That’s unfortunate that you can’t get them through your clinic. I have never heard of an issue with at home therapy, as long as you take it as prescribed.
FWIW, at home therapy has been great for me - I started about a month ago. For background, my first 6 infusions were in Aug ‘21, then I had 2 in Sept, then once a month since. I was having good results for the first week or two after infusions, but then I would go downhill and couldn’t wait for my next infusion.
With the at-home troches, I have never felt one iota of fear or negativity during the 45 mins- 1 hr that I’m “under the influence”. I just feel very relaxed, peaceful, and loving. Nobody else in the house with me (except for 1st time because I had no idea what to expect.) I only take 30-45 mg at a time though, as my NP only prescribed that much. My normal infusion dosage is 40 mg and I am normal build/weight for a woman my age. But I am very sensitive to K - have been since the beginning - I always disassociate during infusions and usually with troches as well, although not as intense of course. I am going to ask her to up the dosage a bit for the troches next time - to 50-60 mg.
I wish you the best of luck getting the at- home therapy. If you go with troches, ask for peppermint flavored. I don’t mind the taste at all.