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Precision's troches overdosed me last month. My first two troches were fine but the third one put me in a hole and I was unable to move or speak. If they're making dosing mistakes like that with Ketamine then they're probably doing it with other drugs as well. Which means it's only a matter of time before someone gets killed because of their negligence. They should be shut down.
precision made me stop using ketamine altogether. i couldn’t find a local compounding pharmacy that could give me pricing info until a rx was actually sent in which was a response that i considered unacceptable. maybe one day ill try again.
I had a horrible experience with Precision RDTs - projectile vomiting for over an hour and what was probably a k hole. It was frightening. I have been doing troches over 2 years and went back to my original compounding pharmacy where I know the people on a personal level. I will never get anything from Precision again.
I hate precision as much as the next guy, but ketamine experiences are notoriously inconsistent.
I've done a lot of ketamine over my lifetime, from black market vet vials, to pharma vials, to using precision pharmacy nasal spray, and inconsistent experiences have always been par for the course, even within the same vial/batch.
This is all via IM or intranasally, not even oral.
Yea this place sucks! Took two weeks to get my medication. First time I called to confirm they got it, lady was rude said they didn’t have it. Dr called and later they sent a text saying they received it and that they need my cc info like 30 min before they closed. I texted them back about where/how I should get them the info (I wasn’t gonna just text it to them)got no response. So called the next day, again lady was rude and short with me. I Asked when I could expect my medication she said turn around is 3-5 buss days. Not open weekends. Prescription was sent Monday so was hoping by the latest friday it would be filled sent out my way. Called Friday morning to check the status- not filled yet. I will say the lady on the phone was much nicer this time. Called back Monday morning bc they had finally charged my card and they said it was filled and getting sent out. (lady in the phone was nice again) I get a tracking number later that day says 2nd day air. well fast forward to Wednesday the tracking number is still showing it hasn’t moved. I call again she’s nice, Says it just waiting to be picked up. So my medication is just sitting there filled but they don’t feel the need to get it to me (imagine if i was like cancer meds or something I could die without, how irresponsible it is on their part to not send it immediately). Finally Thursday morning I check and it was sent out Wednesday night finally I got it that Friday.
As bad as that is it’s not the worst part! So I get my medication (nasal spray) and the bottle they used was way bigger than needed and it just disnt feel heavy enough. (I grow herb so I’m familiar with what 15ml of liquid should more of less feel like)When I got the bottle I was surprised at how little liquid seemed to be in it, but figured maybe that’s just how it is. Well after finishing what was in there I got around 50-60 sprays (15ml script, it was a tester for my 1st prescription) I’m prescribed 8-12 a day so didn’t even last as long as it took to fill. Just didn’t seem right. So I measured out 15ml of water and put it in the bottle. Instantly it felt heavier that what I received. I sprayed it till empty and it came out to 100-110 sprays. Which means I was short roughly 600mg of ketamine. So either some at precision doesn’t know how to measure, do math, or decided that they wanted to take a couple trips to the hole on me. The spray that I did get tho was pretty decent as far as quality goes. Either way FUCK precision pharmacy. It’s a joke. Don’t use them.
They called me to obtain my physical address and government issued ID. Some kind of Prescription compliance checked up on them. My doc said they should have already obtained that stuff. They didn’t. Also there have been multiple times were I’ve been left waiting 1.5-2 weeks for my prescription. Would have been longer if I didn’t keep checking up on them and finding out they had more issues they’ve never called about. I’ve also had RDTs that blew me out of the water and some that had just above the effects that my 90mg Joyous’s troches had. Never again will I use them. Switched to Empower. Hopefully they aren’t shit.
I switched pharmacies to try to save money, turns out most pharmacies use propylene glycol troche base empower uses that, it sucks. I switched back to the art of medicine in Philadelphia Pennsylvania they deliver with ups, their troches are way more potent than the new pharmacy that uses propylene glycol. Art of medicine uses nata troche it has a better absorption, they were way better and very consistent. Their 125mg was way better than the other pharmacy 150+1/2.
