Page last updated: 2024-10-29

ketamine and Drug Overdose

ketamine has been researched along with Drug Overdose in 23 studies

Ketamine: A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors.
ketamine : A member of the class of cyclohexanones in which one of the hydrogens at position 2 is substituted by a 2-chlorophenyl group, while the other is substituted by a methylamino group.

Drug Overdose: Accidental or deliberate use of a medication or street drug in excess of normal dosage.

Research Excerpts

ExcerptRelevanceReference
"Ketamine was present in the blood of 90."1.62Characteristics and circumstances of death related to the self-administration of ketamine. ( Darke, S; Duflou, J; Farrell, M; Lappin, J; Peacock, A, 2021)
"Ketamine is a dissociative anesthetic commonly used for procedural sedation owing to its perceived favorable safety profile."1.62Massive Iatrogenic Pediatric Ketamine Overdose With Serial Levels and Minimal Morbidity. ( Bowman, CF; Marx, J; Pruitt, B; Thornton, SL, 2021)
"Treatment with carisoprodol and phenobarbital provided additional benefit and can be considered in cases of severe carisoprodol withdrawal."1.46Severe Carisoprodol Withdrawal After a 14-Year Addiction and Acute Overdose. ( Benowitz, NL; Horng, H; Smollin, CG; Vo, KT, 2017)
"Ketamine was administered for agitation on 32 visits involving 27 patients."1.42Ketamine use for acute agitation in the emergency department. ( Campillo, A; Castillo, EM; Davie, T; Hopper, AB; Vilke, GM; Wilson, MP, 2015)
"Ketamine is a safe and effective sedative for diagnostic or therapeutic procedures in the Emergency Department."1.35Prolonged sedation and airway complications after administration of an inadvertent ketamine overdose in emergency department. ( Benito, J; Capapé, S; García, S; Mintegui, S; Mora, E; Santiago, M, 2008)
"Ketamine is an anaesthetic agent primarily used in veterinary medicine and paediatrics."1.31[New drugs at "rave parties": ketamine and prolintane]. ( Canal, M; Gaulier, JM; Lachâtre, G; Marquet, P; Pradeille, JL, 2002)
" In 5 children, the dosing error was not discovered until late in the sedation, often when the child was not waking at the expected time."1.30Inadvertent ketamine overdose in children: clinical manifestations and outcome. ( Carlson, D; Clark, R; Cohen, M; Green, SM; Hostetler, MA; Rothrock, SG, 1999)
"Nor-Ketamine was detected in all samples, but not quantified."1.29A fatal ketamine poisoning. ( Licata, M; Pierini, G; Popoli, G, 1994)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (8.70)18.2507
2000's5 (21.74)29.6817
2010's12 (52.17)24.3611
2020's4 (17.39)2.80

Authors

AuthorsStudies
Tanaka, R1
Kawamura, M1
Mizutani, S1
Hakamatsuka, T1
Kikura-Hanajiri, R1
Parker, LA1
Krebs, K1
Pan, PL1
Varner, KM1
Hoddinott, KL1
Darke, S1
Duflou, J1
Farrell, M1
Peacock, A1
Lappin, J1
Rech, MA1
Barbas, B1
Chaney, W1
Greenhalgh, E1
Turck, C1
Lee, CW1
Chao, YY1
Shiea, J1
Shen, JH1
Lee, HH1
Chen, BH1
Warner, LL1
Smischney, N1
Theofel, N1
Möller, P1
Vejmelka, E1
Kastner, K1
Roscher, S1
Scholtis, S1
Tsokos, M1
Bowman, CF1
Pruitt, B1
Marx, J1
Thornton, SL1
Gomila, I1
Leciñena, MÁ1
Elorza, MÁ1
Pastor, Y1
Sahuquillo, L1
Servera, M1
Puiguriguer, J1
Barcelo, B1
Sullivan, RW1
Ryzewski, M1
Holland, MG1
Marraffa, JM1
Hopper, AB1
Vilke, GM1
Castillo, EM1
Campillo, A1
Davie, T1
Wilson, MP1
Wallach, J1
Kang, H1
Colestock, T1
Morris, H1
Bortolotto, ZA1
Collingridge, GL1
Lodge, D1
Halberstadt, AL1
Brandt, SD1
Adejare, A1
Vo, KT1
Horng, H1
Smollin, CG1
Benowitz, NL1
Bueno, AM1
Tena, B1
Ubré, M1
Gomar, C1
Nogué-Xarau, S1
Martínez-Morillo, E1
Salgado-García, E1
Butjosa-Roca, M1
van Amsterdam, JG2
Brunt, TM2
McMaster, MT2
Niesink, RJ1
Niesink, R1
van Noorden, MS1
van den Brink, W1
Gahlinger, PM1
Capapé, S1
Mora, E1
Mintegui, S1
García, S1
Santiago, M1
Benito, J1
Licata, M1
Pierini, G1
Popoli, G1
Green, SM1
Clark, R1
Hostetler, MA1
Cohen, M1
Carlson, D1
Rothrock, SG1
Stewart, CE1
Gaulier, JM1
Canal, M1
Pradeille, JL1
Marquet, P1
Lachâtre, G1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Antipruritic Effect of Topical Ketamine, Amitriptyline, and Lidocaine[NCT03096444]Phase 213 participants (Actual)Interventional2017-05-23Terminated (stopped due to Efficacy was not seen after interim analysis)
ED Treatment of Suicidal Patients With Ketamine Infusion[NCT03502551]Phase 20 participants (Actual)Interventional2019-04-01Withdrawn (stopped due to Trial never received funding.)
A Prospective, Randomized, Double-Blind, Controlled Trial Evaluating the Efficacy of Ketamine for Improvement in Postoperative Pain Control After Spinal Fusion for Idiopathic Scoliosis[NCT02651324]Phase 450 participants (Anticipated)Interventional2013-05-31Active, not recruiting
Ketamine Frequency Treatment for Major Depressive Disorder[NCT00646087]Phase 40 participants (Actual)Interventional2008-03-31Withdrawn (stopped due to Pilot study determined that this study would not be feasible.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Peak Itch Intensity Between the Vehicle and Active Treatments (Individual and KeAmLi-combo).

