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Ketamine

Dissociatives

Also known as: K, Special K, Ket, Kit Kat, Vitamin K

Medical Review & Editorial Standards

All content is written, edited, and medically reviewed by licensed professionals with expertise in addiction medicine and behavioral health.

BZ
Author

Benjamin Zohar

NCACIP

Nationally Certified Advanced Clinical Intervention Professional and recovery advocate in long-term recovery, specializing in intervention services and treatment coordination.

EZ
Editor

Ezra Zohar, M.S.Ed.

Educational Specialist

Educational Specialist with M.S. in Secondary Education, reviewing educational content focused on addiction awareness and recovery.

BM
Medical Reviewer

Brandon McNally

RN

Registered Nurse with specialized training in addiction medicine and behavioral health nursing.

Last Updated

November 2025

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What is Ketamine?

Ketamine is a dissociative anesthetic originally developed for medical use. At lower doses it produces dream-like states and mild hallucinations. At higher doses it can cause complete dissociation from the body (K-hole). Recently approved for treatment-resistant depression in clinical settings.

Effects

Detachment from reality, dream-like state, hallucinations, distorted perception of sight/sound, numbness, impaired motor function, sedation, out-of-body experiences

Risks & Dangers

Bladder damage (with chronic use), urinary tract problems, memory impairment, cognitive problems, respiratory depression, loss of consciousness, nausea, confusion, accidents due to impaired coordination

Withdrawal Symptoms

Anxiety, tremors, fatigue, cognitive impairment, depression. Symptoms typically mild compared to other substances.

Addiction Potential

Moderate - Psychological dependence can develop. Physical dependence is less common but possible with heavy use.

Duration

Effects typically last 45-90 minutes when injected, longer when taken orally

Legal Status

Schedule III controlled substance in the US. Legal for medical use, illegal for recreational use.

Alcohol Interaction Warning

Mixing Ketamine with alcohol can be extremely dangerous and potentially life-threatening. Combining substances increases the risk of:

  • • Respiratory depression and overdose
  • • Unpredictable effects and loss of consciousness
  • • Increased toxicity to liver and other organs
  • • Impaired judgment leading to risky behaviors

Learn more about alcohol use disorder and polysubstance use.

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Published: July 15, 2024 • Last Updated: November 25, 2025

Medically reviewed drug information for educational purposes

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