Hi Red,

I am sorry you aren't feeling well but try not to worry too much. I had an increase in what I call "circulatory flare" the first couple of times. I recently learned that ketamine has several modes of action that are unrelated. It is a sympathomimetic so it stimulates the sympathetic system...Which is counterintuitive for us. I can see where that might ramp things up. The NMDA blockade is responsible for the pain relief. Hopefully, things will settle soon and you can tell what is what.

Is it your arm that had the IV that hurts? You might try lidocaine at the site if it is bothering you.

I hope you feel better soon. Sending hugs,