"Peak itch intensity between the vehicle and 4 other active treatments (individual ketamine, amitriptyline, or lidocaine, and KeAmLi-combo). Itch intensity was measured on a 100mm scale visual analog scale for 10 minutes. 0 was weighted with no itch and 100 was weighted with most itch imaginable." (NCT03096444)
Timeframe: 10 minutes

InterventionIntensity score (Mean)
Topical KeAmLi Combo62.7
Topical Ketamine63.1
Topical Amitriptyline69.2
Topical Lidocaine65.8
Topical Vehicle61.9

Mechanical Thresholds (Mechanical Detection and Pain).

Assess mechanical detection and pain thresholds using von Frey filaments stimulators (measured in force mN) to calculate the final threshold as the geometric mean of five series of ascending and descending stimuli. (NCT03096444)
Timeframe: 5 minutes

,,,,
InterventionmN (Mean)
Mechanical Detection ThresholdMechanical Pain Threshold
Topical Amitriptyline3.573423965152.4768146
Topical KeAmLi Combo3.519376956152.3293608
Topical Ketamine3.464204768135.9
Topical Lidocaine3.546037659126.9
Topical Vehicle3.525692637148.7138273

Thermal Threshold Detection (Warmth and Heat Pain)

Two standardized quantitative sensory tests are performed to measure warmth detection threshold (assesses the threshold of which warmth sensation is first detected) and heat pain threshold (assesses the threshold at which heat pain sensation is first detected). Measured in change in celsius. (NCT03096444)
Timeframe: 3 minutes

,,,,
InterventionDegrees celsius (Mean)
Warm Detection ThresholdHeat Pain Threshold
Topical Amitriptyline33.940.0
Topical KeAmLi Combo33.639.8
Topical Ketamine34.040.0
Topical Lidocaine33.739.4
Topical Vehicle33.839.7

Reviews

5 reviews available for ketamine and Drug Overdose

ArticleYear
When to Pick the Nose: Out-of-Hospital and Emergency Department Intranasal Administration of Medications.
    Annals of emergency medicine, 2017, Volume: 70, Issue:2

    Topics: Administration, Intranasal; Analgesics, Opioid; Conscious Sedation; Dexmedetomidine; Drug Overdose;

2017
Possible long-term effects of γ-hydroxybutyric acid (GHB) due to neurotoxicity and overdose.
    Neuroscience and biobehavioral reviews, 2012, Volume: 36, Issue:4

    Topics: Alcoholism; Anesthetics; Anesthetics, Dissociative; Animals; Central Nervous System Depressants; Cog

2012
[Cognitive impairment due to intensive use and overdoses of gammahydroxybutyric acid (GHB)].
    Tijdschrift voor psychiatrie, 2012, Volume: 54, Issue:12

    Topics: Cognition; Coma; Drug Overdose; Ethanol; Humans; Hydroxybutyrates; Illicit Drugs; Ketamine; Neurotox

2012
Club drugs: MDMA, gamma-hydroxybutyrate (GHB), Rohypnol, and ketamine.
    American family physician, 2004, Jun-01, Volume: 69, Issue:11

    Topics: Anesthetics, Dissociative; Drug Overdose; Flunitrazepam; Hallucinogens; Humans; Ketamine; Leisure Ac

2004
Ketamine as a street drug.
    Emergency medical services, 2001, Volume: 30, Issue:11

    Topics: Adolescent; Anesthetics, Dissociative; Animals; Child; Drug Overdose; Emergency Treatment; Humans; I

2001

Other Studies

18 other studies available for ketamine and Drug Overdose

ArticleYear
[Identification of Three Arylcyclohexylamines (MXPr, MXiPr, and DMXE) in Illegal Products].
    Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan, 2022, Volume: 142, Issue:6

