&lt;h2 data-start=&quot;2773&quot; data-end=&quot;2810&quot;&gt;&amp;nbsp;&lt;/h2&gt;
&lt;h1 data-start=&quot;2773&quot; data-end=&quot;2810&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;RISKS, MIXING &amp;amp; SAFER USE&lt;/strong&gt;&lt;/span&gt;&lt;/h1&gt;
&lt;hr /&gt;
&lt;h2 data-start=&quot;2812&quot; data-end=&quot;2831&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Immediate risks&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;ul&gt;
&lt;li data-start=&quot;2834&quot; data-end=&quot;2868&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Loss of coordination and balance&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;2871&quot; data-end=&quot;2919&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Reduced or absent pain sensation (injury risk)&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;2922&quot; data-end=&quot;2943&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Nausea and vomiting&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;2946&quot; data-end=&quot;2973&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Slurred speech, confusion&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;2976&quot; data-end=&quot;3017&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Increased heart rate and blood pressure&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3020&quot; data-end=&quot;3046&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Blackouts or memory loss&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;h4 data-start=&quot;3048&quot; data-end=&quot;3062&quot;&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong&gt;At high doses:&lt;/strong&gt;&lt;/span&gt;&lt;/h4&gt;
&lt;ul&gt;
&lt;li data-start=&quot;3065&quot; data-end=&quot;3088&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Paralysis or collapse&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3091&quot; data-end=&quot;3101&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Seizures&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3104&quot; data-end=&quot;3110&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Coma&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3113&quot; data-end=&quot;3159&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Respiratory depression (especially when mixed)&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p data-start=&quot;3161&quot; data-end=&quot;3266&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Because ketamine &lt;strong data-start=&quot;3178&quot; data-end=&quot;3192&quot;&gt;numbs pain&lt;/strong&gt;, people can seriously injure themselves without realizing it until later.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;3161&quot; data-end=&quot;3266&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-start=&quot;3273&quot; data-end=&quot;3292&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Long-term risks&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;3293&quot; data-end=&quot;3324&quot;&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong&gt;Regular or heavy use can cause:&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li data-start=&quot;3327&quot; data-end=&quot;3369&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;3327&quot; data-end=&quot;3345&quot;&gt;Bladder damage&lt;/strong&gt; (sometimes permanent)&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3372&quot; data-end=&quot;3397&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Kidney and liver damage&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3400&quot; data-end=&quot;3426&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Psychological dependence&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3429&quot; data-end=&quot;3471&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Tolerance (needing more to feel effects)&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3474&quot; data-end=&quot;3519&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Depression, anxiety, and cognitive problems&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3522&quot; data-end=&quot;3572&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Memory, learning, and concentration difficulties&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p data-start=&quot;3574&quot; data-end=&quot;3648&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Using ketamine daily or to cope with stress greatly increases these risks.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;3574&quot; data-end=&quot;3648&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-start=&quot;3655&quot; data-end=&quot;3691&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Mixing ketamine with other drugs&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;3692&quot; data-end=&quot;3726&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;⚠️ &lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong data-start=&quot;3695&quot; data-end=&quot;3726&quot;&gt;Very dangerous combinations&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li data-start=&quot;3729&quot; data-end=&quot;3738&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Alcohol&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3741&quot; data-end=&quot;3752&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;GHB / GBL&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3755&quot; data-end=&quot;3772&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Benzodiazepines&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3775&quot; data-end=&quot;3784&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Opiates&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p data-start=&quot;3786&quot; data-end=&quot;3901&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;These are all &lt;strong data-start=&quot;3800&quot; data-end=&quot;3838&quot;&gt;central nervous system depressants&lt;/strong&gt; and can cause &lt;strong data-start=&quot;3853&quot; data-end=&quot;3886&quot;&gt;respiratory failure and death&lt;/strong&gt; when combined.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;3903&quot; data-end=&quot;3953&quot;&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong&gt;⚠️ Mixing with stimulants (cocaine, amphetamines):&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li data-start=&quot;3956&quot; data-end=&quot;3999&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Increased strain on heart and circulation&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4002&quot; data-end=&quot;4065&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Higher risk of panic, shortness of breath, and cardiac issues&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-start=&quot;4072&quot; data-end=&quot;4095&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Ketamine, sex &amp;amp; HIV&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;h4 data-start=&quot;4096&quot; data-end=&quot;4178&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;Ketamine is sometimes used during sex to change sensation or reduce pain. However:&lt;/span&gt;&lt;/strong&gt;&lt;/h4&gt;
