Safety Center
Ketamine and High Blood Pressure
Ketamine acutely raises blood pressure. Well-controlled hypertension is usually compatible; uncontrolled hypertension is not.
Medically reviewed by: Pending medical review(draft)Last updated: June 6, 2026Evidence: APA consensus 2017; FDA esketamine REMS
What clinics monitor
- Baseline BP and pulse at check-in.
- BP every 10–15 minutes during the session.
- Pre-defined thresholds for pausing or treating elevated BP.
- Discharge after BP returns toward baseline.
Coordinate with your physicians
Bring a recent BP log. Continue your antihypertensive medications as prescribed unless your clinician advises otherwise.
Related reading
Educational content only. Not medical advice. Discuss any treatment decisions with a qualified clinician.
Educational use only. The content on this page is provided for general educational purposes and does not constitute medical advice, diagnosis, or treatment. Ketamine and related therapies carry risks and are appropriate only under qualified medical supervision. Always consult a licensed healthcare professional about your individual situation. Information may change as research evolves.