Medication Review Checklist
This is a discussion guide — not a self-adjustment manual. Never stop or change medications without your prescriber.
This page has been written and edited by the publisher. It has not been reviewed by a licensed clinician.
Prepare a complete list
- All prescription medications with doses and timing.
- Over-the-counter medications used regularly.
- Supplements, vitamins, and herbal products.
- Recreational substances and frequency, honestly.
- Recent antibiotics, antifungals, or grapefruit juice (CYP3A4 considerations).
Specific classes to ask about
- Benzodiazepines: may blunt ketamine's antidepressant effect; some clinics adjust timing.
- Lamotrigine: may reduce ketamine's dissociative and antidepressant effects.
- Opioids: combined respiratory depression risk.
- Stimulants: cardiovascular load consideration.
- MAOIs: discuss carefully; hypertensive considerations.
- Blood pressure medications: timing on session day.
Questions to ask
- Should I take my morning meds on session day?
- Are any of these likely to dampen ketamine's effects?
- Any I should temporarily reduce, with your supervision?
- Any supplements I should pause for safety?
- How will we coordinate if you want to adjust anything?
Publisher and editor of Ketalux, based in Chicago, Illinois. Ira is a ketamine therapy patient, not a clinician. This is editorial review, not medical review: Ira is not a licensed clinician and does not provide diagnosis or medical care. Ketalux does not accept compensation from providers in exchange for favorable editorial coverage, evidence ratings, recommendations, patient referrals, or organic provider ranking. Read the full publisher disclosure →
Educational use only. The content on this page is provided for general educational purposes and does not constitute medical advice, diagnosis, or treatment. Ketamine and related therapies carry risks and are appropriate only under qualified medical supervision. Always consult a licensed healthcare professional about your individual situation. Information may change as research evolves.

