MDMA and Ketamine
'Kitty flip' - mind the disorientation.
Why this happens
Low physical toxicity together, but heavy disorientation and reduced coordination raise the risk of falls and bad decisions. Go low and slow.
What this means in practice
Not among the most dangerous mixes, but it stacks risks. Keep doses low, stay cool and hydrated, and keep checking in on how you feel.
Information, not medical advice. Threshold does not promote or encourage MDMA use. This exists so that people who make their own choices can make safer, better-informed ones. It is not a substitute for professional care.
Sources
- Club drugs: MDMA, gamma-hydroxybutyrate (GHB), Rohypnol, and ketamine - American Family Physician (2004)
- Acute toxic effects of 'Ecstasy' (MDMA) and related compounds: overview of pathophysiology and clinical management - British Journal of Anaesthesia (2006)