Ketamine Addiction and Abuse
Some drug experimentation comes from convenience and access to a drug that will provide a desired high from an unlikely source, which is often the case with ketamine abuse. Primarily found in veterinary offices and farms, ketamine is a powerful tranquilizer approved for limited use in medical procedures on humans.
Ketamine has been a party drug since the 1990s because of its euphoric and hallucinogenic effects in small doses. More recently, ketamine has made news for its approval in clinical trials for treating depression and post-traumatic stress syndrome, although none have been conclusive yet. However, many people got the idea to attempt to treat their mental health issues with ketamine; unfortunately, it often has the opposite effect.
Combined with its popularity as a recreational drug and the mistaken impression it can improve mental health, ketamine abuse and addiction are rising, especially among young adults.
What Is Ketamine?
Ketamine is a dissociative anesthetic approved for limited human and animal use for rapid sedation and pain relief without losing consciousness. Recreational drug users enjoy the euphoric effects and out-of-body experiences it causes in higher doses.
In the United States, ketamine is a schedule III controlled substance. The most common form of ketamine is a clear, odorless liquid that users inject; it also comes in a fine white powder that is snorted or swallowed.
Common slang names for ketamine include:
- K
- Special K
- Vitamin K
- Ket
- Horse tranquilizer
- Kit kat
Dealers sometimes use ketamine as a cutting agent in other drugs like heroin or ecstasy to make them more potent.
What Kind of Drug Is Ketamine?
Medically ketamine is a sedative and pain relief agent. Doctors give ketamine for procedures that don’t require complete sedation, such as resetting dislocated joints or calming anxious and combative patients in emergencies.
Recently mental health professionals and researchers have been conducting trials using ketamine to treat severe cases of depression and suicidal thoughts.
As a recreational drug, people consume ketamine in small doses to feel relaxed and experience bursts of euphoria and altered perceptions of sights and sounds. In higher doses, ketamine users want the desired high to make them feel detached or mentally removed from their thoughts and body.
Some users compare it to a near-death experience with hallucinations and memory loss. However, ketamine is also a common date rape drug, or a drug slipped to unknowing victims to make them incapable of fighting off sexual assault.
How Addictive Is Ketamine?
In controlled medical settings, ketamine has low addiction potential; however, ketamine abusers using it to self-medicate depression and other mental illnesses are at a high risk of becoming addicted. People taking ketamine regularly develop tolerance, physical and psychological dependence, and addiction.
Mixing ketamine with alcohol and other illicit drugs increases the likelihood of intense effects and addiction. Furthermore, abruptly stopping ketamine after a period of time with regular use causes unpleasant withdrawal that may cause people to continue using ketamine to avoid it.
Effects of Ketamine
The effects of ketamine depend on the dose used to achieve the desired high. The most notorious and intense effects of ketamine are known as a k-hole; however, there is a range of other intended and unintended side effects users experience before having an out-of-body or near-death experience.
Ketamine kicks in quickly, with the peak high lasting between 45-60 minutes, but lingering effects, may persist up to 24 hours later, especially in higher doses.
Effects of Ketamine include:
- Euphoria
- Relaxation
- A full-body buzz or widespread tingling
- Nausea
- Vomiting
- Dilated pupils
- Altered perception of sight and sound
- Warped sense of time
- Loss of coordination
- Impaired judgment
- Trance-like state
- High blood pressure
- Respiratory depression
- Increased heart rate
- Stiff, immobile limbs
- Inability to respond to stimuli
- Confusion
- Disorientation
- Hives
- Drooling
- Losing consciousness
- Memory loss
- Auditory and visual hallucinations
- Seizures
- Loss of bladder and bowel control
Excessive amounts of ketamine and mixing ketamine with other depressant drugs increase the likelihood of dangerous side effects and overdoses. Ketamine users in a k-hole are at risk of cardiac arrest, coma, or choking on vomit.
Call 911 or get to an emergency department immediately if the effects of ketamine seem life-threatening.
Ketamine Addiction and Abuse Signs and Symptoms
Because ketamine is a powerful disassociative anesthetic, ketamine addiction and abuse are difficult to hide, though most people try their best.
No addiction starts with people walking around in a constant stupor ranting about drugs, including ketamine. Generally, the signs and symptoms of ketamine abuse will appear slowly and sporadically at first and increase as time goes on.
