ketamine high blood pressure risk

Ketamine therapy has gained attention for treating mental health issues. But, it’s not right for everyone. People with a history of drug abuse, heart problems, or those on certain medicines shouldn’t use it. This includes kids under 18, pregnant or nursing women, and those with psychosis or a family history of schizophrenia.

Before starting ketamine therapy, talking with a doctor about your medical history is key. This talk covers the risks and what you hope to achieve. Side effects like confusion and higher blood pressure show why a careful setting is important. Dr. Arif Noorbaksh, M.D., a top psychiatrist at Heading, stresses the need for a strong medical team for a safe and successful experience.

Key Takeaways

  • Ketamine therapy is not suitable for individuals with a history of substance abuse.
  • Cardiovascular issues, including uncontrolled high blood pressure, exclude patients from ketamine treatment eligibility.
  • Pregnant and breastfeeding women are advised against ketamine therapy due to potential risks to fetal and infant health.
  • Children under 18 are generally not candidates for ketamine therapy.
  • A thorough medical consultation is essential for assessing the risks of ketamine for depression.

Contraindications: When Ketamine Therapy Is Not Safe

Ketamine therapy might not be right for everyone. This is due to certain conditions and risks. It’s key to know these limits to keep patients safe and make treatment work.

Cardiovascular Issues

People with cardiovascular contraindications should not undergo ketamine therapy. Conditions like uncontrolled blood pressure or heart disease make this risky. Ketamine can increase blood pressure and heart rate.

This is especially risky for those with arrhythmias or heart diseases. Although blood pressure is watched closely, risks still exist for individuals with heart health and ketamine therapy concerns.

Substance Abuse History

A history of substance abuse is key in deciding if ketamine is safe. Teams will closely look at a patient’s past to avoid relapse. Ketamine’s dissociative effects could be misused.

This is a worry for people who have had drug problems before. Therefore, a full check on ketamine therapy and substance abuse is required. The addiction risk and ketamine treatment is taken very seriously.

Pregnancy and Breastfeeding

Ketamine’s effects on pregnant or breastfeeding moms aren’t well studied. So, they’re often not allowed to get ketamine treatments. The risks to babies or unborn children are not clear.

Because of this, using ketamine during pregnancy and breastfeeding and ketamine is generally not advised. This highlights why prenatal care and ketamine must be considered before starting any ketamine therapy.

Medical Conditions that Exclude Ketamine Therapy

Ketamine therapy can help with many psychiatric issues. But some health problems mean ketamine is not safe. Knowing these is key for patient safety and treatment success.

Psychiatric Conditions

People with schizophrenia, schizoaffective disorder, or psychosis history may not use ketamine. Its effects can make things worse for them. So, they need different treatments from a healthcare expert.

Allergies and Past Reactions

It’s important to talk about any ketamine allergies or bad reactions before. This helps avoid serious health problems. Sharing this info is crucial, especially if there were problems before with similar drugs.

Other Medical Conditions

Kidney and liver disease are major reasons to avoid ketamine. They are key in processing drugs. Other health issues like epilepsy or high brain pressure also matter. Doctors must check for these before starting ketamine therapy.


Who is not a good candidate for ketamine therapy?

People with a past of substance misuse or heart problems should avoid ketamine therapy. Those using certain meds, children under 18, pregnant or breastfeeding women, and anyone with psychosis or a schizophrenia history are also not good fits. It’s key to talk with healthcare providers about medical history and risks before start.

What are the cardiovascular issues that contraindicate ketamine therapy?

Uncontrolled high blood pressure and heart diseases make ketamine therapy risky. This also goes for those with arrhythmias or artery diseases and those who have had heart attacks or strokes. Ketamine can raise blood pressure and heart rate, which isn’t safe for these individuals. Monitoring blood pressure is needed but doesn’t clear all danger.

How does a history of substance abuse impact eligibility for ketamine therapy?

Past substance abuse can make ketamine therapy risky due to its abuse potential. Reviewing a patient’s history is vital to avoid addiction risk and treatment relapse. The drug’s dissociative effects are especially risky for those with a history of drug problems.

Why are pregnant and breastfeeding women excluded from ketamine therapy?

There’s not enough research on ketamine’s safety during pregnancy and breastfeeding. The unknown risks to babies or fetuses lead doctors to keep expecting or nursing moms away from the therapy.

What psychiatric conditions exclude individuals from ketamine therapy?

Ketamine therapy is not for those with schizophrenia, schizoaffective disorders, or a psychosis history. These conditions could worsen with ketamine because of its psychoactive properties. This leads to their exclusion for mental health reasons.

What should individuals with allergies or past adverse reactions to ketamine know?

If you’ve had allergic or bad reactions to ketamine or similar anesthetics, steer clear. Telling your doctor about these reactions is crucial due to the increased risk of more negative health outcomes.

What other medical conditions may disqualify someone from ketamine therapy?

Liver and kidney diseases can disqualify someone from ketamine therapy since these organs help process the drug. Conditions like epilepsy, high brain pressure, or major psychiatric issues might also rule out ketamine. A full medical review is needed before starting treatment.

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