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SAFER USING TIPS COMBINATIONS • It is best not to eat within 1½ hours prior to using ketamine as it can cause nausea and vomiting • Try to use with friends • It is best to have a sober friend or experienced user present • Use in a safe and comfor table place • Try to remain seated or lie down during the experience (Possible outcomes - what works for one person may not work for another. We recommend you proceed with caution.) • If snorting: • Snor t water before and after to avoid damaging the protective lining in your nose • Use your own straw to prevent risk of BBV (blood borne viruses) transmission via tiny amounts of blood • A clean straw is preferable to a rolled note - money is unhygienic • If injecting: • It is much safer to us IM (injecting into muscle) rather than IV (injecting into a vein) due to serious risk of vein damage (collapse) • Intravenous use of ketamine can also present a greater risk as it comes on so quickly - you don’t want to drop into a K-Hole with a needle hanging out of your arm! • If plugging: • Make sure all equipment is new and sterile • Lubricate the syringe to avoid tearing skin • Use sterile water to mix with crystal/powdered ketamine • Wash your hands thoroughly before and after • Find a discreet and safe place to do it Ketamine combined with... • Alcohol = nausea and vomiting, at low doses. It can lead to more seirous effects at higher doses • GHB (and other depressants including alcohol and benzos e.g. valium) = combining depressants can cause difficulty breathing and respiratory failure which can lead to death It is not recommended to use ketamine if you suffer (or have suffered) from: • Increased spinal fluid pressure • Increased pressure in the eye • Head trauma or injury bleeding in the brain • Eye injury • Hear t problems • Severe or uncontrolled high blood pressure • Thyroid problems • Recent stroke KNOW YOUR MIND, KNOW YOUR BODY, KNOW YOUR SUBSTANCE AND KNOW YOUR LIMITS! This resource has been developed for par ty goers and people who are already using drugs. The role of DanceWize is to provide factual, relevant and practical information to assist you to make informed choices about different drugs and to promote harm reduction, safer par tying and safer drug use. MORE INFO DESCRIPTION This resource is designed to give a brief overview and it is recommended that you do fur ther research. The following websites may provide you with useful information. Ketamine is a dissociative anaesthetic, developed in the mid 1960’s, and used primarily for veterinary anaesthesiology. Ketamine is liquid in its original form but it is commonly sold as a white powder for recreational use. Ketamine is used for therapeutic, psychedelic and recreational purposes. Because Ketamine is a dissociative substance, the psychedelic experience is different to many other psychedelic substances. People who use Ketamine can find themselves completely disconnected from their surroundings, their body and sensations. A wellknown effect of ketamine at higher-range doses is the ‘K-hole’, where the user is removed from reality and set adrift in an introspective dream-like world, often involving complete dissociation, immersive visuals and out-of-body experiences. www.dancewize.org.au www.hrvic.org.au www.erowid.org www.bluebelly.org.au www.bluelight.ru www.dancesafe.org www.tripproject.ca Produced by DanceWize, a project of Harm Reduction Victoria With the suppor t of FebFast Australia 2012 DOSAGE TIPS EFFECTS Emotional Depending on administration and purity, a standard dose of ketamine is anywhere from 15 to 300mg. Because of this huge variation, it is best to: • Star t with a very small amount to test strength • Give it plenty of time to work • Due to the potency of ketamine, it is commonly used in small doses (bumps) rather than one large amount, such as a line • If injecting, IM (intramuscular) is much safer than IV (intravenous) (See Safety Tips) (The following is a list of possible effects, which may vary from person to person) • Euphoria • Meaningful spiritual experiences • Frightening or untimely distor tion or loss of sensory perception • Enhanced sense of connection with the world (beings or objects) • Disconnection from the world (beings or objects) • A peculiar feeling of loneliness ADMINISTRATION Most commonly snor ted but can be swallowed, injected and plugged (administered rectally using a syringe without needle) DURATION Total Duration: Onset: Peak: Coming Down: After Effects: 45 - 60 minutes 5 - 15 minutes 20 - 60 minutes 30 - 60 minutes 1 - 3 hours Half-life: Ketamine will remain active for another 3 hours after the effects have worn off. Roadside drug test: While ketamine itself cannot be detected using a saliva test, the powder can be easily cut with other substances (such as speed) which may be detectable Physical • Pleasant body high • Increased energy • Analgesia, numbness • Ataxia (loss of motor coordination) • Increased hear t rate • Slurred speech • Nasal discomfor t after snor ting • Discomfor t, pain or numbness at injection site (with IM) • Nausea, vomiting • Susceptibility to accidents (from loss of coordination and change in perception of body and time) • Loss of consciousness • Increased or decreased blood pressure • Reduced hear t rate and breathing (risk increases with increased dose or when combined with other CNS [central nervous system] depressants) • Possible lower urinary tract symptoms (increased frequency of urination, urinary incontinence, pain during urination, passing blood in urine) • Headache • Increased salivation • Seizures • Palpitations STREET NAMES K, Special K, Ket, Vitamin K, Kit Kat, K-hole CHEMICAL COMPOUND 2-(2-chlorophenyl)2-(methylamino)cyclohexanone Psychological • Sense of calm and serenity • Pleasant mental high • Distor tion or loss of sensory perceptions (common) • Open and closed-eye visuals (common) • Dissociation of mind from body • Significant change in perception of time • Confusion, disorientation • Amnesia • Out-of-body experience • Shifts in perception of reality • ‘K-hole’; intense mind-body dissoci ation, out-of-body experiences, highly realistic visuals • Risk of psychological dependency • Sever confusion, disorganised thinking • Paranoia and egocentrism (with regular use) • Severe dissociation, depersonalisation • Nightmares • Delirium LONG TERM EFFECTS • Psychological addiction • Can lead to cognitive impairments including memory problems • Possible severe degeneration of the bladder and urinary tract