• Psychopharmacology · Mar 2013

    Clinical Trial

    Cognitive effects of intramuscular ketamine and oral triazolam in healthy volunteers.

    • Lawrence P Carter, Bethea A Kleykamp, Roland R Griffiths, and Miriam Z Mintzer.
    • Department of Pharmacology and Toxicology, University of Arkansas for Medical Sciences, 4301 W. Markham Street, Little Rock, AR 72205, USA.
    • Psychopharmacology (Berl.). 2013 Mar 1; 226 (1): 53-63.

    RationaleSeveral studies have documented impairments in memory processes as a result of ketamine administration; however, few studies have compared the profile of cognitive effects of ketamine to other drugs.ObjectivesThe aim of this study was to compare the cognitive effects of ketamine with those of triazolam in healthy volunteers.MethodsDoses of ketamine (0.2, 0.4 mg/kg intramuscular (i.m.)), triazolam (0.2, 0.4 mg/70 kg p.o.), and double-dummy placebos were administered to 20 volunteers under repeated measures, counterbalanced, double-blind conditions. Peak physiological, psychomotor, subjective, and cognitive effects were examined.ResultsKetamine impaired balance when balance was assessed early in the task order, whereas triazolam impaired psychomotor coordination and divided attention irrespective of task order. Triazolam also tended to produce greater effects on working memory and episodic memory tasks than ketamine at doses that produced lower subjective effects and higher estimates of performance.ConclusionsKetamine produces less cognitive impairment than triazolam at doses that produced greater subjective effects. Thus ketamine does not produce the underestimation of cognitive impairment typically seen with triazolam.

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