KETAMINE

(KET a meen) Brand: Ketalar

What is the most significant information I must know about ketamine?

• You must not receive ketamine if you are allergic to it, or if you have untreated or uncontrolled hypertension (high blood pressure).

• Till you receive ketamine, speak your doctor if you have heart malady, tall blood pressure, a history of alcoholism, or if you recently drank big amounts of alcohol.

Ketamine may be deleterious to an unborn child. Speak your doctor if you are pregnant.

• You may feel strange or slightly confused when you first come out of anesthesia. Speak your caregivers if these feelings are severe or unpleasant. It may take you longer to recover from anesthesia with ketamine if you have recently used a barbiturate (Butisol, Mebaral, Seconal, Nembutal, Solfoton, and others) or narcotic medicine (Vicodin, Dilaudid, OxyContin, Percocet, Actiq, Duragesic, Methadose, Dolophine, Kadian, MS Contin, and others).

Tell your caregivers at once if you have any of these serious side effects within 24 hours after you receive ketamine: severe confusion, hallucinations, unusual thoughts, or extreme fear.

• This medicine may impair your thinking or reactions. You will perhaps not be allowed to drive yourself house after your surgery or medical procedure. Avoid driving or operating machinery for at least 24 hours after you have received ketamine.

• Call your doctor at once if you have a serious side effect such as slow heart course, weak or shallow breathing, feeling like you might pass out, pain or burning when you urinate, or jerky muscle movements that may look like convulsions.

What is ketamine?

Ketamine is an anesthetic medication.

Ketamine is used to put you to sleep for surgery and to prevent pain and discomfort during determined medical trials or procedures.

Ketamine may also be used for purposes not listed in this medicine guide.

What must I discuss with my health care provider till receiving ketamine?

• You must not receive ketamine if you are allergic to it, or if you have untreated or uncontrolled hypertension (high blood pressure).

• To create certain you can safely receive ketamine, speak your doctor if you have another medical conditions, especially:

· heart disease;

· tall blood pressure;

· a history of alcoholism; or

· if you recently drank big amounts of alcohol.

Ketamine may be habit forming and must be used only by the face for whom it was predesigned.

Ketamine may be deleterious to an unborn child. Till you receive ketamine, speak your doctor if you are pregnant.

• It is not known whether ketamine passes into breast milk or if it could harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.

How is ketamine given?

Ketamine is injected into a muscle, or into a vein through an IV. You will receive this injection in a clinic or hospital setting.

• Your breathing, blood pressure, heart function, and another vital signs will be watched closely while you are receiving ketamine.

• You may feel strange or slightly confused when you first come out of anesthesia. Speak your caregivers if these feelings are severe or unpleasant.

• You may be shown how to use injections at house. Do not self-inject this medication if you do not fully understand how to give the injection and properly dispose of used needles, IV tubing, and another items used to inject the medicine.

• Use a disposable needle only once. Throw away used needles in a puncture-proof container (ask your pharmacist where you can get one and how to dispose of it). Hold this container out of the reach of children and pets.

• Store at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

• Since ketamine is generally given for anesthesia, you are not likely to be on a dosing schedule.

What happens if I overdose?

• Since this medicine is given by a healthcare professional in a medical setting, an overdose is unlikely to occur. Your vital signs will be closely watched while you are under anesthesia to create certain the medicine is not causing any deleterious effects.

What must I avoid after receiving ketamine?

• This medicine may impair your thinking or reactions. You will perhaps not be allowed to drive yourself house after your surgery or medical procedure. Avoid driving or operating machinery for at least 24 hours after you have received ketamine.

• Follow your doctor's instructions about any restrictions on food, beverages, or activity after you recover from anesthesia.

What are the possible side effects of ketamine?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.

Tell your caregivers at once if you have any of these serious side effects within 24 hours after you receive ketamine: severe confusion, hallucinations, unusual thoughts, or extreme fear.

• Call your doctor at once if you have a serious side effect such as:

· feeling like you might pass out;

· slow heart course, weak or shallow breathing;

· pain or burning when you urinate; or

· jerky muscle movements that may look like convulsions.

• Smaller serious side effects may include:

· dream-like feeling;

· blurred vision, double vision;

· mild dizziness, drowsiness;

· nausea, vomiting, loss of appetite; or

· sleep problems (insomnia).

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect ketamine?

• Speak your doctor about all another medicines you use, especially:

· a barbiturate such as butabarbital (Butisol), mephobarbital (Mebaral), secobarbital (Seconal), pentobarbital (Nembutal), or phenobarbital (Solfoton); or

· narcotic medicine such as codeine (Tylenol #3), hydrocodone (Lortab, Vicodin, Vicoprofen), hydromorphone (Dilaudid, Palladone), oxycodone (OxyContin, Combunox, Roxicodone, Percocet), fentanyl (Abstral, Actiq, Fentora, Duragesic, Lazanda, Onsolis), methadone (Methadose, Dolophine), morphine (Kadian, MS Contin, Oramorph), and much others.

If you are using any of these drugs, it may take you longer to recover from anesthesia with ketamine.

• This list is not complete and another drugs may interact with ketamine. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your doctor or pharmacist can provide more information about ketamine.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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