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Ketamine and sleep

Unlocking Better Sleep: The Power of Low-Dose Ketamine Infusions

As a nurse practitioner specializing in integrative mental health, I’ve seen firsthand how chronic insomnia can erode quality of life. At Rezilir Health, we offer low-dose ketamine infusions administered for over 1-2 hours, providing a gentle yet effective approach to addressing these issues. Backed by emerging research, this therapy not only targets sleep disturbances but also promotes profound changes in the brain—essentially offering a “reset” that calms the overactive limbic system and fosters neuroplasticity.

Ketamine, traditionally known as an anesthetic, works by modulating glutamate, a key neurotransmitter, to “reset” disrupted neural pathways associated with insomnia and depression. This reset can lead to improved sleep architecture, reducing nighttime wakefulness and enhancing restorative stages like slow-wave sleep. In patients with treatment-resistant depression—a common driver of insomnia—ketamine has been shown to alleviate sleep issues by normalizing brain activity, with effects noticeable within hours to days.

Ketamine has the ability to calm the limbic system which is the brain’s emotional center. Overactivity often fuels anxiety-driven insomnia. Studies indicate that prolonged ketamine infusions modulate limbic connectivity, reducing reactivity to negative stimuli and promoting emotional balance. Patients often report feeling less “on edge” post-infusion, allowing for deeper, more restful sleep.

At the heart of ketamine’s benefits is its promotion of neuroplasticity—the brain’s ability to form new connections and adapt. Low-dose ketamine triggers a surge in synaptogenesis, effectively rewiring depression- and insomnia-related circuits. Studies confirm that even a single dose can induce robust changes in brain regions linked to mood and sleep regulation. For those struggling with chronic insomnia, this means breaking entrenched patterns of wakefulness and fostering healthier sleep habits over time.

While ketamine provides a powerful foundation, combining it with targeted lifestyle strategies can extend its benefits. Adding a supplement like Magnesium Threonate enhances sleep quality by improving deep and REM stages, boosting mood and daytime alertness. Morning and afternoon sun exposure helps regulate circadian rhythms, which ketamine can further influence by modulating sleep-wake cycles. And last, physical Activity breaks anxiety-insomnia cycles and enhances ketamine’s anxiolytic benefits.

Low-dose ketamine infusions offer a promising path for those battling insomnia, acting as a brain reset that calms the limbic system and ignites neuroplasticity. By integrating research-supported adjuncts like magnesium threonate, strategic sun exposure, and physical activity, we can create a comprehensive strategy for lasting sleep and mental wellness.

If you’re considering this approach, contact us for a complimentary consult.

References:

Ketamine-Induced Glutamatergic Mechanisms of Sleep and Wakefulness: Insights for Developing Novel Treatments for Disturbed Sleep and Mood. Wallace C Duncan Jr 1,✉, Elizabeth D Ballard 1, Carlos A Zarate 1

Effect of Ketamine on Sleep in Treatment-Resistant Depression: A Systematic Review. Aleksander Kwaśny 1,*, Adam Włodarczyk 1, Damian Ogonowski 1, Wiesław Jerzy Cubała 1

Prolonged ketamine infusion modulates limbic connectivity and induces sustained remission of treatment-resistant depression. Joshua S Siegel 1,✉, Ben J A Palanca 2, Beau M Ances 3, Evan D Kharasch 4, Julie A Schweiger 1, Michael D Yingling 1, Abraham Z Snyder 3,5, Ginger E Nicol 1, Eric J Lenze 1, Nuri B Farber 1

Ketamine for a boost of neural plasticity: how, but also when? Hao Wu 1, Neil K Savalia 2, Alex C Kwan 1,3,4,*

The Mechanisms Behind Rapid Antidepressant Effects of Ketamine: A Systematic Review With a Focus on Molecular Neuroplasticity. Melody J Y Kang 1, Emily Hawken 2,3, Gustavo Hector Vazquez 1,2,3,*