Ketamine produces an abrupt high that lasts for about an hour. It starts around 2 to 5 minutes after the dose has been smoked or swallowed. With injection, it happens around 30 seconds after the injection has occurred.
The first feeling of the high the user will get is an overwhelming feeling of relaxation, sometimes described as a full-body buzz. Some users feel like they’re floating and some even describe it as being out of their bodies. Many experience hallucinations that can last longer than the anesthetic effects.
Higher doses can produce more intense effects, with users reporting complete and utter detachment from their bodies. The effects are similar to those described by people who have had near-death experiences, and it’s described as being in the “K-hole”.
The drug does, of course, have side effects, and these can be quite profound. Short-term side effects include bad hallucinations. As with all psychotropic drugs, the pleasantness of the hallucination depends on the user’s state of mind, and if the user is seeking to escape unhappiness, the hallucinations are likely to be unpleasant.
Naturally, the side effects include:
- Disorientation and general confusion due to the drug’s anesthetic nature.
- Increased heart rate.
- Elevated blood pressure.
Large doses of the drug can result in what some describe as the “K-hole,” which can include intense and unpleasant visual and auditory hallucinations coupled with marked derealization and a frightening detachment from reality.
Perhaps more acutely problematic, users can also become quite nauseated. If this progresses to vomiting, it can be very dangerous, as those in the midst of state of dissociated confusion frequently end up supine—presenting a serious choking hazard. If you do see someone on ketamine, take a moment to roll them on their side or into the recovery position if possible to prevent this from happening. Promptly call 911 to get emergency medical assistance.
Powdered ketamine is often cut with other drugs, so it’s very hard to tell what the long-term effects can be as interactions can be very unpredictable. Consequently, the long-term effects are varied, but they fall into several main areas.
As with any anesthetic, ketamine reduces — or even eliminates — pain. It’s hard for users to tell whether they’ve injured themselves, so they can end up hurting themselves severely. Some people have suffered from broken legs and effectively crippled themselves because they couldn’t tell that something wasn’t right. Walking on a broken leg can result in compound fractures, penetration of the skin, sepsis, and serious nerve damage.
Once the effects of the drug have worn off, users might experience severe abdominal pain. It can also cause thickening of the bladder and urinary tract, and this can force some long-term addicts to have their bladders removed as the walls are too thick and prevent urine from passing through.
Other issues include kidney problems, which are caused by the drug’s interaction with the kidneys as it is reduced into its metabolites.
Amphetamines should never be mixed with ketamine because they can cause very high blood pressure.
Although the high is extremely pleasant, it can lead to serious dependence. While you can build up a high tolerance to the drug without experiencing withdrawal, if your life is revolving around using, you need to seek help. Detox doesn’t have to result in withdrawal symptoms.
If you find that you’re in trouble with the law as a result of using ketamine and don’t want to give it up, you may well have an addiction. You might find it’s causing you severe financial difficulties, or you might realize it has resulted in you spending more money than you can afford on it.
You may also have experienced severe side effects, such as broken bones on it, but still be taking the drug. Alternatively, you might be committing illegal or morally questionable acts because of it. However, it manifests itself, if you have an addiction to ketamine, you need to seek help.