Ketamine triggers a dreamlike state. This state can be accompanied by images and impressions that we normally perceive during sleep.
Do not consume ketamine alone, because it can happen that you lose touch with reality, become immobile and can no longer speak.
Avoid mixed use with alcohol and benzodiazepines, GHB, heroin or tilidine, as all these substances attenuate the respiratory centre. There is a risk of respiratory arrest.
Familiar people and a safe environment can protect you from a “rude awakening”.
Ketamine should never be consumed on a full stomach, then there is a risk of vomiting and suffocation.
Ketamine can lead to balance problems, and the sensation of pain is also greatly reduced.
Tell your friends what you have consumed in case of an incident and they need to get help.
Very common side effects are psychotropic effects (pseudohallucinations, unpleasant dreams), nausea and vomiting, increased salivation (hypersalivation), visual disturbances, dizziness and motor agitation.
Ketamine is not a dance and party drug! Consume only in a planned manner! Impaired motor skills can lead to accidents and injuries.
Ketamine relaxes the muscles in the ass, which is why it is often used for fisting. Ketamine reduces/blocks the sensation of pain! Caution with injurious sex practices. Injuries can occur unnoticed, which increases the risk of contracting HIV and other sexually transmitted infections (especially hepatitis).
Ketamine disinhibits, which increases the risk of unsafe sex – Caution, this increases the risk of infection with HIV and other sexually transmitted infections.
Sex and ketamine only work if there is mutual agreement and great trust. Clarify in advance which sex practices are desired by both parties and which are not.
Consume only so much that you can defend yourself or still recognize the defensive signals of your partner.
Before getting down to business, make sure you have enough safer sex paraphernalia (gloves, condoms, lubricant) ready.
Watch your body! If you see anything unusual, see a doctor immediately. Have yourself tested for sexually transmitted infections and vaccinated against hepatitis A/B every 6 months with different sex partners.
HIV & Ketamine
Take drugs and HIV medication at staggered intervals. This may reduce interactions somewhat. Always keep the dose of drugs low when taking medication at the same time.
Often the night will be long – take sufficient medication with you and keep to your schedule.
Talk to your doctor about the interaction of your HIV drugs with intoxicants! Especially protease inhibitors and Sustiva in particular intensify/prolong the effect of ketamine (caution: hallucinations and loss of consciousness).
Ritonavir (Norvir, Kaletra) increases the risk of liver inflammation.
You can find information on the interaction of substances in and HIV drugs in German here.