I saw my PM doc and asked for oral ketamine as part of my meds protocol.
You know you have a great doc when he is receptive to any new ideas.

He told me that as of right now there are not enough published studies on the long term use of ketamine for him to feel comfortable treating me that way. As it is very toxic to the liver ,he would prefer that I only use it on an emergency basis for really bad flares( he will be happy to write the script) then as part of my regular med protocol.
As soon as more positive research is published that long term use of the drug is safe, he would write the prescription,but for now it is on an emergency basis .Good doc - cares about my liver.I do too
He did however call the compound pharmacy and have them make a topical ketamine cream for me right away .It is a 2% ketamine gel.It does give some relief to the burning pain - an option I can live with for now.

So that is it from the ketamine front for now.

I hope this information has been helpful to at least one other person out there.
I think it is really important that when any of us get to try new treatment options that we share them with others so that we are all at the forefront of groundbreaking news and treatment in the fight against RSD
That way we have more choices available to us
when looking at whats next for us in our in our approach to this disease .

Good Luck to all

GnP