Ketamine

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Ketamine is what is known as a dissociative anesthetic, this means that, not only will it render someone unconscious, it can also cause someone to hallucinate. Ketamine users will report that their perceptions of both sight and sound are altered thus making the user feel as if they are no longer in control: They feel disconnected. Users feel disconnected from, not only physical pain, but also their environment.

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By taking Ketamine, also known as special K, or simply K, the user will experience feelings of serene calmness and relaxation. In addition to pain relief, they will become immobile and will be unable to recall the time they were under the influence of the drug (amnesia). Latterly, and more worryingly, it is increasingly being used to perpetrate sexual offenses by putting it in someone's drink. While Ketamine is produced, commercially, in a number of countries, it is often stolen or diverted from legitimate sources in order to be sold to those dependent on it. Widely used in veterinarian medicine, surgeries are often the target of criminals who want to bolster supplies.

Unlike crack, heroin and cannabis, Ketamine is not normally sold on the street but is usually purchased in nightclubs or at raves and private parties.

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Withdrawal Stages

Withdrawal from K can last from three days to several weeks. Ordinarily, it is not life threatening but can be very uncomfortable. Symptoms may not start until a day , or up to three days, after use. How long the withdrawals last is dependent on how much K someone has in their system, their tolerance level and length of use. Use of other drugs is also a contributory factor.

Ketamine

Day 1-3

During the first 24-72 hours, it is common for the user to experience very acute symptoms which can include tremors, extreme tiredness, inability to sleep, extreme rage, rapid deterioration in mood, hallucinations, delusions, seeing double, feeling sick and loss of hearing together with very fast breathing.

Days 4 to fourteen

The symptoms will, usually, begin to reduce after the end of the two week period.

Day 15+

Ordinarily, the symptoms of withdrawal will have stabilized by then, but nerve cell damage could be permanent.

Ketamine cystitis

Users of Ketamine often report that urinary tract infections from taking it. This is due to Ketamine damaging the epithelial cells of the bladder lining. The purpose of these cells is to contain urine within the bladder but when they become damaged, urine can seep through and cause damage. This can occur in up to a quarter of of users and has been known about since the early 2000's. Long term use can also damage the gallbladder and, possibly, other organs as well.

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How is Ketamine addiction treated in a residential rehab centre?

There is no detox for Ketamine as there is for alcohol or heroin. However, as with all admissions to a residential treatment centre, the first stage is a thorough assessment with a clinician. A treatment plan may well include various medications to ameliorate the signs and symptoms of withdrawal. Ketamine, as with cocaine and cannabis (amongst others) is a drug that users stop taking immediately before admission and the aim of the treatment plan is ensure that the user is fully supported in a safe and therapeutic environment during the withdrawal phase which, as above, could be up to two weeks.

While some centres have enhanced medical cover, they can not treat the long lasting effects of Ketamine cystitis and someone seeking treatment may be required to share medical information from their GP and hospital consultant.

Close medical monitoring may be needed for the first few days, especially with regards to pulse and blood pressure monitoring. Medication such as Diazepam or another benzodiazepine for a few days on an as and when required basis may help as may beta blockers and other adjunctive medications.The main focus is on providing a safe, therapeutic and calming environment so that the person can safely withdraw and stay abstinent.

As with all admissions, those entering treatment will be participating in a therapeutic environment based, either on a 12 step or SMART recovery model. In addition, many centres augment this with music and art therapy, yoga, mindfulness, breathing exercises and, for those staying more than a week, individual therapy.

Those in treatment build up a mental toolkit of resilience and techniques to prevent relapse and capitalise on recovery capital: This is using motivating factors for becoming abstinent and learning how to maintain it. Clients are linked in with local support groups (NA/SMART) so that they can continue on their recovery post discharge.

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