What are the effects of ketamine on physical and mental health?
Ketamine has been used as a short-acting general anesthetia since the 1970s. During the Vietnam War, it was first utilized in the United States for sedation and pain treatment. It has numerous medical applications today.
Because
of its dissociative properties, the substance is extremely popular for
recreational use. Recreational ketamine is also known as Special K, KitKat,
Vitamin K, and other slang phrases, according to the Drug Enforcement Administration
(DEA).
Ketamine's
usefulness in treating certain mental health issues has sparked a lot of
research in recent years. But there's still a lot to learn about how ketamine
works, how it's dosed, and what long-term impacts it can have.
We'll
go through the medical uses, side effects, and more of ketamine in this post.
What
exactly is ketamine, and how does it affect the human body?
Ketamine
is a dissociative anesthesia. According to 2018 research, ketamine blocks
glutamate by attaching to the N-methyl-D-aspartate (NMDA) receptor in the
brain.
Glutamate
is a neurotransmitter, a type of brain molecule that helps the brain work
normally. This action, according to researchers, aids ketamine's usage in
anesthesia, pain management, and depression treatment.
Ketamine
also has a limited effect on other brain receptors, such as
· opioid
· serotonin
receptors.
· aminobutyric
acid gamma (GABA)
· sigma
· dopamine
Ketamine's
effect on these brain chemicals is still being studied by scientists. However,
according to 2014 research, ketamine's interactions with these brain
receptors may contribute to its pain-relieving, anti-inflammatory, and
antidepressant properties.
Other
side effects of ketamine use include:
- · Sedation
- · dizziness
- · euphoria
- · hallucinations
- · dreams
vivid
- · disorientation
- · unable
to function
- · delusions
- · amnesia
One
of the reasons ketamine is popular as a "party drug" for recreational
use is its dissociative effects.
Ketamine
comes in a variety of dosages and dosing forms. The drug's effects vary based
on the dose and form used, as well as if it's being used illegally.
Dosage
forms for medical use
Ketamine
is a general anaesthetic that works quickly. It's given as a sedative injection
directly into a vein. An intravenous injection is what this is called. It can
also be injected into a muscle intramuscularly.
Esketamine
(Spravato) is a nasal spray formulation of ketamine. Treatment-resistant
depression in adults is treated with it in combination with an antidepressant.
Ketamine
for medical purposes is only administered under the direct supervision of a
skilled health professional, according to a 2014 review. Your doctor will not
give you ketamine in any form to use on your own.
Recreational
use dosage forms
· powder
· liquid
Higher
amounts of recreational ketamine, according to the DEA, can induce serious
reactions. In the United States, it is classed as a Schedule III non-narcotic
substance, making it unlawful to possess without a prescription.
What
is ketamine used for medically?
The
Food and Drug Administration (FDA) has approved ketamine for use as a
short-term injectable anaesthetic in people and animals for sedation, according
to FDA evaluations from 2020 and 2021. When given intravenously for
anaesthetic, it operates quickly (within 10 to 30 seconds). It can be taken
alone or in combination with other drugs.
It's
also used off-label for a variety of different ailments. One of its uses,
according to 2016 research, is a pain treatment for:
· burns
· cancer
discomfort
· neuropathic
pain that persists
· migraines.
· Other
types of chronic discomfort
Off-label
use refers to when your doctor prescribes a medication for a reason other than
anaesthetic. More research is needed, however, to fully comprehend the drug's
safety and effectiveness in some types of pain management, particularly for
long-term chronic pain.
According
to a 2018 review, ketamine may be useful in the treatment of substance use
disorders such as alcoholism, cocaine addiction, and opiate addiction. However,
more research on its benefits, doses, and long-term safety is required.
What
is ketamine used for in mental health care?
According
to studies published in 2018 and 2020, ketamine is useful in treating specific
mental health issues, such as major depressive disorder and suicidal ideation,
when combined with psychotherapy.
One
benefit of ketamine over other antidepressants is how quickly it works.
According to a 2020 study, it might work in as little as two hours. It can take
weeks for traditional antidepressants to start working.
Ketamine
has been demonstrated to be beneficial in the treatment of illnesses such as:
- · Resistant
depression
- · post-traumatic
stress disorder (PTSD)
- · anhedonia
- · anxiety
However,
there is still a lot to learn about how ketamine works, the best dosages, and
how safe it is.
The
FDA authorised esketamine nasal spray, also known as Spravato, in 2019Trusted
Source for the treatment of treatment-resistant depression. The medication is
administered under physician supervision.
R-ketamine,
a different kind of ketamine, is now being researched for treatment-resistant
depression.
Are
there side effects of ketamine therapy?
Ketamine
side effects Several factors influence the reliability of a source.
They
include:
· the
drug's type (medical or recreational)
· how
it's used; and the dosage given
· your
age
· any
other health issues you may have, such as high blood pressure or heart disease
· any
medications you're taking
The
following are recognised side effects that can vary from person to person:
- · dizziness
- · muscle
spasms or stiffness
- · urinary
difficulties, such as painful, uncomfortable, or frequent urination and bladder
control loss
- · disorientation
· heart
problems such as arrhythmia, a slow heart rate, excessive blood pressure, heart
failure, or cardiac arrest
- · seizures
- · anxiety
- · hallucinations
- · sleeplessness
- · addiction
- · difficulty
breathing
Long-term,
high-dose recreational ketamine use was connected to brain function-related
adverse effects, mood disorders, and psychotic symptoms, according to a 2022
review.
Ketamine
can be taken recreationally alone or in combination with other illicit drugs.
As a result, it's unclear if ketamine contributed to cognitive and behavioural
adverse effects in trials alone or in conjunction with other factors.
Scientists
are still learning about ketamine's long-term effects, although they may
include issues such as:
· memory
· executive
function
· attention
· self-control
· Getting
help
There's
no need to be embarrassed if you or a loved one has a ketamine addiction. It's
a challenge that thousands of individuals face every day. There's a vibrant
community ready to help you on your way to a better, healthier life.
You
might find any of the following resources useful:
Is
ketamine therapy covered by insurance or Medicare?
It
is debatable. Ketamine for anaesthesia may be covered by your insurance.
However, injectable ketamine for depression or other mental illnesses has not
yet been approved by the FDA and may not be reimbursed by insurance. It's
considered an off-label application of the medication.
However,
things are changing, and there may be some good news about insurance coverage
in the future. Your insurance plan may cover ketamine in the future for
treatment-resistant depression and other disorders if the FDA approves it for
other conditions based on new research.
When
selecting coverage, insurance plans take into account a number of things. Among
them are:
· the
ailment being treated with ketamine – usage not approved by the FDA is unlikely
to be covered
· the
individual plan
· the
composition (esketamine is covered by many plans)
You
can inquire about insurance coverage if your doctor suggests ketamine as a
therapy option for your health problem. You can also inquire about your
specific plan's coverage.
Takeaway
The
different effects of ketamine are currently the subject of a lot of fresh
research. Benefits for mental health problems like treatment-resistant
depression, PTSD, and suicidal ideation are included.
Ketamine
may not be safe for you if you have certain health disorders, such as high
blood pressure or heart difficulties, or certain mental health conditions, such
as schizophrenia. Your doctor can inform you about the most recent research and
medicinal applications for ketamine, as well as the benefits and drawbacks of
the medicine.
Keep
in mind that ketamine has potentially hazardous adverse effects. Ketamine
should not be used without medical supervision. It is illegal to use ketamine
without a prescription, and illicit ketamine may be laced with other narcotics,
increasing your chances of a bad reaction.
For
further information about ketamine and its uses, consult your doctor.