Skip to content

How to Deal with a Ketamine Comedown

Ketamine clear bottle with white powder next to it

A ketamine comedown can be detrimental to your mental health. People who have taken ketamine often feel low and detached for days after taking the drug. There is also no knowing what ketamine has been cut with, so it is likely there are other substances in your body when the comedown kicks in. 

Educate yourself on a ketamine comedown and find out what you need to do to seek help, and what to expect if you are using ketamine yourself, or if a loved one is too.

The Dangers of Ketamine

Ketamine is a Class B drug and possession can result in you facing up to five years in jail, while possession with the intent to supply could mean up to 14 years in prison. That being said, ketamine use continues to increase particularly in the 16 to 24 age group. In fact, 2020 had the highest estimate of reported use of ketamine in the last 10 years as recorded by the Crime Survey for England and Wales (CSEW).

Over the past 6 months, Help Me Stop has received an ever increasing number of calls from concerned parents who have found out that their children are taking ketamine, and who are at a loss of what to do. 

Ketamine is a relatively new drug that we have seen a rise in, and it is becoming more and more prolific and problematic. 

A Ketamine comedown can be lonely, scary, and incredibly harmful to your long term mental and physical health, but knowing the signs of your comedown and being able to support yourself through it, are key.

Ketamine Addiction Treatment

At Help Me Stop, we treat ketamine addiction in our Online Rehab and our face-to-face Dayhab centre. Help Me Stop was founded to make high quality addiction rehab much more accessible. We also offer affordable detox and rehab for people who need a physical detox before starting our rehab programme.

Please call +44(0)208 191 9191 or contact us here to discuss ketamine addiction treatment for you or a loved one.

Read ketamine treatment and recovery stories from Help Me Stop clients, Toulou and Gideon.

Find out more about ketamine addiction and ketamine addiction treatment. Ask about our drug treatment programmes via Live Chat.

Ketamine clear bottle with white powder next to it

Self Access your Ketamine Use

If you are seeking help with problematic ketamine use or ketamine addiction, take our free and confidential drug use severity survey to understand your current risk level.

  • There is no charge to use this drug use survey and you can use it as many times as you want.
  • It is entirely multiple choice questions and it only takes a couple of minutes to complete.
  • Your results will be presented immediately on screen.
  • Get your current level of risk from ketamine use, based on the answers you give around your current usage.
  • Receive our tailored recommendations for ketamine addict treatment and support.

What is Ketamine?

Ketamine is a dissociative (blocks sensory perception) anaesthetic that was developed in the early 1960s and used in human and veterinary medicine primarily for anaesthesia. Dissociative drugs, like ketamine, can lead to distortion of sights, colours, sounds, self, and one’s environment.

Ketamine is usually found as a clear liquid, which is drunk or a white to off-white powder which is snorted. Both are tasteless and odourless.

How Quickly Does Ketamine Take Effect?

Snorting leads to effects in roughly 5 to 15 minutes with oral consumption taking between 5 and 30 minutes. The effects typically last 1 to 2 hours, but side effects may go on for up to 24 hours or longer.

Ketamine takes approximately 14 to 18 hours for the drug to be eliminated from a person’s system. However, there is no exact science here and it very much depends on a variety of factors including how much of the drug was used as well as the individual’s body mass, hydration levels, and metabolism.

If you want to self-assess your ketamine use and level of risk, complete our drug use severity survey. It’s free to use and confidential.

What Happens When You Take Ketamine?

The following is a list of experiences that go along with ketamine use:

  • Increased feeling of happiness
  • A sense of detachment from your body
  • Hallucinations
  • Confusion, clumsiness, and lowered pain sensitivity
  • Increased heart rate and/or blood pressure
  • Slurred or slow speech
  • Anxiety and panic attacks

Taking the right amount of ketamine is a precarious thing as the purity varies so much. Taking too much can induce a coma and deep unconsciousness.

