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Verify Ketamine

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0

Version

1

Status

pending

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Entry นี้ยังไม่ได้ลงนามโดย key ใดเลย — Phase 0 mirror snapshot ที่รอ Thai translation + faculty signoff. ดูสถานะการ review ที่ หน้า detail

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Drug JSON

This is exactly what your browser canonicalizes + SHA-256-hashes

{
  "slug": "ketamine",
  "nameEn": "Ketamine",
  "nameTh": "คีตามีน",
  "class": "Anesthetic — dissociative (NMDA antagonist)",
  "mechanism": "ยาสลบชนิด dissociative ออกฤทธิ์ต้าน NMDA receptor ทำให้แยกการรับรู้ (dissociation) มีฤทธิ์ระงับปวด somatic; มักให้ร่วม benzodiazepine (diazepam/midazolam) เพื่อลดอาการเกร็งกล้ามเนื้อและชัก",
  "brandNamesTh": [
    "Ketalar",
    "Ketamax"
  ],
  "indications": [
    {
      "text": "นำสลบและคงสภาพสลบในสุนัขและแมว มักใช้ร่วม benzodiazepine หรือ alpha-2 agonist; ให้ฤทธิ์ระงับปวดในขนาด sub-anesthetic (CRI)",
      "cites": [
        "fda-ketaset",
        "lumb-jones-anesthesia"
      ]
    }
  ],
  "contraindications": [
    {
      "text": "ระวังในสัตว์ที่มีโรคหัวใจ (เพิ่ม heart rate + BP), ชัก, ความดันในกะโหลก/ลูกตาสูง; ในแมวที่ไตบกพร่องต้องระวังเพราะขับทางไต",
      "cites": [
        "lumb-jones-anesthesia"
      ]
    }
  ],
  "sideEffects": [
    {
      "text": "เกร็งกล้ามเนื้อและชักหากให้เดี่ยว (จึงให้ร่วม benzodiazepine), น้ำลายไหลมาก, ตาเปิดค้าง, ฟื้นแบบ rough recovery; เพิ่ม HR และความดัน",
      "cites": [
        "lumb-jones-anesthesia"
      ]
    }
  ],
  "dosages": [
    {
      "species": "canine",
      "indication": "IV induction (with benzodiazepine)",
      "route": "IV",
      "dose": "Ketamine 5–10 mg/kg IV ร่วมกับ diazepam 0.25 mg/kg IV (หรือ midazolam 0.2–0.4 mg/kg)",
      "cites": [
        "lumb-jones-anesthesia"
      ]
    },
    {
      "species": "feline",
      "indication": "IV induction (with benzodiazepine)",
      "route": "IV",
      "dose": "Ketamine 5–10 mg/kg IV ร่วมกับ benzodiazepine",
      "cites": [
        "lumb-jones-anesthesia"
      ]
    }
  ],
  "citations": [
    {
      "id": "fda-ketaset",
      "type": "package-insert",
      "title": "Ketaset (ketamine HCl) — FDA-approved veterinary label",
      "year": 2025,
      "url": "https://www.drugs.com/vet/ketaset.html",
      "note": "FDA veterinary label — dissociative anesthetic. Public FDA labeling.",
      "cid": null
    },
    {
      "id": "lumb-jones-anesthesia",
      "type": "textbook",
      "title": "Lumb & Jones Veterinary Anesthesia and Analgesia (5th ed.) — injectable agents",
      "year": 2015,
      "url": "https://veteriankey.com/anesthesia-management-of-dogs-and-cats/",
      "note": "Standard veterinary anesthesia reference for injectable-agent dosing (incl. extra-label benzodiazepine + phenothiazine use). Cited, not mirrored.",
      "cid": null
    },
    {
      "id": "dailymed-ketamine",
      "type": "regulatory-database",
      "title": "Ketamine — NLM DailyMed (FDA Structured Product Labeling)",
      "year": 2025,
      "url": "https://dailymed.nlm.nih.gov/dailymed/search.cfm?query=ketamine",
      "note": "Cross-checked source: FDA-approved labeling. Search by name returns relevant product labelings.",
      "cid": "92b1e2f5ba07a0b084381fb166409f68472ac4ed3da37482f369afc32382af96"
    },
    {
      "id": "atc-N01AX03",
      "type": "guideline",
      "title": "ATC N01AX03 — Ketamine",
      "year": 2025,
      "url": "https://www.whocc.no/atc_ddd_index/?code=N01AX03&showdescription=no",
      "note": "Cross-checked source: WHO Collaborating Centre ATC/DDD index. Authoritative drug classification.",
      "cid": "b63900d16411418343783dbd31c2d2f4fe4bbcb8ca767563d3f451e322248a20"
    },
    {
      "id": "pubchem-ketamine",
      "type": "monograph",
      "title": "Ketamine — PubChem search",
      "year": 2025,
      "url": "https://pubchem.ncbi.nlm.nih.gov/#query=Ketamine",