Recognizing a substance use disorder early on can be the key to starting a conversation and helping a loved one get the help they need. Ketamine addiction and abuse signs and symptoms include:
- Frequently appearing groggy or sluggish
- Excessive fatigue and drowsiness
- Frequent urinary tract and kidney infections
- Difficulty focusing
- Depression and anxiety
- Worsening mental health symptoms
- Secretive behavior and lying about ketamine use
- Needles, empty vials, and other drug paraphernalia around
- Neglecting personal and professional obligations
- Declining personal hygiene
- Financial trouble
- Legal trouble
- Housing insecurity
- Isolation
- Chronic health problems
- Slow healing or infected wounds, especially around injection sites
- Suicidal thoughts
- Withdrawal when ketamine is unavailable
Someone addicted to ketamine should seek professional help and explore their treatment options before attempting to quit independently. Overcoming ketamine addiction requires going through withdrawal, which can be intense and challenging without support.
Ketamine Withdrawal
Ketamine withdrawal is unpleasant, uncomfortable, and intense but rarely life-threatening. However, the risk of relapse is high, and the psychological effects of withdrawal are equal to and just as risky as the physical ones. The length and severity of ketamine withdrawal will vary for everyone and typically begins within 24 hours after the last dose and lasts up to a week.
Ketamine withdrawal symptoms include:
- Sweating
- Restlessness
- Agitation
- Appetite changes
- Fatigue
- Muscle weakness
- Fever
- Chills
- Muscle and joint pain
- Abdominal cramping
- Nausea
- Dizziness
- Bladder pain and discomfort when urinating
- Thirst
- Delayed reflexes
- Memory loss
- Blurry or distorted vision
- Anxiety
- Depression
- Sleep disturbances
- Thoughts of self-harm or suicide
People in the habit of mixing ketamine with alcohol are at an increased risk of complicated withdrawal symptoms, including alcohol seizures and developing protracted withdrawal syndrome (PAWS). People using ketamine to self-medicate depression or other co-occurring disorders can experience rebound symptoms, which is a magnified resurgence of the original symptoms. Supervised medical detox helps to alleviate the worst of the withdrawal symptoms and reduce the likelihood of complications and long-term effects.
Ketamine Addiction Treatment
Regardless of how or why ketamine addiction took hold in your life, help is available.
At White Oak Recovery Center, we take a holistic, evidence-based approach to helping our residents uncover and overcome all aspects of addiction. We provide onsite medical detox with constant support and care to ensure a safe and comfortable withdrawal process.
Using dual diagnosis, we recognize and provide proper treatment for co-occurring disorders, including behavioral therapy, to teach you the habits, skills, and confidence to thrive in long-term recovery.
A new life rooted in recovery awaits you. Our expert treatment team is eager to speak with you. Contact us today.
Am I covered for addiction treatment?
Your insurance may cover treatment. Call now for an entirely free and confidential assessment. Recovery starts with a phone call.
- “Ketamine Fast Facts.” National Drug Center Intelligence, Jun. 2003.
- “Drug Fast Facts: Ketamine.” Drug Enforcement Agency, May 2020.
- Pappachan, Joseph, et al. “Multiorgan Dysfunction Related to Chronic Ketamine Abuse.” Proceedings (Baylor University. Medical Center), vol. 2, Jul. 2014.
- Liu, Linying, et al. “Severe Encephalatrophy and Related Disorders From Long-Term Ketamine Abuse: A Case Report and Literature Review.” Frontiers in Psychiatry, Oct. 2020.
- Liu, Yu et al. “Ketamine Abuse Potential and Use Disorder.” Brain Research Bulletin vol. 126, Sep. 2016.
- Rosenbaum SB, Gupta V, Patel P, et al. “Ketamine.” National Institutes of Health, Oct. 2022.
- Sassano-Higgins, Sean et al. “A Review of Ketamine Abuse and Diversion.” Depression and Anxiety, vol. 33, Aug. 2016.
- Liu, Linying, et al. “Severe Encephalatrophy and Related Disorders From Long-Term Ketamine Abuse: A Case Report and Literature Review.” Frontiers in Psychiatry, vol. 12, Oct. 2021.
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