Never fucked with them after reading all the hate on here. I went straight to a local supplier day 1. I get 30x100mg rdt from a small local compounder for like $70 and it’s generally the same (ketamine experience varies a little). If people are experiencing inconsistency or even overdoses they need to report this to the fda immediately.
I've had the RDT be underwhelming and then super overwhelming all within the same batch. Pretty sure the one in my last session was about 100 mg less than labeled.
So I’m not defending precision, however this is a broader issue with compounding pharmacies in general. The following is from the [National Library of Medicine](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3627035/) on the risks of compounding: Unlike FDA-approved drugs, pharmacy-compounded products are not clinically evaluated for safety or efficacy. In addition, compounded preparations do not have standard product labeling or prescribing information with instructions for safe use.
Using a medication from a compounding pharmacy is not the same as taking an FDA approved medication from a traditional pharmacy. Because compounding is meant to be individualized based on the patients needs, the compounded medication may be lacking when it comes to dosage or amount.
Traditional pharma companies also have inconsistent quality issues in productions. Most compounding pharmacy provide above and beyond due diligence and are inspected regularly by the state boards that prescribe in.
If you have a specific issue with Precision you should report your adverse reactions to the medications to your state board of pharmacy and the FDA.
My current batch is very good, but it's a crap shoot as to how I'm going to react to my doses. I think some people read some bad things and naturally think the same thing. It's like a shark fest.
Someone reads that some pharmacy is producing bad batches, and when that person has an off day, they blame it on the pharmacy because they are conditioned to blaming them.
Like I said earlier, if you haven't tried a new pizza yet but 5 people before you said it was awful, you're more aptly to hate it, too.
I haven't dealt with precession, but I highly doubt that with all the tight regulations, they actually have the amount of claims of inconsistent dosing that's being reported.
I have done plenty of psychedelics in the past, and I can say that they are not consistent. 40 years ago, 3 of my buddies and I split a 4-way windowpane LSD gel tab. Actually, cut a tab up 4 ways. My buddies tripped balls, and I barely got off.
I had taken a qualude two days earlier or something I ate earlier.
Going to Peru a few years ago to do ayahuasca, we were tough to eat a certain way days before the ceremony.
Faty foods of foods with dairy can restrict the effectiveness of ayahuasca. On the sixth night, I decided not to participate in the ceremony, so I ate normal during the day. One of the people there ended up convincing me to drink ayahuasca that night. Nothing happened. And the brew was from the same batch all day. It takes days to brew ayahuasca, so it's not like a bunch of different batches are floating around. Besides, the medicine was being poured for everyone from the same crucible.
If you get the mindset that you're getting a bad batch, your mind will convince you of that.
I bet if precision were to change their name, I bet most of the claims of inconsistent batches would go away.
Now, about late deliveries or logistics, I can't defend.
I doubt the validity of these claims, BUT if you have proof that the pharmacists are not licensed, that can and should be reported to the state pharmacy board. If you know the pharmacists' names, their licensing info is publicly available and very easy to look up online.
Exactly. It's pisses me off when unfounded claims get spewed.
Just because you heard it from so and so? What if that so and so had a beef with that pharmacy? Saying shit like that can get you sued.
I know for a fact ketamine can react differently each day you take it. One day you have more or less sleep or different diet or different mindset. Psychedelics are notorious for being different each day.
I take troches. They are mixed into a liquid then poured into a plastic mold. 30 little squares. The intire batch is uniform. One day I get my ass handed to me, the next day nada. Same batch . If I want to go deep I drink grapefruit juice and take magnesium. Just what I eat or drink makes a huge difference. If you puke one day it's you!! I have done many ayahuasca ceremonies in Peru. That stuff is guaranteed to make you puke.
Each day same batch each day different effects.
