Ketamine decreases alcohol intake in high-alcohol intake male rats while increasing it in low-alcohol intake females. a, b, Alcohol intake (g/kg/24 h) over a 10 week period, with self-administration of ketamine or saline occurring from week 4 to 7 (indicated by shaded rectangles). a, In high-alcohol intake male rats, self-administration of ketamine (n = 8) blocks the escalation in alcohol intake observed in saline rats (n = 7). Ketamine had no effect on high-alcohol intake female rats (Sal, n = 7; Ket, n = 8). b, In low-alcohol intake male rats, ketamine had no effect on alcohol intake (Sal, n = 8; Ket, n = 8). In low-alcohol intake female rats, ketamine self-administration enhanced alcohol intake compared with saline from session 19 (week 7) to 28 (week 9; Sal, n = 8; Ket, n = 8). *p < 0.05. Data are expressed as the mean ± SEM alcohol preference. *, #p < 0.05; symbols represent either within- or between-sex differences (indicated on Fig. 5a,b), ****p < 0.0001.