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At a glance

Ketamine is a general anesthetic used in major surgical procedures, allowing procedures to be carried out without pain and distress.

Indications
  • General anesthesia (major surgical procedures)
Pharmacology

Ketamine is a noncompetitive N-methyl-D-aspartate receptor antagonist that blocks glutamate. It has a direct action on the cortex and limbic system. It produces a cataleptic-like state wherein the patient is withdrawn from the surrounding environment. It is a general anesthetic that causes reversible loss of consciousness.

Dosage

Adult Dose (IV):

  • Induction of anesthesia: 1-4.5 mg/kg via slow IV inj over 60 sec
  • 2 mg/kg produces surgical anesthesia within 30 sec lasting 5-10 min
  • Maintenance: Half to full induction dose repeated OR 10-45 mcg/kg/min infusion

Adult Dose (IM):

  • Induction of anesthesia: 6.5-13 mg/kg
  • 10 mg/kg produces surgical anesthesia within 3-4 min lasting 12-25 min

Child Dose: No specific data; use as directed by physician

Side effects

Common Side Effects:

  • Rash
  • Erythema (skin redness)
  • Vomiting
  • Nausea
  • Agitation
  • Nightmare
  • Abnormal behavior
  • Double vision
  • Hallucination
  • Increased respiratory rate
  • High blood pressure
  • Confusion
  • Nystagmus
  • Muscle coordination impaired
  • Tonic-clonic seizures
  • Tachycardia
Use in pregnancy

Use in Pregnancy: Information regarding use during pregnancy is not available; consult your doctor.

Precautions & warnings

Precautions:

  • Ketamine may decrease alertness, affect vision or make you feel sleepy and dizzy; do not drive if these symptoms occur
  • Inform doctor if pregnant or suffering from severe heart disease, recent stroke or serious head/brain injury
  • Safe to use in breastfeeding mothers
Overdose effects

Overdose: Respiratory depression, hypertension, tachycardia, hallucinations; symptomatic supportive treatment; benzodiazepines may be used for seizure control.

Storage conditions

Store in a cool and dry place, away from light & moisture; keep out of reach of children.

Ketamine — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.