Ketamine is a Health Canada-approved medication. Health Canada approved ketamine in the 1970s as an anaesthetic for diagnostic and surgical procedures. However, it’s currently not approved for other indications, like mood conditions. Doctors can, nevertheless, prescribe ketamine “off-label” for other medical conditions. This means that a doctor can legally prescribe ketamine infusion therapy, even if it’s not specifically approved by Health Canada. Off-label use of medications is actually quite common in medicine, with almost one-quarter of medications being prescribed off-label worldwide.
Since Ketamine is a generic drug, it’s unlikely to ever be approved by Health Canada for conditions such as depression. The cost of going through the approval process could be millions of dollars, and since it’s already widely used and approved as an anaesthetic, it’s doubtful that any company would be willing to pay that.
Ketamine therapy is approved by Health Canada in the form of an intranasal spray. This is specifically for treating major depressive disorder in patients who have previously not responded to two or more antidepressants.