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Types of ketamine
Ketamine (racemic ketamine)
This is the standard form used medically and most commonly encountered. It contains a 50/50 mix of two mirror-image molecules (isomers). It produces both anesthetic and dissociative effects and is widely used in hospitals.
Esketamine (S-ketamine)
One of the two isomers found in regular ketamine. It is more potent and is used in some medical treatments, especially for depression (often in nasal spray form under medical supervision). It tends to have stronger effects at lower doses.
Arketamine (R-ketamine)
The other isomer. It’s less commonly used clinically but is being researched for potential antidepressant effects. Some studies suggest it may have longer-lasting benefits with fewer dissociative side effects, though research is still ongoing.
Liquid ketamine
A pharmaceutical solution used in medical settings for injection. Outside medical use, it’s sometimes dried into powder. The liquid form allows precise dosing in controlled environments.
Powder (crystal) ketamine
A dried version of the liquid form, appearing as a white powder or small crystals. This is the most common non-medical form and is usually divided into lines or small amounts.