Chemically known as d,l-2-(o-chloro-phenyl)-2-(methylamino)cyclohexanone, …show more content…
Calvin L. Stevens, a professor at Wayne State University. Ketamines discovery hinged on the fact the Phencyclidine (PCP), had a numerous amount of adverse side effects, such as erratic agitation and hallucinations. The first tests with ketamine were performed on human prisoners, and it showed promise, providing a shorter duration of action, and less adverse effects. Its very quick metabolism (biological half life of 3 hours) is accredited to CYP3A4, a cytochrome located in the liver, which allows for rapid demethylation of ketamine, forming an the primary amine, pulling it into the renal excretion system very quickly (90% excreted …show more content…
Ketamine also serves as an effective blockade for the nicotinic acetylcholine ion channels, leaving its users with a significantly less amount of motor control. Acetylcholine is a neurotransmitter used at the neuromuscular junction, its the chemical signal that motor neurons use in order to activate muscle. This paralytic effect of the drug is often its potentially dangerous side, it contributes to a decreased rate of respiration and decreased heart rate. A ketamine overdose is apparent when the nicotinic acetylcholine ion channels have been completely blockaded, effectively asphyxiating the person. The few treatments for an overdose are mechanically assisted breathing, due to the diaphragm not functioning, high dose atropine to treat increased tracheobronchial secretions, and administration of O2, to oxygenate the hemoglobin and prevent permanent