Illegal use patterns, side effects, and analytical methods of ketamine.
In Asian countries, such as China, Taiwan, and Hong Kong, ketamine (KT) is one of the most prevalent illicit use drugs. KT is regulated by various drug-related laws in many countries, such as Korea, Taiwan, China, U.S.A, Netherlands, UK, Australia, Mexico, and Canada. This review research explored pharmacology and side effects of KT, the illicit use patterns of KT, the analytical methods of KT in biological samples, and the concentrations of KT from abusers and non-abusers. Many side effects of KT have been reported mental and physical problems. Although many studies conducted various analytical methods for KT, this research focused on the urine and hair analysis and compared some parameters of samples, instruments, columns, extraction methods, internal standards, LOD/LOQ levels, metabolites, NK/K ratio, cut off values, and m/z values. Our research also compared the concentrations of KT in biological samples from abusers and non-abusers. Many rapid and precise analytical methods for illegal KT use are needed to be developed and applied to real samples. To minimize and prevent harm from KT, the authorities and appropriate agencies require a careful assessment, evaluation, early identification, and surveillance of KT users in both clinical and social settings. In addition, there is a need to construct a stricter legislative management and provide preventive education to younger individuals because illegal KT use is relatively common among the young populations.
College of Pharmacy, Duksung Women's University, Seoul, Republic of Korea; Duksung Innovation Center, Republic of Korea.
Eunyoung
E
Han
College of Pharmacy, Duksung Women's University, Seoul, Republic of Korea; Duksung Innovation Center, Republic of Korea.
Nam Ji
NJ
Kwon
School of Pharmacy and Ph.D. Program in Toxicology, College of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan.
Ling-Yi
LY
Feng
School of Pharmacy and Ph.D. Program in Toxicology, College of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address: jhlitox@kmu.edu.tw.
Jih-Heng
JH
Li
Graduate School of Analytical Science and Technology, Chungnam National University, 99 Daehak ro, Yuseong-Gu, Daejeon, Republic of Korea. Electronic address: hschung1024@gmail.com.
Heesun
H
Chung
D000778:Anesthetics, Dissociative / Q000009:adverse effects* / Q000032:analysis / Q000494:pharmacology; D053593:Forensic Toxicology; D008401:Gas Chromatography-Mass Spectrometry; D006197:Hair / Q000737:chemistry; D006801:Humans; D007649:Ketamine / Q000009:adverse effects* / Q000032:analysis / Q000494:pharmacology; D015813:Substance Abuse Detection; D019966:Substance-Related Disorders / Q000175:diagnosis*
D000778:Anesthetics, Dissociative; D007649:Ketamine
Illegal ketamine use; Ketamine; Side effects of ketamine; Urinalysis and hair analysis of ketamine