without intervention.

💨 SPRAVATO® (Esketamine) Nasal Spray – Side Effects

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.

Common Side Effects:

😵‍💫 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.

🔋 NAD+ IV Therapy – Side Effects

Used for:
Fatigue, brain fog, cellular repair, aging support
FDA Status:
NAD+ therapy is experimental and not FDA-evaluated for treatment of any condition.
Common Side Effects:
- 🔥 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.

💧 IV Drips & IM Booster Shots – Side Effects

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.
Common Side Effects:
- 💉 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.
Less Common:
- 🌈 Bright Yellow Urine
  Normal after B-complex shots.
- 🧴 Mild Rash or Itching
  Rare but may occur in sensitive individuals.

📞 What to Do If You Experience a Side Effect

If you experience any side effects during or after your treatment that concern you, please contact us right away.

⚖️ Disclaimer:

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 provided as anesthesiologist-led care, under the medical direction of Dr. Brijen Joshi MD, in accordance with best clinical practices.