What Are Ketamine Troches? A Beginner’s Guide to Sublingual Treatment

If you’re exploring ketamine therapy for mental health support, you may have heard the term “ketamine troches” and wondered what it means. Simply put, troches (pronounced troh-keys) are small, dissolvable tablets designed to be placed under the tongue or between the cheek and gum. This method—called sublingual treatment or administration—allows the medicine to absorb directly into your bloodstream through the tissues in your mouth. 

Troches are commonly used in ketamine therapy because they offer a simple, non-invasive way to experience the benefits of ketamine without needing an IV or injection. For many people, they are a convenient and effective option for continuing treatment outside of a clinic setting. 

How Ketamine Troches Work

Once placed in the mouth, the troche dissolves slowly over about 10–15 minutes. During this time, the medicine enters your system gradually, typically leading to a mild to moderate dissociative experience. This can help quiet mental chatter, ease emotional pain, and create space for deep reflection or healing. 

Unlike recreational use, ketamine therapy—whether with troches or other methods—is always administered with intention, care, and professional guidance. Your provider will give you clear instructions and support to help you prepare for and integrate your experience. 

Why Choose Troches?

Troches may be recommended for ongoing at-home use after initial in-clinic sessions. They’re especially helpful for people managing: 

  • Depression 

  • Anxiety 

  • PTSD 

  • Chronic stress 

  • Low motivation or emotional numbness 

Some people prefer troches because: 

  • They’re easy to use at home 

  • There are no needles or infusions 

  • The experience tends to be gentle and manageable 

  • You can lie down and relax in your own environment 

A Supportive, Guided Experience

If you're considering ketamine therapy, it's important to work with a trained, compassionate provider. Troches are not a quick fix, but when used within a thoughtful treatment plan, they can help open new doors in your healing journey. 

Still have questions? That’s normal. This process is about finding what’s right for you. Reach out today to learn more about ketamine troches and whether they may be a good fit for your path forward.