Ketamine triggers a dreamlike state. This state can be accompanied by images and impressions the way we usually perceive them during sleep.
Don’t consume ketamine on your own, because it can happen that you lose the relation to reality, become incapable of working, and lose the ability to speak.
Avoid poly consumption with alcohol and benzodiazepine, GHB, heroin, or tilidine, as all these substances extenuates the respiratory centre. There exists a risk of apnoea.
Trusted people and a safe environment can protect you from a “rude awakening”.
Ketamine should never be taken on a full stomach, as a risk of vomiting and suffocation exists.
It can come to disturbances of equilibrium when on ketamine, furthermore, the sensation of pain is highly reduced.
Tell your friends what you have taken in case it should come to an emergency and they will need to get help.
Psychotropic effects, (pseudo-hallucinations, bad dreams), nausea and vomiting, hypersalivation, vision disorders, dizziness, and akathisia can occur as very common side effects.
Ketamine is not a dance and party drug! Only consume premeditatedly! Due to the impaired motor skills it can come to accidents and injuries.
You have the feeling you have been consuming too much? Your local drug counsellors are happy to advise you!
Ketamine relaxes the muscles in the ass, which is why it is often used when fisting. Ketamine lessens/blocks the sensation of pain! Caution during injury-prone sex practices. Unnoticed it can come to injuries that can increase the risk of catching HIV and other sexually transmitted diseases (especially hepatitis).
Ketamine disinhibits, which increases the risk of unsafe sex – caution: an increased risk of infection with HIV and other sexually transmitted diseases thus exists.
Sex and ketamine only work under mutual consent and great trust. Clear beforehand which sexual practices both partners want and which not.
Only consume so much that you still can defend yourself and still recognise the defence mechanisms of your partner.
Before getting down to business, get sufficient amounts of sex utensils (gloves, condoms, lubricant) ready.
Pay attention to your body! If you notice any abnormalities, go to the doctor immediately. When having changing sex partners get tested for sexually transmitted diseases every 6 months and get vaccinated against hepatitis A/B.
HIV & ketamine: take drugs and HIV medicine temporally offset. That may be able to lessen the interaction a bit. Always dose drugs low when taken simultaneously with medicine. The night often turns long – bring enough medicine along and keep your intake times. Talk to your doctor about the interaction between your HIV medicine and intoxicants!
Especially protease inhibitors and Sustiva intensifies/prolong the effect of ketamine (attention: hallucinations and loss of consciousness). Ritonavir (Norvir, Kaletra) increases the risk of hepatitis.