Read more about ketamine addiction.

For a confidential chat about face-to-face rehab, Online Rehab or counselling, please get in touch with Help Me Stop, call 0208 191 9191, email or message us on Live Chat.

Dealing with a Ketamine Comedown

Coming down off Ketamine can be extremely hard. There is no way of avoiding a comedown apart from not using the drug. Also, the fact remains that you don’t actually know what you have taken. If it’s been cut with other stuff, or you are using it with alcohol and other drugs (which is a huge danger when using ketamine and this often leads to unexpected overdoses and even death), your comedown is going to be significantly different.

Ketamine comedowns, like all comedowns, are not pleasant. Here are some of the experiences you might feel during this time – 

  • Memory loss
  • Impaired judgement
  • Disorientation
  • Physical instability
  • Aches and pains
  • Anxiety
  • Depression
  • Headaches
comedown comeback wooden words

Here are a few pieces of helpful information on dealing with a comedown:

  • Headaches are likely to be a sign of dehydration. Drink plenty of fluids and have something to eat. Isotonic drinks are helpful.
  • If snorting, rinse your nose with saline. Like cocaine, your nose and all the nasal passages weren’t built for snorting ketamine and repeated use will damage these.
  • Ketamine can make some people feel nauseous so drinking ginger or peppermint tea helps.
  • Do not go into work or a place of responsibility when you are experiencing a comedown. 
  • Anxiety and depression are very common feelings as part of a come down so relax with some chilled music, download some apps like Calm or Headspace. Take a hot shower or bath, relax and try to sleep.
  • Sometimes, coming down makes you feel emotional, so if it is leading you to cry, let it out and shift those feelings.
  • A ketamine comedown doesn’t last forever, it’s just the process of the drugs wearing off. However, if your comedown has lasted longer than you expected do not start self-medicating with ketamine again or take other substances as this can be fatal. If you don’t feel yourself returning to normal you should seek medical help. It is important to explain what you have taken and the symptoms you are experiencing.

To book an assessment for ketamine addiction treatment, contact us here, call 0208 191 9191, email or message us on Live Chat. We treat face-to-face clients in and around London and we treat clients nationwide and overseas in our Online Rehab.

The risks of Ketamine

With the increase in strength of ketamine we are seeing more and more people calling Help Me Stop with bladder problems. Using ketamine has some serious consequences and users of ketamine just don’t realise this or think it won’t happen to them. Using ketamine can bring about ketamine-induced ulcerative cystitis. Ketamine has a toxic effect on the lining of the bladder even in small amounts. As someone’s use increases, they will develop severe bladder problems that can culminate in them needing to have their bladders removed. As indicated most users of ketamine are aged between 16 and 24 so the effect of having your bladder removed (a cystectomy) at such a young age can be life changing.

In men, the surgeon removes the bladder, prostate gland, seminal vesicles and sometimes part, or all, of the urethra. They also remove the lymph nodes close to the bladder. After a cystectomy, men may have difficulties getting or keeping an erection. This is because the prostate gland is removed and surrounding nerves may be damaged. After the operation, men will not be able to produce semen.

In women, the surgeon removes the bladder, nearby lymph nodes and the urethra. They usually also remove the womb, ovaries, cervix and part of the vagina. After surgery, women may find their sexual sensation is very different. Removing part of the vagina makes it shorter, which may make it uncomfortable or more difficult to have penetrative sex. Having the womb and ovaries removed will also cause infertility.

Most individuals wait until the condition has progressed before seeking help, this is a huge mistake as the condition can become irreversible. The early symptoms of ketamine bladder syndrome include:

  • Possibility of blood in the urine
  • Increased urine frequency
  • Constant pressure in the bladder area
  • Incontinence
  • Pelvic pain

If the condition is treated early enough and the sufferer refrains from further ketamine abuse, it is possible to reverse ketamine cystitis.

