{"id":46496,"date":"2020-08-19T05:00:16","date_gmt":"2020-08-19T03:00:16","guid":{"rendered":"https:\/\/ccadicciones.es\/la-ketamina-de-medicament-a-droga\/"},"modified":"2020-08-19T05:00:16","modified_gmt":"2020-08-19T03:00:16","slug":"la-ketamina-de-medicament-a-droga","status":"publish","type":"post","link":"https:\/\/ccadicciones.es\/ca\/la-ketamina-de-medicament-a-droga\/","title":{"rendered":"La ketamina, de medicament a droga"},"content":{"rendered":"<p>Moltes vegades la medicina i el m\u00f3n de les drogues han estat lligats pel mal \u00fas que s&#8217;ha fet d&#8217;alguns medicaments. I \u00e9s que, en ocasions, no han faltat els que han vist una oportunitat de donar a certes subst\u00e0ncies m\u00e8diques un \u00fas recreatiu. Aix\u00f2 ha portat a la <strong>difusi\u00f3 i generalitzaci\u00f3 de noves drogues<\/strong> amb els perills que aix\u00f2 comporta. Aquest \u00e9s el cas de la ketamina, un anest\u00e8sic emprat en medicina i veterin\u00e0ria que ja fa anys que es consumeix tamb\u00e9 amb finalitats recreatives. Entre els seus efectes trobem al\u00b7lucinacions i un estat de profunda relaxaci\u00f3. Entre els seus perjudicis, la seva capacitat per generar una <a href=\"https:\/\/ccadicciones.es\/tratamiento\/adiccion-a-la-ketamina\/\">addicci\u00f3<\/a>.     <\/p>\n<p>&nbsp;<\/p>\n<h2><strong>Hist\u00f2ria de la ketamina<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p>Aquesta subst\u00e0ncia psicoactiva <strong>es va sintetitzar per primera vegada el 1962<\/strong> per ser utilitzada amb finalitats m\u00e8diques. Actualment, s&#8217;utilitza en anest\u00e8sia especialitzada, sobretot en pacients pedi\u00e0trics, veterin\u00e0ria i medicina de campanya. A m\u00e9s, el seu perfil de seguretat l&#8217;ha convertit en un anest\u00e8sic d&#8217;elecci\u00f3 en zones del m\u00f3n on l&#8217;acc\u00e9s a equipament de ressuscitaci\u00f3 \u00e9s limitat. La ketamina tamb\u00e9 pot ser \u00fatil reduint el dolor postoperatori, aix\u00ed com per tractar el dolor despr\u00e9s d&#8217;accidents o cremades.   <\/p>\n<p>S&#8217;ha suggerit que el desenvolupament de la ketamina com a subst\u00e0ncia d&#8217;ab\u00fas als Estats Units es va iniciar amb veterans retornats de la guerra del Vietnam que havien experimentat els seus efectes al camp de batalla. Posteriorment, van comen\u00e7ar a apar\u00e8ixer descripcions de casos d&#8217;ab\u00fas entre professionals de la salut. No obstant aix\u00f2, <strong>el seu \u00fas recreatiu no es va popularitzar fins a mitjans dels anys noranta<\/strong>, coincidint amb una caiguda de la puresa de la coca\u00efna que es distribu\u00efa a occident. Aquesta popularitat tamb\u00e9 es va donar per l&#8217;ascens de la cultura de club, i sobretot de les festes <em>rave<\/em>, associades a un auge de la m\u00fasica electr\u00f2nica de ball.   <\/p>\n<p>&nbsp;<\/p>\n<h2><strong>El seu \u00fas com a droga<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p>La ketamina es pot administrar de forma efectiva per diverses vies com intranasal, intravenosa o subcut\u00e0nia. La seva presentaci\u00f3 farmac\u00e8utica \u00e9s en forma de l\u00edquid injectable. En el seu \u00fas com a subst\u00e0ncia l\u00fadica la via m\u00e9s utilitzada per al seu consum \u00e9s la intranasal, esnifant-se de manera similar a la coca\u00efna. Al carrer <strong>se la coneix popularment com a &#8220;special K&#8221;<\/strong> i es pot trobar com a pols, l\u00edquid, cristalls, pastilles o c\u00e0psules. De vegades, pot estar barrejada amb altres subst\u00e0ncies com efedrina o cafe\u00efna.    <\/p>\n<p>Per regles generals, la dosi psicoactiva mitjana \u00e9s aproximadament una cinquena part de la dosi anest\u00e8sica habitual. Una t\u00edpica dosi intranasal oscil\u00b7la entre els 25 i els 400 mg, mentre que les dosis per a consum oral serien m\u00e9s elevades. <strong>Als 10-20 minuts del consum<\/strong>, depenent de la dosi, comencen a presentar-se els seus efectes, amb temps diferents per a cadascun d&#8217;ells. El temps de durada total dels efectes del consum seria al voltant de les dues hores. Els seus efectes depenen de la composici\u00f3, la dosi, el context en qu\u00e8 es consumeixi i les caracter\u00edstiques del consumidor (pes, edat, etc.). La ketamina es metabolitza al fetge i s&#8217;elimina per l&#8217;orina.    <\/p>\n<p>&nbsp;<\/p>\n<h2><strong>Efectes del consum de ketamina<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p>Els efectes que experimenta la persona que pren aquesta droga depenen, com d\u00e8iem abans, de les caracter\u00edstiques del propi individu. Encara que aquests efectes poden presentar-se als 15 minuts d&#8217;haver consumit, <strong>la recuperaci\u00f3 total del cos no \u00e9s efectiva fins a un o dos dies despr\u00e9s<\/strong>. En tractar-se d&#8217;un analg\u00e8sic, el consumidor que est\u00e0 sota els seus efectes no t\u00e9 sensaci\u00f3 de dolor. Aix\u00f2 t\u00e9 el risc associat que la persona podria ferir-se de gravetat i no notar-ho. Els efectes produ\u00efts per la ketamina s\u00f3n:    <\/p>\n<ul>\n<li>Alteraci\u00f3 de la consci\u00e8ncia. Aix\u00f2 pot provocar desorientaci\u00f3 i p\u00e8rdua de la noci\u00f3 del temps. <\/li>\n<li>Per exemple, el consumidor pot percebre sensaci\u00f3 de flotaci\u00f3 i sortir del propi cos. Aquesta experi\u00e8ncia pot ser viscuda com a positiva i espiritual o com a negativa i aterridora per la sensaci\u00f3 d&#8217;estar abandonant el cos. En aquest cas, parlar\u00edem del <strong>&#8220;mal viatge&#8221;.<\/strong>  <\/li>\n<li>Desinhibici\u00f3<\/li>\n<li>Atacs de p\u00e0nic i ansietat<\/li>\n<li>Episodis psic\u00f2tics<\/li>\n<li>Convulsions, v\u00f2mits i diarrea<\/li>\n<li>Amn\u00e8sia<\/li>\n<li>Efectes fisiol\u00f2gics. Provoca broncodilataci\u00f3 i augmenta la pressi\u00f3 sangu\u00ednia. En dosis altes tamb\u00e9 pot produir parades cardiorespiradores.  <\/li>\n<\/ul>\n<p><strong>Una persona que hagi consumit ketamina pot quedar en estat d&#8217;inconsci\u00e8ncia.<\/strong> En aquests casos, \u00e9s millor no donar-li est\u00edmuls ni visuals ni t\u00e0ctils, ja que poden incrementar els s\u00edmptomes negatius. Un consum de la subst\u00e0ncia a partir dels 60 o 70 mg pot considerar-se com a <a href=\"https:\/\/ccadicciones.es\/tratamiento\/tratamiento-ketamina\/\">sobredosi<\/a>. Tot i aix\u00f2, aix\u00f2 \u00e9s aproximatiu ja que mai es pot con\u00e8ixer la puresa d&#8217;aquesta droga perqu\u00e8 moltes vegades est\u00e0 adulterada amb altres subst\u00e0ncies. Els efectes a curt termini poden ser greus i imprevisibles i, a la llarga, es poden produir efectes cerebrals irreversibles.   <\/p>\n<p>&nbsp;<\/p>\n<h2><strong>A un sol pas de l&#8217;addicci\u00f3<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p>Com s&#8217;apuntava a l&#8217;inici d&#8217;aquest article, la popularitzaci\u00f3 del consum de ketamina ha estat des d&#8217;un inici molt estretament lligada a escenes de <strong>m\u00fasica electr\u00f2nica.<\/strong> La NIDA (<em>National Institute of Drug Abuse<\/em>), centre que dep\u00e8n del Departament de Salut dels Estats Units, va incloure en el seu primer informe sobre la q\u00fcesti\u00f3 la ketamina entre les &#8220;drogues de club&#8221;. Altres subst\u00e0ncies d&#8217;aquest tipus serien l&#8217;MDMA, l&#8217;LSD o la metamfetamina. Generalment, el consumidor de ketamina s&#8217;iniciaria en aquesta droga a la d\u00e8cada dels 20 anys. \u00c9s freq\u00fcent que abans hagi passat per altres subst\u00e0ncies d&#8217;ab\u00fas i en context d&#8217;un policonsum actiu.   <\/p>\n<p>&nbsp;<\/p>\n<p>La ketamina provoca depend\u00e8ncia psicol\u00f2gica i, a la llarga, f\u00edsica. Tamb\u00e9 produeix toler\u00e0ncia, \u00e9s a dir, que l&#8217;individu ha d&#8217;anar augmentant la dosi per aconseguir els mateixos efectes. A m\u00e9s, aquesta droga t\u00e9 un elevat risc d&#8217;addicci\u00f3. Les dades que arriben de diversos pa\u00efsos occidentals indiquen un increment progressiu en el consum de ketamina des de mitjans dels noranta fins a finals dels 2000. Tot i aix\u00f2, aquestes dades no arriben a apropar-se a les prevalences de consum de drogues m\u00e9s cl\u00e0ssiques. No obstant aix\u00f2, aix\u00f2 no treu que ens trobem davant <strong>d&#8217;una de les drogues m\u00e9s addictives que existeixen<\/strong> els riscos de les quals no podem ocultar. Davant d&#8217;una conducta addictiva la soluci\u00f3 passa per un <a href=\"https:\/\/ccadicciones.es\/ca\/contacte\/\">tractament<\/a> per recuperar el control sobre un mateix.      <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Moltes vegades la medicina i el m\u00f3n de les drogues han estat lligats pel mal \u00fas que s&#8217;ha fet d&#8217;alguns medicaments. I \u00e9s que, en ocasions, no han faltat els que han vist una oportunitat de donar a certes subst\u00e0ncies&#8230;<\/p>\n","protected":false},"author":3,"featured_media":46497,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[886,895],"tags":[1130,972,971,1542,947,988,931,989,990,953,991,1004,992,967,958,993,994],"class_list":["post-46496","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-addiccions","category-conductes-addictives","tag-abus","tag-addiccio","tag-addiccions-amb-substancia","tag-conductes-adictives","tag-consequencies","tag-cura","tag-dependencia","tag-deteccio","tag-efectes","tag-joves","tag-orientacio","tag-pastilles","tag-prevencio","tag-recuperacio","tag-rehabilitacio","tag-simptomes","tag-terapia"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>La ketamina, de medicament a droga - CC Adicciones<\/title>\n<meta name=\"description\" content=\"La ketamina \u00e9s un anest\u00e8sic emprat en medicina i veterin\u00e0ria que tamb\u00e9 es consumeix com a droga. 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