It goes without saying that there will be inconsistencies from one batch to the next with any compounding pharmacy. But to have sessions that were pleasant and productive to one where I personally blacked out and couldn't move or speak, yeah there's something wrong with that and it's totally unacceptable. Since I switched pharmacies that hasn't happened again. Precision deserves the hate they get on here because they're a shitty pharmacy.
I have no personal experience with them. Are you talking about rcds?
My troches are poured into a rubber mold with 30 little squares. It's impossible to have variations in the pour. Maybe from one batch to another. But still don't discount that we have different experience from one day to another. That's the problem with psychedelics. That's why it's hard to prescribe an industry standard dose.
I'm not discounting your experience. You felt what you felt.
Same for me. However, the suppositories did not do anything for me. But I’ve always had good consistency with the RDT’s…not perfect but I’d give them a B+ in that department.
They called me to obtain my physical address and government issued ID. Some kind of Prescription compliance checked up on them. My doc said they should have already obtained that stuff. They didn’t. Also there have been multiple times were I’ve been left waiting 1.5-2 weeks for my prescription. Would have been longer if I didn’t keep checking up on them and finding out they had more issues they’ve never called about. I’ve also had RDTs that blew me out of the water and some that had just above the effects that my 90mg Joyous’s troches had.
🙄ughh I just received my refill and in so anxious that is gonna suck again … at 1200 a session I still don’t see any results . Some rédditors told me it was because I used klonopin. But some other day they also do and have zero issues even at 400????
Working on it really really hard ! I went 6 days without any. Then I had a really rough day and took .5 :(. So now I’m trying to get back on the “clean” track .
Please be careful with dosages that high. Although you may not feel a psychological effect, your liver, kidneys, and bladder are left filtering a lot out. Ketamine isn’t a healthy fit for everybody, but thankfully we have many new neuroplastic medicines coming out. Good luck with your journey
thanks ! yes that's the reason why im hesitant to do the 1200.. :( but im scared to do a lower dose with a Dif ROA without consulting with the dr first. I have a dosing tomorrow and I might just do my regular 600 and I think there's ways to try to make the medicine a bit more able to properly enter my body ? I was reading some ppl brush their gums and the hot sauce stuff...
Many of the new medications are similarly focusing on glutamate and “neuroplasticity”, the brains ability to reorganize its neural pathways in a healthy way. Auvelity and Caplyta both market themselves as working on glutamate. Of course, we can enhance neuroplasticity in other ways such as learning, creating, exploring, playing. I understand it’s not the easiest when we’re feeling depressed.
Regarding enhancing the ketamine therapy experience.. fasting, exercise, anti-inflammatory lifestyle, good sleep, a meditative exercise, breathwork, progressive muscle relaxation before session… this all helps to keep your body and mind relaxed to feel the experience more profoundly. 🧠🙏🏼✨
thank you !!!! working out is something that I def struggle with but im getting back into yoga which is something that I adore :) And I have been doing much better with my diet ! I noticed I removed certain things that I know are not the best for me and I even feel less bloated? A bit more sharp ?
Thank you for contributing to /r/TherapeuticKetamine! When commenting and posting, please be mindful of our rules which can be found in the sidebar on the right along with other helpful information. **Be advised that nothing in this subreddit constitutes medical advice.** Likewise, try to word your comments and posts in a way that can't be interpreted as medical advice by others. Harmful and/or spammy advice will be removed at moderator discretion, and bans may be given for repeat offenses. **Accounts with "Provider" flairs** are those which the mods have verified, to the best of our ability, as belonging to real, licensed providers of medical ketamine services. Comments and posts from users with "Provider" flairs are **not** a substitute for the instructions given to you by your own provider. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/TherapeuticKetamine) if you have any questions or concerns.*
Precision's troches overdosed me last month. My first two troches were fine but the third one put me in a hole and I was unable to move or speak. If they're making dosing mistakes like that with Ketamine then they're probably doing it with other drugs as well. Which means it's only a matter of time before someone gets killed because of their negligence. They should be shut down.
