Previous Next

Physicochemical Characteristics

Ketamine ( Fig. 10-20 ) has a molecular weight of 238 kd, is partially water soluble, and forms a white crystalline salt with a negative log of the acid ionization constant (pKa ) of 7.5.[285] [444] It has a lipid solubility 5 to 10 times that of thiopental.[445] Ketamine is prepared in a slightly acidic (pH 3.5 to 5.5) solution, and the racemic mixture comes in concentrations of 10-, 50-, and 100-mg ketamine base per milliliter of sodium chloride solution containing the preservative benzethonium chloride. The ketamine


346
molecule contains a chiral center and therefore occurs as two resolvable optical isomers or enantiomers. The commercial racemic preparation is a mixture of both enantiomers [S-(+) and R-(-)] in equal amounts.[444] S-(+)-ketamine is available in 5- and 25-mg/mL concentrations.

Previous Next