Table 1.
Authors | Year | Design | Sample | NMDA Antagonist |
Dose | Perceptual Findings |
---|---|---|---|---|---|---|
Luby et al.[1] | 1959 | Non-placebo-controlled PCP administration | 9 TD; 9 SZ |
Phencyclidine (PCP) | 0.1mg/kg IV for 12 mins | Perceived limb lengthening; feelings of flying; complete change in setting to past experience; “sensory experiences were overvalued if not eroticized”; mild diminution in auditory and visual acuity |
Lawes[7] | 1963 | 2×3 dosage group vs. environmental stimulation level | 8 TD | Phencyclidine (PCP) |
Group A (N = 5): 5mg PO Group B (N = 3): 10mg PO |
Amplification or alteration of quality of sounds, sharpening of vision, room expansion; body “lightness”; dose-response relationship observed |
Oye [60] | 1992 | Double-blind crossover with 4 doses of 2 enantiomers, 2 placebo doses | 6 TD | Ketamine |
(S)-ketamine: 0.05, 0.1,0.15,0.2 mg/kg IV (R)-ketamine: 0.2, 0.4,0.6,0.8 mg/kg IV |
Blurred vision, visual field narrowing; preoccupation with irrelevant environmental stimuli; sound amplification |
Krystal et al.[2] | 1994 | Double-blind placebo-controlled 2-dose level crossover | 19 TD | Ketamine |
Low dose: 0.1mg/kg IV High dose: 0.5mg/kg IV |
Increased perceived intensity or closeness within a discrete spatial field; no outright hallucinations noted |
Vollenweider et al. [41] | 1997 | Within-subject placebo controlled counterbalanced | 10 TD | Ketamine | Loading dose of 15mg IV racemic ketamine followed by continuous infusion 0.014–0.02mg/kg/min | Visual illusions as well as complex hallucinations present with (S)-ketamine administration; auditory hyperacusis but no hallucinations noted |
Bowdle et al.[11] | 1998 | Single-blind placebo-controlled crossover | 10 TD | Ketamine | IV administration set to keep plasma concentration at 0, 50, 100, 150, 200ng/ml in progressive steps | Hallucinations as rated on a visual analogue scale (“I heard voices or sounds that were not real”) differed significantly between ketamine and saline and correlated with plasma concentration; these experiences not described further. |
Newcomer et al.[10] | 1999 | Double-blind placebo-controlled 3-dose level | 15 TD | Ketamine |
Loading: 0.27 mg/kg, 0.081 mg/kg, 0.0243 mg/kg IV Maintenance: 0.00225 mg/kg/min, 0.000675 mg/kg/min, and 0.0002025 mg/kg/min |
Visual distortions (e.g., hands perceived as shrunken, “shadow of a body falling” noted in window); no outright hallucinations noted |
Lahti et al.[40] | 2001 | 2×2 Group by placebo vs. drug crossover | 18 TD; 17 SZ |
Ketamine | 0.3mg/kg IV | Formed auditory hallucinations (e.g., articulated voices) in SZ subjects (despite low levels of positive symptoms outside drug administration), and in a minority of TD subjects; visual and olfactory hallucinations in both groups |
Gouzoulis et al. | 2005 | Double-blind 2-drug, 2-dose crossover | 15 TD | Ketamine and N,N-dimethyltryptamine (DMT) |
Ketamine: 0.1mg/kg IV (Low) and 0.2mg/kg IV (High) DMT: 0.15mg/kg (Low) and 0.3mg/kg(High) |
Limb lengthening and other somatic distortions; visual hallucinations present in 1 subject on ketamine; auditory distortions but no hallucinations reported. DMT with more pronounced visual and auditory phenomena, and musical hallucinations and whispers occurred in 2 cases; visual hallucinations on DMT were present in all subjects at high dose levels |
Pamarol-Clotet et al.[8] | 2006 | Experimental case series for phenomenological description | 15 TD | Ketamine | IV administration set to keep plasma concentration at 100ng/ml, then 200ng/ml | Increased sensitivity to noise and increased brightness of colors; loss of visual depth perception; alterations of perceived size, shape, or position of body parts; one participant reported sensing the presence of more people than were visibly present and hearing voices that were unable to be accounted for by those present. |