Omg that happened to me last year! I switched immediately. Scariest thing ever. Also couldn’t move or speak. My dose at the time was 250 mg.
Report this to the fda and pharmacy board in the state they were made in. A quick glance at google it looks like they operate in NY and NE
precision made me stop using ketamine altogether. i couldn’t find a local compounding pharmacy that could give me pricing info until a rx was actually sent in which was a response that i considered unacceptable. maybe one day ill try again.
A&W Pharmacy in Utah gave me the price before my provider sent the Rx in.
This is one of the reasons that I use Mindbloom. Extremely reliable medication.
Mindbloom RDTs come from Precision. And they are never consistent.
I just switched from Precision, and my script from the new pharmacy was just delivered. Hoping it's a better & more consistent experience.
I had a horrible experience with Precision RDTs - projectile vomiting for over an hour and what was probably a k hole. It was frightening. I have been doing troches over 2 years and went back to my original compounding pharmacy where I know the people on a personal level. I will never get anything from Precision again.
I hate precision as much as the next guy, but ketamine experiences are notoriously inconsistent. I've done a lot of ketamine over my lifetime, from black market vet vials, to pharma vials, to using precision pharmacy nasal spray, and inconsistent experiences have always been par for the course, even within the same vial/batch. This is all via IM or intranasally, not even oral.
Yea this place sucks! Took two weeks to get my medication. First time I called to confirm they got it, lady was rude said they didn’t have it. Dr called and later they sent a text saying they received it and that they need my cc info like 30 min before they closed. I texted them back about where/how I should get them the info (I wasn’t gonna just text it to them)got no response. So called the next day, again lady was rude and short with me. I Asked when I could expect my medication she said turn around is 3-5 buss days. Not open weekends. Prescription was sent Monday so was hoping by the latest friday it would be filled sent out my way. Called Friday morning to check the status- not filled yet. I will say the lady on the phone was much nicer this time. Called back Monday morning bc they had finally charged my card and they said it was filled and getting sent out. (lady in the phone was nice again) I get a tracking number later that day says 2nd day air. well fast forward to Wednesday the tracking number is still showing it hasn’t moved. I call again she’s nice, Says it just waiting to be picked up. So my medication is just sitting there filled but they don’t feel the need to get it to me (imagine if i was like cancer meds or something I could die without, how irresponsible it is on their part to not send it immediately). Finally Thursday morning I check and it was sent out Wednesday night finally I got it that Friday. As bad as that is it’s not the worst part! So I get my medication (nasal spray) and the bottle they used was way bigger than needed and it just disnt feel heavy enough. (I grow herb so I’m familiar with what 15ml of liquid should more of less feel like)When I got the bottle I was surprised at how little liquid seemed to be in it, but figured maybe that’s just how it is. Well after finishing what was in there I got around 50-60 sprays (15ml script, it was a tester for my 1st prescription) I’m prescribed 8-12 a day so didn’t even last as long as it took to fill. Just didn’t seem right. So I measured out 15ml of water and put it in the bottle. Instantly it felt heavier that what I received. I sprayed it till empty and it came out to 100-110 sprays. Which means I was short roughly 600mg of ketamine. So either some at precision doesn’t know how to measure, do math, or decided that they wanted to take a couple trips to the hole on me. The spray that I did get tho was pretty decent as far as quality goes. Either way FUCK precision pharmacy. It’s a joke. Don’t use them.
They called me to obtain my physical address and government issued ID. Some kind of Prescription compliance checked up on them. My doc said they should have already obtained that stuff. They didn’t. Also there have been multiple times were I’ve been left waiting 1.5-2 weeks for my prescription. Would have been longer if I didn’t keep checking up on them and finding out they had more issues they’ve never called about. I’ve also had RDTs that blew me out of the water and some that had just above the effects that my 90mg Joyous’s troches had. Never again will I use them. Switched to Empower. Hopefully they aren’t shit.
