Ketamine carries risks if not used responsibly. Chronic use can lead to bladder and kidney damage, tolerance, or psychological dependence.
In recent years, the UK has witnessed a concerning rise in ketamine use. According to the UK government’s Crime Survey for England and Wales, ketamine use has particularly risen among young adults aged 16 to 24.
This surge has brought a host of challenges for users – so it’s important for people to know how to stay safe if they are planning to use.
Ways for users to stay safe
- If someone is planning to use ketamine, they should only use in a familiar space with minimal hazards. Ketamine can impair mobility and coordination, increasing the risk of falls or injuries.
- People should have a ‘sober sitter’ or trusted friend who can help if something goes wrong.
- People should avoid using when they need to be alert later. Effects of ketamine use can last 1–2 hours, but cognitive impairments may linger.
- Dosage awareness: If someone is planning to use, they should start with the lowest dose possible, especially people who are inexperienced.
Hydration and nutrition
- Ketamine can cause urinary issues, so people should avoid excessive fluid intake. If people are going to use, they should eat lightly before use; heavy meals can cause nausea.
Mental and physical health
- Mental preparation: Ketamine’s dissociative effects can be intense or unsettling for some. People should only ever use when you’re in a stable mental state.
- Avoid frequent use: Chronic use can lead to bladder and kidney damage, tolerance, or psychological dependence.
- Bladder issues: Frequent use can cause ketamine cystitis – here are the warning signs (e.g., pain while urinating or frequent urination).
Emergency preparedness
- Warning signs of overdose:
- Extreme confusion, inability to move, or unconsciousness.
- Difficulty breathing or signs of choking.
Post-use care
- After using ketamine, people should have time to process the experience and recover. They should avoid making important decisions immediately after.
- Ketamine can have profound psychological effects. If people use, they should check-in with trusted people.
- If someone decides to use use, they should space out usage to avoid dependence or long-term damage.
Avoid mixing substances
- Dangerous combinations:
- Alcohol or opioids: Can amplify respiratory depression.
- Stimulants: May increase strain on the heart.
- Psychedelics: Can amplify dissociation or anxiety.