Frequent ketamine use can negatively affect your memory, attention span, vision, and even lead to psychosis. Ketamine creates a strong tolerance, which can lead to developing physical and psychological dependence.

Ketamine is one of the rare CNS disruptors that has the potential to create a dependence. The state of being in a K-Hole (intense hallucinations where the person is in a dissociative state) can be difficult, affect mental stability and be worrying to the people around you.

Ketamine is especially discouraged for people with cardiac problems, epilepsy or people who are not feeling well psychologically.

If you use ketamine…

• Know that what is being sold as ketamine can contain other toxic substances.

• Start with small quantities to assess strength and potency and avoid bad surprises. Compared to other sniffed substances, a smaller quantity is necessary to feel an effect.

• Avoid sharing equipment to prevent transmitting or developing HIV, hepatitis B or hepatitis C.

• Rinse your nose with water to minimize damage to your nasal cavities.

• Avoid mixing with other substances; combining  ketamine with other substances can have even more unpredictable effects and is especially risky with alcohol, other depressants (effects are amplified), and disruptors.

• Avoid activities that require clear judgment.

• Reduce the risk of a bad trip by using in a safe and familiar environment.

• Stay close to someone you trust, ideally someone who hasn’t used any substances.