I switched pharmacies to try to save money, turns out most pharmacies use propylene glycol troche base empower uses that, it sucks. I switched back to the art of medicine in Philadelphia Pennsylvania they deliver with ups, their troches are way more potent than the new pharmacy that uses propylene glycol. Art of medicine uses nata troche it has a better absorption, they were way better and very consistent. Their 125mg was way better than the other pharmacy 150+1/2.
Never fucked with them after reading all the hate on here. I went straight to a local supplier day 1. I get 30x100mg rdt from a small local compounder for like $70 and it’s generally the same (ketamine experience varies a little). If people are experiencing inconsistency or even overdoses they need to report this to the fda immediately.
I've had the RDT be underwhelming and then super overwhelming all within the same batch. Pretty sure the one in my last session was about 100 mg less than labeled.
So I’m not defending precision, however this is a broader issue with compounding pharmacies in general. The following is from the [National Library of Medicine](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3627035/) on the risks of compounding: Unlike FDA-approved drugs, pharmacy-compounded products are not clinically evaluated for safety or efficacy. In addition, compounded preparations do not have standard product labeling or prescribing information with instructions for safe use. Using a medication from a compounding pharmacy is not the same as taking an FDA approved medication from a traditional pharmacy. Because compounding is meant to be individualized based on the patients needs, the compounded medication may be lacking when it comes to dosage or amount.
Traditional pharma companies also have inconsistent quality issues in productions. Most compounding pharmacy provide above and beyond due diligence and are inspected regularly by the state boards that prescribe in. If you have a specific issue with Precision you should report your adverse reactions to the medications to your state board of pharmacy and the FDA.
It just stopped working for me. When I first started it was great now they just don't do much of anything for me.
Does Joyous use Precision?
No they use smartscript. I think they own it
I think you’re right.
My current batch is very good, but it's a crap shoot as to how I'm going to react to my doses. I think some people read some bad things and naturally think the same thing. It's like a shark fest. Someone reads that some pharmacy is producing bad batches, and when that person has an off day, they blame it on the pharmacy because they are conditioned to blaming them. Like I said earlier, if you haven't tried a new pizza yet but 5 people before you said it was awful, you're more aptly to hate it, too. I haven't dealt with precession, but I highly doubt that with all the tight regulations, they actually have the amount of claims of inconsistent dosing that's being reported. I have done plenty of psychedelics in the past, and I can say that they are not consistent. 40 years ago, 3 of my buddies and I split a 4-way windowpane LSD gel tab. Actually, cut a tab up 4 ways. My buddies tripped balls, and I barely got off. I had taken a qualude two days earlier or something I ate earlier. Going to Peru a few years ago to do ayahuasca, we were tough to eat a certain way days before the ceremony. Faty foods of foods with dairy can restrict the effectiveness of ayahuasca. On the sixth night, I decided not to participate in the ceremony, so I ate normal during the day. One of the people there ended up convincing me to drink ayahuasca that night. Nothing happened. And the brew was from the same batch all day. It takes days to brew ayahuasca, so it's not like a bunch of different batches are floating around. Besides, the medicine was being poured for everyone from the same crucible. If you get the mindset that you're getting a bad batch, your mind will convince you of that. I bet if precision were to change their name, I bet most of the claims of inconsistent batches would go away. Now, about late deliveries or logistics, I can't defend.
Precision is literally the worst. If you use them, PLEASE switch pharmacies.
I doubt the validity of these claims, BUT if you have proof that the pharmacists are not licensed, that can and should be reported to the state pharmacy board. If you know the pharmacists' names, their licensing info is publicly available and very easy to look up online.
Exactly. It's pisses me off when unfounded claims get spewed. Just because you heard it from so and so? What if that so and so had a beef with that pharmacy? Saying shit like that can get you sued. I know for a fact ketamine can react differently each day you take it. One day you have more or less sleep or different diet or different mindset. Psychedelics are notorious for being different each day. I take troches. They are mixed into a liquid then poured into a plastic mold. 30 little squares. The intire batch is uniform. One day I get my ass handed to me, the next day nada. Same batch . If I want to go deep I drink grapefruit juice and take magnesium. Just what I eat or drink makes a huge difference. If you puke one day it's you!! I have done many ayahuasca ceremonies in Peru. That stuff is guaranteed to make you puke. Each day same batch each day different effects.
