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The amount of ketamine taken determines both the extent and type of effect the drug will have. At a relatively low dosage (around 100mg), users will commonly experience mild dissociative effects, hallucinations, and distortions of time and space.
Larger doses (anything above 200mg) may induce a so called ‘K-hole’, where a user can experience considerable and lengthy detachment from reality. The user may experience hallucinations.
similar to those while using LSD followed by numbness, often in the limbs, and strange muscle movements. Users may also feel sick or throw up.
– which can be very dangerous at high doses if the user is unconscious or disorientated as people may choke on their vomit.
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Concerns over the risks of using the drug have been growing in recent years. Repeated or heavy use of ketamine appears to be particularly harmful to the urinary tract and can cause ulcerative cystitis, where the bladder wall thickens. In some cases, individuals have had to have their bladders surgically removed. Frequent use can also cause kidney dysfunction and abdominal pains known as ‘K-cramps’.
The risk of death from accidents is also elevated while under the influence of ketamine. As a powerful analgesic, its use can make users more vulnerable to physical injury as the seriousness of an incident may not be immediately apparent. Its dissociative effects may also make users unaware of potentially risky behaviour. One study found that as many as 83% of 90 ketamine users knew of someone who had an accident while taking ketamine.
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