Ketamine or Phencyclidine

John M. Rainey Jr., MD, PhD; Miles K. Crowder, MD
JAMA. 1974;230(6):824. doi:10.1001/jama.1974.03240060014014.
Text Size: A A A
Published online

To the Editor.—  In a recent issue (229:763, 1974), Shaffer describes a series of cases characterized by anesthesia, analgesia, nystagmus, dizziness, diplopia, visual distortions, and psychosis. These findings were attributed to ketamine, a derivative of phencyclidine. Phencyclidine is a major component of street drug preparations.1 In one series, phencyclidine was detected in 184 of 237 street drug samples.2 In liquid form, phencyclidine is sprayed on marihuana, parsley, oregano, or other plant leaves and sold as "angel dust." As a powder, it is marketed as phencyclidine or "peace pills."3 It is frequently sold as LSD, mescaline, psilocybin, cocaine, 3, 4 - methylenedioxyamphetamine (MDA), tetrahydrocannabinol, and other more "attractive" drugs. Or it may be mixed with these agents.2,3Both ketamine and phencyclidine are sympathomimetic anesthetics.4 However, phencyclidine is a much more potent hallucinogen.4-6The abuse of these compounds is a massive and generally unrecognized problem. Recently, 41


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.