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Drugs and Medicinal Substances

Ketamine

Nervous System Agents

Ketamine is a cyclohexanone-derived general anesthetic and NMDA receptor antagonist with analgesic and dissociative properties, producing a trance-like state that provides pain relief, sedation and memory loss during medical procedures; it is also used to treat depression. It works chiefly by blocking NMDA receptor channels, which prevents central sensitization of neurons in the spinal cord's dorsal horn and interrupts pain signaling. Chemist Calvin Stevens synthesized ketamine in 1962 while a professor at Wayne State University and a consultant to the pharmaceutical company Parke-Davis, under the code name CI-581; human testing in 1964 showed advantages over the related compound phencyclidine, and the Food and Drug Administration approved it in 1970, after which it saw extensive military use during the Vietnam War. In 2000, researchers found that ketamine also produces rapid antidepressant effects, a discovery later described as among the most important advances in depression treatment in decades.

Facts
Drug Class
Dissociative anesthetic and NMDA receptor antagonist. 1
Mechanism of Action
Noncompetitive pore blocker of the NMDA glutamate receptor, producing dissociative anesthesia and analgesia. 1
Approved Use
General anesthesia induction and maintenance and pain management; the S-enantiomer esketamine is separately used for treatment-resistant depression. 1
First Approved / Isolated Year
1970 1
Significant Risk
Emergence reactions on anesthetic doses, including dissociation, hallucinations and delirium; potential for abuse and diversion; chronic heavy use is linked to bladder and urinary tract damage. 1
Classification
Approval Status
Approved 1
ATC ClassSourced to the subject's own account
N: Nervous System 2
Route of Administration
Intravenous 1
Route of Administration
Intramuscular 1
WHO Essential MedicineSourced to the subject's own account
Core List 3
Connections

Treats

Depression, Conditions
Source Ketamine (Wikipedia)
Sources
1. Ketamine (Wikipedia)
Wikimedia Foundation
  • Lead section
    Ketamine is a cyclohexanone-derived general anesthetic and NMDA receptor antagonist with analgesic and hallucinogenic properties, used medically for anesthesia, depression, and pain management.
  • Infobox, drug class
    NMDA receptor antagonist
  • Pharmacodynamics section, mechanism of action
    Pore blocking of the NMDA receptor is responsible for the anesthetic, analgesic, and psychotomimetic effects of ketamine.
  • Adverse effects section
    At anesthetic doses, 10-20% of adults and 1-2% of children experience adverse psychiatric reactions that occur during emergence from anesthesia, ranging from dreams and dysphoria to hallucinations and emergence delirium.
  • History section
    Following FDA approval in 1970, ketamine anesthesia was first given to American soldiers during the Vietnam War.
  • Regulatory approval status
  • Route of administration
  • Treats: Depression, Lead section, indication
    Ketamine is a cyclohexanone-derived general anesthetic and NMDA receptor antagonist with analgesic and hallucinogenic properties, used medically for anesthesia, depression, and pain management.
View the Source
2. Anatomical Therapeutic Chemical Classification System (Wikipedia)
WikipediaFirst-level anatomical group codes, Code N
Quote, First-level anatomical group codes, Code N
Nervous system
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3. WHO Model List of Essential Medicines (Wikipedia)
WikipediaWHO Model List of Essential Medicines, Injectable medicines section
Quote, WHO Model List of Essential Medicines, Injectable medicines section
Ketamine
View the Source
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