&lt;ul&gt;
&lt;li data-start=&quot;4181&quot; data-end=&quot;4220&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;It can lower inhibitions and judgment&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4223&quot; data-end=&quot;4270&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;You may forget condoms or safer sex practices&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4273&quot; data-end=&quot;4324&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;This increases the risk of &lt;strong data-start=&quot;4300&quot; data-end=&quot;4322&quot;&gt;HIV and other STIs&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p data-start=&quot;4326&quot; data-end=&quot;4414&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;In vulnerable situations, intoxication can also increase the risk of &lt;strong data-start=&quot;4395&quot; data-end=&quot;4413&quot;&gt;sexual assault&lt;/strong&gt;.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;4326&quot; data-end=&quot;4414&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-start=&quot;4421&quot; data-end=&quot;4439&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Safer use tips&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;ul&gt;
&lt;li data-start=&quot;4442&quot; data-end=&quot;4470&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Don&amp;rsquo;t use high doses alone&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4473&quot; data-end=&quot;4518&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Stay in a familiar, comfortable environment&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4521&quot; data-end=&quot;4562&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Sit or lie down &amp;mdash; collapse risk is high&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4565&quot; data-end=&quot;4585&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Start low, go slow&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4588&quot; data-end=&quot;4621&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Take breaks; avoid frequent use&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4624&quot; data-end=&quot;4667&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Don&amp;rsquo;t use on a full stomach (nausea risk)&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4670&quot; data-end=&quot;4711&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Never mix with alcohol, G, or sedatives&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4714&quot; data-end=&quot;4791&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Avoid ketamine if you have heart problems, high blood pressure, or glaucoma&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-start=&quot;4798&quot; data-end=&quot;4824&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Overdose &amp;amp; emergencies&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;4825&quot; data-end=&quot;4915&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Yes &amp;mdash; &lt;strong data-start=&quot;4831&quot; data-end=&quot;4879&quot;&gt;people have overdosed and died from ketamine&lt;/strong&gt;, especially when mixing substances.&lt;/span&gt;&lt;/p&gt;
&lt;h4 data-start=&quot;4917&quot; data-end=&quot;4928&quot;&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong&gt;If someone:&lt;/strong&gt;&lt;/span&gt;&lt;/h4&gt;
&lt;ul&gt;
&lt;li data-start=&quot;4931&quot; data-end=&quot;4947&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Can&amp;rsquo;t be woken&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4950&quot; data-end=&quot;4983&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Has slow or irregular breathing&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4986&quot; data-end=&quot;5017&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Is vomiting while unconscious&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;5020&quot; data-end=&quot;5034&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Has seizures&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p data-start=&quot;5036&quot; data-end=&quot;5145&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;➡️ &lt;strong data-start=&quot;5039&quot; data-end=&quot;5078&quot;&gt;Call emergency services immediately&lt;/strong&gt;&lt;/span&gt;&lt;br data-start=&quot;5078&quot; data-end=&quot;5081&quot; /&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;➡️ Refer to &lt;strong data-start=&quot;5093&quot; data-end=&quot;5145&quot;&gt;First Aid for Party People &amp;amp; Chemsex Communities&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;5036&quot; data-end=&quot;5145&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-start=&quot;5152&quot; data-end=&quot;5192&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;If ketamine use feels out of control&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;5193&quot; data-end=&quot;5335&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;If you want to slow down, pause, or quit but feel you can&amp;rsquo;t do it alone &amp;mdash; &lt;strong data-start=&quot;5267&quot; data-end=&quot;5280&quot;&gt;reach out&lt;/strong&gt;. Support is available, and help doesn&amp;rsquo;t mean judgment.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;5337&quot; data-end=&quot;5354&quot; data-is-last-node=&quot;&quot; data-is-only-node=&quot;&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;You&amp;rsquo;re not alone.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;5337&quot; data-end=&quot;5354&quot; data-is-last-node=&quot;&quot; data-is-only-node=&quot;&quot;&gt;&amp;nbsp;&lt;/p&gt;

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