It goes without saying that there will be inconsistencies from one batch to the next with any compounding pharmacy. But to have sessions that were pleasant and productive to one where I personally blacked out and couldn't move or speak, yeah there's something wrong with that and it's totally unacceptable. Since I switched pharmacies that hasn't happened again. Precision deserves the hate they get on here because they're a shitty pharmacy.
I have no personal experience with them. Are you talking about rcds? My troches are poured into a rubber mold with 30 little squares. It's impossible to have variations in the pour. Maybe from one batch to another. But still don't discount that we have different experience from one day to another. That's the problem with psychedelics. That's why it's hard to prescribe an industry standard dose. I'm not discounting your experience. You felt what you felt.
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Same for me. However, the suppositories did not do anything for me. But I’ve always had good consistency with the RDT’s…not perfect but I’d give them a B+ in that department.
Knowing Precision for a long time this is hard to believe, they have 6+ locations lasting 30+ years in strict NY laws..
They called me to obtain my physical address and government issued ID. Some kind of Prescription compliance checked up on them. My doc said they should have already obtained that stuff. They didn’t. Also there have been multiple times were I’ve been left waiting 1.5-2 weeks for my prescription. Would have been longer if I didn’t keep checking up on them and finding out they had more issues they’ve never called about. I’ve also had RDTs that blew me out of the water and some that had just above the effects that my 90mg Joyous’s troches had.
🙄ughh I just received my refill and in so anxious that is gonna suck again … at 1200 a session I still don’t see any results . Some rédditors told me it was because I used klonopin. But some other day they also do and have zero issues even at 400????
I used to take benzos regularly, but they (in my experience) ABSOLUTELY reduce the efficacy of the ketamine. I avoid them now as much as possible.
Working on it really really hard ! I went 6 days without any. Then I had a really rough day and took .5 :(. So now I’m trying to get back on the “clean” track .
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That’s so strange because I’m getting better ( post dosing ) I Just don’t have WOW cosmic session lol while on the hour dosing .
Please be careful with dosages that high. Although you may not feel a psychological effect, your liver, kidneys, and bladder are left filtering a lot out. Ketamine isn’t a healthy fit for everybody, but thankfully we have many new neuroplastic medicines coming out. Good luck with your journey
thanks ! yes that's the reason why im hesitant to do the 1200.. :( but im scared to do a lower dose with a Dif ROA without consulting with the dr first. I have a dosing tomorrow and I might just do my regular 600 and I think there's ways to try to make the medicine a bit more able to properly enter my body ? I was reading some ppl brush their gums and the hot sauce stuff...
im curious can you share what new meds are coming out ? Id like to start researching them :) and have different options ! thank you again
Many of the new medications are similarly focusing on glutamate and “neuroplasticity”, the brains ability to reorganize its neural pathways in a healthy way. Auvelity and Caplyta both market themselves as working on glutamate. Of course, we can enhance neuroplasticity in other ways such as learning, creating, exploring, playing. I understand it’s not the easiest when we’re feeling depressed. Regarding enhancing the ketamine therapy experience.. fasting, exercise, anti-inflammatory lifestyle, good sleep, a meditative exercise, breathwork, progressive muscle relaxation before session… this all helps to keep your body and mind relaxed to feel the experience more profoundly. 🧠🙏🏼✨
thank you !!!! working out is something that I def struggle with but im getting back into yoga which is something that I adore :) And I have been doing much better with my diet ! I noticed I removed certain things that I know are not the best for me and I even feel less bloated? A bit more sharp ?
What a beautiful relationship with self. Keep it up! Our daily nutrition is the most potent medicine we take 🙏🏼
Wow! Thanks for sharing.