    Topics: Drug Overdose; Humans; Japan; Ketamine

2022
Treatment and outcome following substantial ketamine overdose in a dog.
    The Canadian veterinary journal = La revue veterinaire canadienne, 2023, Volume: 64, Issue:3

    Topics: Aggression; Animals; Dog Diseases; Dogs; Drug Overdose; Iatrogenic Disease; Ketamine; Male; Treatmen

2023
Characteristics and circumstances of death related to the self-administration of ketamine.
    Addiction (Abingdon, England), 2021, Volume: 116, Issue:2

    Topics: Adolescent; Adult; Australia; Cause of Death; Drug Overdose; Female; Humans; Ketamine; Male; Middle

2021
Ambient mass spectrometry for rapid diagnosis of psychoactive drugs overdose in an unstable patient.
    The American journal of emergency medicine, 2018, Volume: 36, Issue:3

    Topics: 3,4-Methylenedioxyamphetamine; Adult; Consciousness Disorders; Drug Overdose; Emergency Service, Hos

2018
Accidental Ketamine Overdose on Induction of General Anesthesia.
    The American journal of case reports, 2018, 01-03, Volume: 19

    Topics: Aged; Anesthesia, General; Anesthetics, Dissociative; Delayed Emergence from Anesthesia; Drug Overdo

2018
A Fatal Case Involving N-Ethyldeschloroketamine (2-Oxo-PCE) and Venlafaxine.
    Journal of analytical toxicology, 2019, Mar-01, Volume: 43, Issue:2

    Topics: Drug Overdose; Fatal Outcome; Forensic Toxicology; Gas Chromatography-Mass Spectrometry; Humans; Ill

2019
Massive Iatrogenic Pediatric Ketamine Overdose With Serial Levels and Minimal Morbidity.
    Pediatric emergency care, 2021, Dec-01, Volume: 37, Issue:12

    Topics: Anesthetics, Dissociative; Child; Drug Overdose; Humans; Iatrogenic Disease; Ketamine; Morbidity

2021
Detectability of Dissociative Psychoactive Substances in Urine by Five Commercial Phencyclidine Immunoassays.
    Journal of analytical toxicology, 2019, Jul-24, Volume: 43, Issue:6

    Topics: Body Fluids; Cyclohexanones; Cyclohexylamines; Drug Overdose; Humans; Immunoassay; Ketamine; Phencyc

2019
Compounded ointment results in severe toxicity in a pediatric patient.
    Pediatric emergency care, 2013, Volume: 29, Issue:11

    Topics: Administration, Cutaneous; Amines; Analgesics; Body Surface Area; Bradycardia; Clonidine; Combined M

2013
Ketamine use for acute agitation in the emergency department.
    The Journal of emergency medicine, 2015, Volume: 48, Issue:6

    Topics: Adult; Aged; Aggression; Alcoholic Intoxication; Anesthetics, Dissociative; Antipsychotic Agents; Be

2015
Pharmacological Investigations of the Dissociative 'Legal Highs' Diphenidine, Methoxphenidine and Analogues.
    PloS one, 2016, Volume: 11, Issue:6

    Topics: Acetamides; Analgesics, Opioid; Animals; Drug Overdose; Humans; Ketamine; Phencyclidine; Phenethylam

2016
Severe Carisoprodol Withdrawal After a 14-Year Addiction and Acute Overdose.
    The Journal of emergency medicine, 2017, Volume: 52, Issue:5

    Topics: Adult; Carisoprodol; Dexmedetomidine; Drug Overdose; Fentanyl; Haloperidol; Humans; Hypnotics and Se

2017
[Incident involving the prescription of ketamine outside the operating room].
    Revista espanola de anestesiologia y reanimacion, 2009, Volume: 56, Issue:4

    Topics: Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics; Anesthetics, Local; Carcinoma; Consc

2009
[Life-threatening ketamine overdose].
    Medicina clinica, 2011, Apr-09, Volume: 136, Issue:9

    Topics: Drug Overdose; Humans; Ketamine; Male; Severity of Illness Index; Young Adult

2011
Prolonged sedation and airway complications after administration of an inadvertent ketamine overdose in emergency department.
    European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2008, Volume: 15, Issue:2

    Topics: Airway Obstruction; Anesthetics, Dissociative; Child, Preschool; Drug Overdose; Humans; Injections,

2008
A fatal ketamine poisoning.
    Journal of forensic sciences, 1994, Volume: 39, Issue:5

    Topics: Adolescent; Chromatography, Gas; Drug Overdose; Gas Chromatography-Mass Spectrometry; Homicide; Huma

1994
Inadvertent ketamine overdose in children: clinical manifestations and outcome.
    Annals of emergency medicine, 1999, Volume: 34, Issue:4 Pt 1

    Topics: Anesthetics, Dissociative; Child; Child, Preschool; Drug Overdose; Emergency Treatment; Female; Huma

1999
[New drugs at "rave parties": ketamine and prolintane].
    Acta clinica Belgica, 2002, Volume: 57 Suppl 1

    Topics: Adolescent; Adolescent Behavior; Anesthetics, Dissociative; Central Nervous System Stimulants; Costs

2002