Ketamine use can be fatal in people who are drinking alcohol so there is a real risk here that users of ketamine should avoid. Other common dangers are:

  • Cardiovascular – Chest pains, dangerous changes in blood pressure and depressed heart rate.
  • Central Nervous System (CNS) – Memory loss, coma, deliriums, elevated body temperature, panic attacks, altered state terrors (k-hole effect), fitting and violent behaviour.
  • Respiratory – Respiratory depression. This is even more of a concern at the moment due to COVID which affects the respiratory system and with some many people being asymptomatic you may not even know your respiratory system is already compromised.

The use of ketamine can result in tolerance. This then creates further problems for as more of the drug is used to reach that high, the greater the risks are, particularly overdose. Like other drugs ketamine can also cause chemical changes in the brain’s reward system that make it very difficult to stop using without professional help. As with other drugs, including alcohol, many people will try to cut down or stop by relying on brute determination and will power. This just does not work and it won’t be long before things have got back to normal use levels and in many cases they have increased as someone is now using more due to the disappointment they have in themselves that they have failed to stop and stay stopped or controlled their use.

If you are worried about ketamine use, whether that’s your own use or a loved one, contact Help Me Stop to book a no-obligation ketamine addiction treatment assessment.

You can also self-assess your drug use on our website. Our drug use severity survey takes two minutes to complete, it’s free to use, and completely confidential.

Help Me Stop graduation chips with 'One Day at a Time' message

Cutting Down, Stopping and Staying Stopped

Stopping and staying stopped is not easy. It cannot be done on will power alone. You may be able to stop for a few days or even a week or so, but it won’t be long until you are back at it again.

Until you try to stop and stay stopped you will not appreciate that it is not easy and certainly those around you will not know how difficult it is.

Stopping and staying stopped is about a psychological shift and lifestyle change which best comes about through psychological therapies and peer support. Peer support like SMART or NA is great and is highly recommended, but they are not a replacement for psychotherapy or are psychotherapy. Neither are run by trained addiction psychotherapists and neither will get to the fundamental bottom of your use from a psychological perspective. Getting to the psychological reasons why you use ketamine and doing something about this is fundamental to long term behaviour change and staying stopped.

There is no magic pill or magic wand to stop and stay stopped. There is no quick fix, it takes the right levels and types of support, time, motivation, and hard work.

Giving up ketamine after prolonged use can be extremely difficult because the body is so used to functioning with the substance. Dealing with the come down is one thing but learning to stop and stay stopped is another. Long term ketamine use will ultimately negatively affect the body and mind and in some cases, it is fatal and there is no chance of getting on top of it at that point. In some respects, ketamine use is akin to Russian roulette – you are never quite sure whether the next line will tip you over.

If you are concerned about your ketamine use, or someone else’s, and want to know what the options are for stopping and staying stopped then call us now on 0208 191 9191, email, jump onto Live Chat or complete our short contact form.

Read more about ketamine addiction and ketamine addiction treatment.

Help Me Stop’s intensive non-residential outpatient Dayhab ketamine treatment programme is an effective solution that also offers 12 months of free accessible aftercare and family support options. Treatment is delivered face to face either in the mornings or afternoons over four weeks in person, and six weeks online.

For those adults who are working and can’t access services in the day or get to our centre in Central London, we offer a 6-week evening online outpatient ketamine treatment programme, run by the same therapists that provide the face to face programme.

Recent Articles

Building a Recovery Community

Having recently returned to Help Me Stop as Director of Treatment Services I want to share some thoughts on the importance of developing our recovery community further. I am honoured
Read More
university building

Drugs and University

University is an exciting time for young people but it also comes with a lot of risks. Peer pressure, new surroundings and often a new-found sense of freedom, can result
Read More
sober living word on green road sign with sunset in background

Sober Summer Nights

The beer gardens are open and summer is here, so how are you going to go about those sober summer nights spent socialising? Here is everything you need to know
Read More