If you’ve heard someone call ketamine a “horse tranquilizer” or compare it to drugs like heroin, you’re not alone. There’s a lot of confusion out there… Ketamine can be abused when used the wrong way. BUT what we do in a clinical setting is completely different.
At AlphaOmega Wellness, we use IV ketamine as a powerful, evidence-based treatment for depression, PTSD, and anxiety especially when other options haven’t worked. Let’s clear up the facts about ketamine’s risk of addiction and why, when used the right way, it’s considered both safe and effective for mental health.
What’s the Risk of Ketamine Abuse?
Ketamine is a Schedule III controlled substance in the U.S. That means it has valid medical uses but also some potential for misuse.
On the street, people may snort or take large amounts of ketamine for its hallucinogenic effects. This kind of use can lead to problems like:
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Tolerance (needing more to get the same effect)
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Psychological dependence
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Bladder issues or cognitive decline with frequent misuse
But here’s the key difference: recreational use is not the same as medical treatment.
What the Research Says
Lifetime misuse of ketamine is about 1% in the general population—much lower than opioids or benzodiazepines.
A 2023 review in Frontiers in Psychiatry found very low to no risk of dependence when ketamine is used in structured, clinical settings.
The World Health Organization classifies ketamine as having “moderate” abuse potential—still much lower than many prescription drugs.
When ketamine is given at low doses, under supervision, and not taken daily, the risk of addiction is very low.
Healing vs. Escaping
Addiction often starts as a way to numb pain or escape reality. But our goal isn’t to escape, it’s to heal.
At AlphaOmega, ketamine therapy is:
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Given in a peaceful, professional setting
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Carefully dosed by trained medical providers
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Supported with therapy, coaching, or integration
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Used intermittently, not every day
Our patients don’t want to “feel high.” They want to feel like themselves again and this therapy gives many their first real breakthrough.
The Bottom Line
Yes, ketamine has some potential for misuse just like many other helpful medications. But when used responsibly and with medical support, it’s a safe and life-changing option for people with treatment-resistant depression, PTSD, or anxiety.
This isn’t about escape.
It’s about getting your life back.
👉 Book a free consultation to see if IV ketamine therapy is right for you or someone you love.

What about someone who has liver cancer: Is it still safe for me to take ketamine.?
Great question. Ketamine is primarily metabolized by the liver, so if someone has liver cancer or impaired liver function, it’s important to proceed with caution. We would need to evaluate your liver function labs and coordinate with your oncology team.