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There is growing awareness of the problems caused by the use of a fast-acting drug called ketamine. Often referred to as K or ket, it was made a class B drug in the UK in 2014 and is illegal to buy or sell. Possessing the drug can lead to a maximum five-year prison sentence and supplying the drug up to 14 years in prison.

Ketamine is an effective anaesthetic and plays an important part in battlefield and emergency medicine. It is used to treat pain in end-of-life care and could treat some forms of depression. However, it is its non-medical use that is causing concern among some doctors and specialist drug-treatment providers.



On the illicit market, ketamine is cheaper than cocaine and MDMA (ecstasy), costing about £20 a gram. Police forces report large seizures of the drug, but global rates of production are high, and the wholesale price of a kilogram of ketamine is believed to have fallen from £8,000 to £5,000. This makes it an attractive drug for young people and those with a limited income.

Ketamine typically takes about 15 minutes to work and induces euphoria, relaxation and a slight sense of detachment. However, with higher doses it can also cause dissociation. This can be confusing and can cause panic attacks and memory loss.

It can increase blood pressure and affect breathing and heart function. Effects can also be fatal. The Friends actor Matthew Perry died in 2023 as a result of using the drug.

Some urologists have also expressed concern about an increase in bladd.

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