Ketamine Addiction | Signs, Symptoms and Effects

In the UK, ketamine is a Class B drug under the Misuse of Drugs Act, meaning possession can lead to up to five years in prison, while supplying it can carry a sentence of up to fourteen years.

Ketamine addiction - powder

What is ketamine?

Ketamine was developed in the 1960s as a fast-acting anaesthetic that allowed doctors to sedate patients safely during surgery. It was seen as an important medical breakthrough because it reduced pain and maintained breathing better than many earlier drugs. Over the following decades, it became widely used in both human and veterinary medicine.

In recent years, tiny doses of ketamine and its derivative, esketamine, have been studied for their potential in treating depression and certain mental health conditions. When given in controlled, clinical environments, these small doses can ease severe symptoms where other treatments have failed.

Outside of hospitals, though, ketamine has taken on a very different role. It is used recreationally as a hallucinogenic or “club” drug that distorts sensations and detaches people from reality.

Is ketamine addictive?

Ketamine is often described as less addictive than other drugs, but this can be misleading. While it does not cause the same physical withdrawal symptoms as heroin or alcohol, it can still create a powerful psychological dependency.

Ketamine’s dissociative effects, the feeling of floating or separating from your body, can quickly become something people chase. For some, it offers escape from emotional pain or stress, but that escape becomes addictive in itself, as people find daily life increasingly difficult without the feeling of detachment ketamine provides.

Tolerance also builds quickly, meaning users need more to feel the same effects. This creates a dangerous cycle where each dose feels necessary to reach the same sense of calm. Once that happens, control begins to slip away.

Ketamine use in the UK

Ketamine use in the UK has risen dramatically over the past decade. According to the Crime Survey for England and Wales, around 299,000 adults aged 16–59 reported using ketamine in 2022–23, the highest figure ever recorded. Among 16–24-year-olds, 3.8% said they had used ketamine in the past year, roughly triple the rate from ten years earlier.

Treatment data shows a similar pattern with 3,609 adults entering treatment for ketamine-related problems in 2023/24. This rise highlights how the drug’s image has shifted from niche to mainstream, particularly among younger users.

Clinicians also report an increasing number of cases involving bladder damage, cognitive issues and mental health complications linked to ketamine use. NHS and private clinics alike are now treating people who began using it casually but have since found themselves unable to stop.

Is ketamine addiction dangerous?

Ketamine addiction is dangerous because it damages both physical health and mental stability. Frequent use can lead to serious complications that can last long after the drug leaves the system.

Ketamine bladder
One of the most severe health risks is ketamine bladder syndrome, which is when frequent use of ketamine inflames the bladder and urinary tract. This can cause intense pain and incontinence, largely due to the bladder losing its flexibility, causing some people to require bladder removal or kidney transplants.
Other health effects
Beyond bladder damage, long-term use has been linked to liver inflammation, reduced cognitive ability and lasting depression. People often start using ketamine to escape emotional distress, but the irony is that repeated use intensifies it, leaving them trapped in a deeper state of discomfort.
Emergency services under strain
Hospitals across the UK are dealing with more ketamine-related emergencies than ever. Admissions have risen by 45% over the past five years, with cases ranging from acute urinary problems to severe mental confusion. These pressures show how addiction affects not just the user but the wider health system as well.

What are the signs of ketamine addiction?

The signs of ketamine addiction can be subtle at first but over time they begin to interfere with everyday life. Understanding these signs makes it easier to recognise when use is becoming a problem.

Physical signs
  • Frequent pain or discomfort when passing urine
  • Persistent abdominal or bladder problems
  • Noticeable weight loss or poor appetite
  • Fatigue or constant low energy
  • Clumsiness or unsteady movement
Psychological signs
  • Struggles with memory or focus
  • Anxiety or depression when not using
  • Emotional numbness or detachment
  • Thinking frequently about ketamine
Behavioural signs
  • Taking ketamine in unsafe or unsuitable settings
  • Attempting to stop but being unable to maintain it
  • Isolating from family or responsibilities
  • Spending increasing amounts of money on the drug

Ketamine addiction - powder and syringe

If several of these signs feel familiar, it could be time to take an honest look at your relationship with ketamine. The next section offers a way to reflect on that more deeply.

Am I addicted to ketamine?

Addiction often begins quietly, which is why checking in with yourself is so valuable.

Asking the following questions can help you understand whether your use has moved into risky territory:

  • Do you need to take ketamine more often or in larger doses to feel its effects?
  • Have you tried to cut down or stop but found it difficult to maintain?
  • Do you crave ketamine or think about using it frequently?
  • Has it started to interfere with work, study or relationships?
  • Do you experience health problems such as pain, fatigue or low mood after using?
  • Have you withdrawn from activities or people that used to matter to you?

Answering yes to one or more of these questions doesn’t mean you’re beyond help, it simply means support could make a difference. Awareness is the first step toward regaining control.

Concerned you my be suffering from a ketamine addiction?

The DAST-10 questionnaire is designed to identify potential drug dependencies.

Where can I get help for ketamine addiction?

If ketamine use has become difficult to control, help is available. At Recovery Lighthouse, we provide tailored rehab support for people recovering from ketamine addiction through a compassionate and structured approach.

The ketamine addiction treatment process begins with a full assessment to understand your situation and the role ketamine plays in your life. From there, detox gives your body the chance to stabilise safely while our therapy programme focuses on the emotional roots of addiction. Beyond detoxing from the drug, you will undergo therapy designed to get to the route of your ketamine addiction.

Aftercare ensures that recovery doesn’t stop once you leave treatment. Continued support, relapse-prevention planning and access to community networks help you stay steady and connected in the months that follow.

If you or someone you care about is struggling with ketamine addiction, reaching out now can make all the difference. Recovery starts with a conversation and our team at Recovery Lighthouse is ready to help you begin that journey today.

Seek treatment for Ketamine addiction today.

Ketamine addiction does not need to control your life. Reach out for us today to find out how you can take your life back from Ketamine.

Frequently asked questions

Is it dangerous to mix ketamine with other substances?
Yes. Combining ketamine with alcohol, opioids, or benzodiazepines can severely depress breathing and heart function. Mixing with stimulants increases strain on the heart and raises overdose risk.
What is ‘ketamine addiction denial’?
Ketamine addiction denial occurs when a person believes they can control their use or insists they aren’t addicted, despite clear signs of dependence or harmful consequences.
What is ketamine bladder syndrome?
Ketamine bladder syndrome is a painful condition caused by chronic ketamine use, leading to bladder inflammation, frequent urination, pain and, in severe cases, permanent damage.
Will everyone who takes ketamine become addicted?
No, not everyone who takes ketamine will develop an addiction. Factors such as genetics, environment and mental health can influence an individual’s susceptibility to ketamine addiction. However, anyone who uses ketamine, particularly in a recreational context, is at risk of developing an addiction over time.
Is ketamine really used to tranquillise horses?
Yes, ketamine is used as an anaesthetic and tranquilliser for both humans and animals, including horses. In veterinary medicine, ketamine is particularly useful for its ability to maintain stable respiratory function during anaesthesia, making it a popular choice for animal surgeries.
Can a ketamine overdose be life-threatening?
Yes, a ketamine overdose can cause respiratory issues, cardiovascular problems, and loss of consciousness.

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