April 26, 2024

Is Ketamine an Opioid?

Is Ketamine an Opioid?

Ketamine is not an opioid, but it does share some similarities with the opioid drug class, including its ability to cause sedation and respiratory depression and its tendency to be abused or overused.

Ketamine is a controlled substance, but it is a Schedule III controlled substance, while most opioids are Schedule II because they carry a higher risk of abuse and dependence.

Ketamine is approved by the FDA to provide anesthesia for surgical procedures and to treat depression in adults (as a nasal spray product containing only one of two forms of ketamine’s chemical structure). It works by blocking NMDA receptors, which, at different doses, causes anesthesia, amnesia, dissociative feelings, sleepiness, and analgesia or pain relief.

How does Ketamine differ from Opioids? 

Opioids, such as morphine and fentanyl, treat pain by binding mu-opioid receptors in your brain and spinal cord. This action reduces pain but also carries a high risk of addiction and respiratory depression. 

Ketamine, on the other hand, does not target opioid receptors. Its mechanism reduces pain without significant respiratory depression, making it a safer alternative in some cases. Ketamine works primarily by binding to a different type of receptor, called an NMDA receptor, and blocking the action of this re

What is an Opioid? 

Opioids are a class of drugs that derive from or mimic natural substances found in the opium poppy plant. Opioids are commonly prescribed for the management of acute pain. This includes pain from surgeries, injuries, and medical procedures. They provide effective relief by reducing the intensity of pain signals transmitted to the brain.

How is Ketamine made? 

Ketamine, a versatile anesthetic and emerging therapeutic agent, is synthesized through a complex chemical process. It is derived from cyclohexane, a hydrocarbon compound commonly found in petroleum.

Therapeutic Uses of Ketamine

Ketamine’s unique properties have led to its use in treating various conditions:

  • Depression: Ketamine has shown rapid antidepressant effects, particularly in treatment-resistant depression.
  • Chronic Pain: For some chronic pain conditions, ketamine infusions provide relief where opioids have failed.
  • Post-Traumatic Stress Disorder (PTSD): Emerging evidence suggests ketamine may help reduce PTSD symptoms.

Ketamine and Addiction Potential vs Opioids 

One major advantage of ketamine over opioids is its lower addiction potential. While opioids are highly addictive, leading to widespread abuse and dependency, ketamine does not produce the same level of euphoria. However, it’s important to note that ketamine can still be abused, particularly in recreational settings.

Safety and Side Effects

Despite its benefits, ketamine is not without risks. Common side effects include:

  • Hallucinations: Ketamine can cause vivid hallucinations, especially at higher doses.
  • Elevated Heart Rate: Users might experience increased heart rate and blood pressure.
  • Nausea and Vomiting: These are common, especially when administered intravenously.

Please note: Intended for educational and informative purposes only and not intended to serve as medical or professional advice. For medical attention or advice you should consult your physician or other health care professional.

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