Sublingual (Under the Tongue)
Convenient

Sublingual (Under the Tongue) in Tennessee

Tablets or troches that dissolve slowly under the tongue. Gentler and lower-cost, sometimes prescribed between in-clinic sessions or as part of a supervised program.

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Session

1–2 hours

Cost

Lower per dose

Setting

Clinic or home*

Overview

How Sublingual ketamine works

Sublingual ketamine comes as a small tablet or troche (lozenge) that dissolves under the tongue. Part of the dose is absorbed through the lining of the mouth.

It's gentler than IV or IM dosing and costs less, so some providers use it for maintenance between in-clinic treatments or as part of a supervised program.

Often a good fit for

  • Maintenance between infusions
  • Budget-conscious care
  • Mild to moderate symptoms

What to Expect

  1. 1

    Prescription

    A licensed provider evaluates you and sets a specific dose and schedule.

  2. 2

    Dosing

    You hold the tablet under your tongue for about 10–15 minutes until it dissolves.

  3. 3

    Rest

    Effects last one to two hours; you should be seated in a safe, quiet space.

  4. 4

    Check-ins

    Regular follow-ups help your provider adjust the plan.

Benefits

  • • Lower cost per dose
  • • No needles
  • • Can extend results between clinic visits

Things to consider

  • • Less predictable absorption
  • • Less research for depression
  • • Home use needs a trusted adult present

Cost

Ask for medication, pharmacy, prescriber and follow-up charges separately. Compounded ketamine is not FDA-approved for psychiatric treatment; a lower medication price does not establish the total cost or safety of a program.

Costs and coverage questionsOfficial Spravato patient support

Common questions

Is sublingual ketamine safe at home?

Only when prescribed with clear instructions, careful screening and a trusted adult present. Never drive after a dose.

Is it as strong as an infusion?

Generally milder, because less of the medicine reaches the bloodstream.

Educational information only, not medical advice. Session times and schedules vary; your licensed clinician sets your plan. No statewide price or insurance coverage is guaranteed.

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