Ketamine Hydrochloride (KEE-ta-meen hye-droe-KLOR-ide)

Used to produce loss of consciousness before surgery or a medical procedure.

Brand Name(s):

Ketalar

When This Medicine Should Not Be Used:

How to Use This Medicine:

Injectable

• A doctor or other trained healthcare professional will give you this medicine in a hospital. This medicine is given as a shot into a muscle or into a vein.

Drugs and Foods to Avoid:

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Some medicines can affect how ketamine works. Tell your doctor if you are using aminophylline, theophylline, or vasopressin.
• Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol.

Warnings While Using This Medicine:

• Tell your doctor if you are pregnant or breastfeeding, or if you have liver disease, heart disease, lung or breathing problems, or brain or nerve disease. Tell your doctor if you have a history of drug or alcohol use disorder.
• This medicine may cause the following problems:
  • Respiratory depression (serious breathing problem that can be life-threatening)
  • Brain or nerve problems, when given to children younger than 3 years of age
  • Liver problems
• This medicine may make you dizzy, drowsy, or confused. Do not drive or do anything else that could be dangerous within 24 hours of receiving this medicine.
• This medicine may cause you to have unusual thoughts or behaviors after your surgery or procedure. You might feel confused or excited, or you might see or hear things that are not really there. Call your doctor if these thoughts or behaviors are severe or last longer than 24 hours.
• Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

Possible Side Effects While Using This Medicine:

Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Bloody or cloudy urine, difficult or painful urination
• Blue lips, fingernails, or skin, trouble breathing
• Blurred or change in vision
• Fast, slow, or uneven heartbeat
• Lightheadedness, dizziness, or fainting
• Muscle stiffness, muscle spasm, or seizure
• Unusual thoughts or behavior, severe confusion, dreaming while awake, or seeing, hearing, or feeling things that are not there

If you notice these less serious side effects, talk with your doctor:

• Double vision or uncontrolled eye movements
• Nausea, vomiting, or loss of appetite
• Redness, pain, or blistering where the shot was given

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088