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“Walking with myself by my side” - non-medical use of Ketamine

Published online by Cambridge University Press:  01 September 2022

R. Vaz*
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
J. Martins
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
A. Costa
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
J. Brás
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
R. Sousa
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
E. Almeida
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
J. Abreu
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
D. Teixeira
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
A. Marques
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
N. Gil
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
P. Carriço
Affiliation:
DICAD, Centro De Respostas Integradas De Coimbra, Coimbra, Portugal
*
*Corresponding author.

Abstract

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Introduction

Ketamine, synthesized in 1962 as phencyclidine derivate, is denominated a “dissociative anesthetic” because of its side-effects, such as dissociative episodes and psychotic-like symptoms, which have limited its applicability on clinical practice. Otherwise, in the last decades the non-medical use of ketamine has been growing and today is one of the most popular illicit substances consumed between adolescents and young adults.

Objectives

Increasing the knowledge and understanding of the factors related to crescent use of ketamine and the experiences and consequences associated to its consumption.

Methods

Clinical interview with patients diagnosed with ketamine use disorder and bibliographic research in Pubmed database using the terms “Ketamine use” and “Ketamine addiction”.

Results

Pat et al. (2002) describes a clinical case of a young male, diagnosed with substance use disorders, specifically alcohol and cocaine use disorders, that started a treatment with ketamine. After the treatment, pleasant depersonalization experiences contributed to the development of patient’s ketamine dependence. Other patient’s reports confirm the association of ketamine use with psychedelic effects and dissociative episodes and pointed these effects as main reason for its consumption.

Conclusions

The adverse effects that limited the medical use of ketamine are the same that promote its utilization with recreational purposes by adolescents and young adults in parties and nightclubs. About the ketamine dependence, the literature is scarce and doesn´t clearly identify a physical withdrawal syndrome, pointing only to a serious psychological dependence. Thus, with the crescent non-medical use of ketamine, it’s urgent to develop an intervention plan directed to this problem.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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