Intravenous (IV) Infusion Therapy in NYC
Intravenous (IV) therapy, also known as a Myers’ Cocktail, is a treatment option for a variety of different pain syndromes such as fibromyalgia, neuropathic pain, phantom limb pain, post-herpetic neuralgia, complex regional pain syndromes (CRPS), diabetic neuropathy, and central pain related to stroke or spinal cord injuries. The medication infusions can also be used for special occasions for treatment of severe depression and refractory headaches.
Did you know migraine headaches are responsible for about one-third of the 5 million annual emergency department visits for headaches in the U.S.?
IV therapy was first introduced as a treatment for pain in 1963 using lidocaine. Since then, several studies using different medications have shown benefit in treating patients with chronic pain. The goal of IV therapy is to substantially decrease your level of pain and make you more functional over time.
Your physician will select the appropriate medication and dose to be used in the IV infusion depending on your diagnosis and type of pain you are experiencing. An intravenous catheter will be placed in your arm or hand while medications are infused over a standardized amount of time (40 minutes). You will be monitored throughout the entire infusion period.
With IV administration, a thin plastic tube called an IV catheter is inserted into your vein. The catheter allows your healthcare provider to give multiple safe doses of medication without poking a needle each time.
- IV Therapy For Headaches: We use IV therapy to eliminate refractory headaches or migraines. The IV drugs used may consist of magnesium, steroids, Keppra, Depakote, or Toradol.
- IV Vitamin Therapy: Multi-Vitamin infusions used intravenously helps address chronic fatigue syndrome, improve energy levels, and reduce symptoms of fatigue.
IV Therapy Medications
- Lidocaine blocks the sodium channels in the neuronal cell membrane that potentially plays a role in the pathogenesis and maintenance of both neuropathic and inflammatory pain.
- Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist that decreases sustained neuronal depolarization as well as excitatory transmission along afferent pain pathways in the dorsal horn of the spinal cord.
- Clonidine is a α2-adrenergic receptor agonist that is believed to reduce norepinephrine release from the α2-adrenergic in the peripheral nervous system.
- Magnesium works as a competitive NMDA receptor antagonist that decreases both acute and chronic pain by stabilizing abnormal nerve excitation.
- Toradol Ketorolac is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Ketorolac works by reducing hormones that cause inflammation and pain in the body. Ketorolac is used short-term (5 days or less) to treat moderate to severe pain.
- Depakote is a medication used for a migraine, but it is not typically used for aborting (ending) an attack, though it can be. Instead, it’s ordinarily used to try to prevent attacks from occurring or reduce their frequency and/or intensity.
- Keppra for headaches has no drug-drug interactions. This is because it does not pass through the liver, unlike many other medications. It also has a low side effect profile. Efficacy of the antiepileptic drug, lamotrigine, has been reported in this form of a migraine.
- Levetiracetam is a new antiepileptic drug with an excellent tolerability profile. Levetiracetam is well tolerated
- IV Steroids such as Solu-Medrol (methylprednisolone) are used to hasten the recovery from the relapse. Often used for refractory migraines, helping the detoxification regimens, and pain flare-ups.
IV Vitamin Therapy
- B-Complex: This contains B-1, B-2, B-3, B-5, B-6, and B-12. B vitamins work as a team to not only boost metabolism for weight loss and energy, but also to balance symptoms of PMS, get better sleep, act as a natural diuretic, and provide many anti-inflammatory properties that help your body feel great.
- Biotin: Also known as vitamin B7, biotin is known primarily for its benefits of improving hair, skin, and nails, but it also necessary for cell growth, fatty acid production, and helps to maintain blood sugar.
- Folic Acid: Also known as B9, folic acid is essential for many of the body’s functions. The body needs folate to synthesize and repair DNA, create red blood cells, produce energy, and keep healthy nerve function. Symptoms of folate deficiency can lead to anemia, fatigue, lowered immune system, insomnia, hair loss, and cardiovascular disease.
- Vitamin B1: B1, known as thiamine, is an essential vitamin we cannot make on our own. B1 deficiency is very common and can lead to symptoms of poor blood sugar control and diabetes, cardiovascular disease, cognitive decline, memory loss, fatigue, and neuropathy.
- Vitamin B5: B5, known as pantothenic acid, is essential for the production of energy in the body. B5 helps the body tolerate stress better, improve blood sugar regulation, improve mood, and improve skin quality.
- Vitamin B6: B6, known as pyridoxine, is essential for metabolism and hundreds of different biochemical functions. B6 most importantly helps the body with detoxification, blood sugar and cholesterol metabolism, hormone balancing, and mood enhancement. Common symptoms of deficiency in B6 are depression, sleep and skin problems, confusion, anxiety, and fatigue.
- Vitamin C: Vitamin C is an all-around important vitamin for immune health, skin and joint health, and a number of other benefits.
- Magnesium: Magnesium deficiency is one of the most common mineral deficiencies. Magnesium is important for nerve, muscle, and skin health, and over 300 metabolic functions. Deficiencies in magnesium can lead to high or uncontrolled blood pressure, poor wound healing, insomnia, muscle cramps, osteoporosis, sugar cravings, fatigue, anxiety, depression, and more.
There are a number of scientific studies and clinical impressions supporting the use of IV therapy for the treatment of a variety of different types of pain.
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As with any medical procedure, there is always a risk of potential complications. The most common complaints one might experience with IV therapy are associated with the medication being used. In most cases, the symptoms or side effects will abate once the infusion is completed or stopped.