Anyone else experience next-day panic attack like symptoms after ketamine troches?

I’ve been taking joyous ketamine troches and recently increased from 30mg (which I was on for 2-3 weeks) to 45mg. I’ve noticed a pattern where about 20-22 hours after my dose, I get hit with sudden fatigue, hot flashes, and what feels like the onset of a panic attack—racing heart, restlessness, and high anxiety. Also in general bloating and gas.

I usually take my dose around 8-9 PM, and the next day at 5:30 PM, these symptoms hit almost like clockwork. This has happened multiple times after taking 45mg. More context- I am also on lexapro and even getting on that was a challenge since i have long covid and my nervous system is in fight or flight mode basically.

Has anyone else experienced this? Does it get better with time? Would love to hear if this is normal or if I should adjust something.