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How Long Does Ketamine Stay in Your System?

How Long Does Ketamine Stay in Your System?

Table of Contents

Ketamine’s presence in the body follows a complex pattern of metabolism and elimination, with detection times varying significantly across different testing methods. Understanding these timeframes is crucial for both medical professionals and individuals subject to drug testing.

Metabolism and Half-Life

Ketamine undergoes rapid metabolism in the liver, where it’s primarily converted to norketamine, its active metabolite. The drug has a relatively short half-life of approximately 45 minutes, with complete elimination typically occurring after 4-5 half-lives, or about 10 to 12.5 hours in adults.

Detection Windows

Urine Testing
Ketamine and its metabolites can be detected in urine for varying periods:

  • Standard detection: Up to 14 days after use
  • Some cases: Up to 30 days in chronic users
    Blood Testing
  • Most effective within 24 hours of use
  • Maximum detection window: 3-4 days
    Saliva Testing
  • Detection window: 24-48 hours after use
  • Less reliable than other testing methods
    Hair Testing
  • Detection possible for up to 4 months after a single dose
  • Standard detection window: 90 days

Factors Affecting Detection Time

Several variables influence how long ketamine remains detectable in your system:
Physical Factors

  • Body mass and composition
  • Age and overall health
  • Liver and kidney function
  • Hydration levels
    Usage Patterns
  • Dosage amount
  • Frequency of use
  • Route of administration
  • Drug quality

    Metabolism Process

    Approximately 90% of ketamine is processed through the liver and excreted in urine as metabolites. The drug undergoes extensive first-pass metabolism, particularly when taken orally, resulting in only 20-30% bioavailability.

    Special Considerations

    Ketamine can interact with other medications and substances. The drug acts as a cytochrome inhibitor, which may affect its metabolism and lead to tachyphylaxis in some users. Additionally, certain medications like diazepam can increase ketamine’s plasma half-life and enhance its sedative effects.

    Testing Implications

    Standard drug panels don’t typically include ketamine testing. However, specialized tests can be ordered when ketamine use is suspected. False positives may occur with certain ketamine analogs showing up as PCP on immunoassay results.


    This comprehensive understanding of ketamine’s presence in the body is essential for healthcare providers, employers, and individuals subject to drug testing protocols. The variable detection windows across different testing methods highlight the importance of considering multiple factors when evaluating ketamine use and clearance.

    Need Help with Ketamine Dependency?

    If ketamine use is impacting your life or the life of someone you care about, Asana Recovery is here to help. Our expert team provides compassionate, evidence-based treatment tailored to your unique needs. Contact us today to take the first step toward recovery and a healthier, drug-free future.

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