      "note": "Cross-checked source: chemical structure, identifiers, pharmacology summary. Faculty review fills exact CID.",
      "cid": "8c86a058e93a21cf1d2dfd7156d08c679d53cefca8b0fcd7eef44ddcb2b77181"
    },
    {
      "id": "who-eml-22",
      "type": "guideline",
      "title": "WHO Model List of Essential Medicines (22nd List, 2021)",
      "year": 2021,
      "url": "https://www.who.int/publications/i/item/WHO-MHP-HPS-EML-2021.02",
      "note": "Cross-checked source: drug appears on WHO EML — WHO recognizes its place in basic healthcare.",
      "cid": "71030c795c4e0c0cff56566bfc9ae4ed448eab9188ae68ce773a50d9f7fc53eb"
    },
    {
      "id": "wsava-anesth-2018",
      "type": "guideline",
      "title": "WSAVA Anaesthesia and Sedation Guidelines",
      "year": 2018,
      "url": "https://wsava.org/global-guidelines/",
      "note": "Cross-checked source: WSAVA framework for safe anesthesia + sedation protocols in companion animals.",
      "cid": "33d00d5e60cef25ef915e1a10bce437a52b208e15173796168c8d8868a2f1090"
    }
  ],
  "mirroredFrom": [
    {
      "id": "dailymed",
      "name": "NLM DailyMed",
      "url": "https://dailymed.nlm.nih.gov/dailymed/search.cfm?query=ketamine",
      "asOfDate": "2026-05-27",
      "license": "U.S. Government work — public domain. Attribution recommended."
    },
    {
      "id": "atc",
      "name": "WHO ATC Classification",
      "url": "https://www.whocc.no/atc_ddd_index/?code=N01AX03&showdescription=no",
      "asOfDate": "2026-05-27",
      "license": "WHO publication, free for use with attribution"
    },
    {
      "id": "pubchem",
      "name": "PubChem (NIH/NLM)",
      "url": "https://pubchem.ncbi.nlm.nih.gov/#query=Ketamine",
      "asOfDate": "2026-05-27",
      "license": "NIH/NLM public domain"
    },
    {
      "id": "who-eml",
      "name": "WHO Model List of Essential Medicines (22nd List, 2021)",
      "url": "https://www.who.int/publications/i/item/WHO-MHP-HPS-EML-2021.02",
      "asOfDate": "2026-05-27",
      "license": "CC BY-NC-SA 3.0 IGO"
    },
    {
      "id": "wsava-anesth",
      "name": "WSAVA Anaesthesia & Sedation guidelines",
      "url": "https://wsava.org/global-guidelines/",
      "asOfDate": "2026-05-27",
      "license": "Free for educational use with attribution"
    }
  ],
  "mirrorCIDs": [
    {
      "sourceId": "dailymed",
      "cid": "92b1e2f5ba07a0b084381fb166409f68472ac4ed3da37482f369afc32382af96",
      "capturedAt": "2026-05-27",
      "status": "stub"
    },
    {
      "sourceId": "atc",
      "cid": "b63900d16411418343783dbd31c2d2f4fe4bbcb8ca767563d3f451e322248a20",
      "capturedAt": "2026-05-27",
      "status": "stub"
    },
    {
      "sourceId": "pubchem",
      "cid": "8c86a058e93a21cf1d2dfd7156d08c679d53cefca8b0fcd7eef44ddcb2b77181",
      "capturedAt": "2026-05-27",
      "status": "stub"
    },
    {
      "sourceId": "who-eml",
      "cid": "71030c795c4e0c0cff56566bfc9ae4ed448eab9188ae68ce773a50d9f7fc53eb",
      "capturedAt": "2026-05-27",
      "status": "stub"
    },
    {
      "sourceId": "wsava-anesth",
      "cid": "33d00d5e60cef25ef915e1a10bce437a52b208e15173796168c8d8868a2f1090",
      "capturedAt": "2026-05-27",
      "status": "stub"
    }
  ],
  "codes": {
    "atc": {
      "code": "N01AX03",
      "name": "Ketamine",
      "level": 5
    },
    "rxnorm": {
      "cui": "6130",
      "name": "Ketamine"
    }
  },
  "drafting": {
    "aiAssisted": false,
    "aiModel": null,
    "aiPromptHash": null,
    "humanReviewer": "palmzamak2547",
    "humanReviewedAt": "2026-05-27",
    "humanEditsRatio": null
  },
  "signatures": [],
  "reviewedBy": null,
  "lastUpdated": "2026-05-27",
  "version": 1,
  "changelog": [
    {
      "version": 0,
      "date": "2026-05-27",
      "summary": "Seed entry — cross-checked from 5 authoritative sources (NLM DailyMed, WHO ATC Classification, PubChem (NIH/NLM), WHO Model List of Essential Medicines (22nd List, 2021), WSAVA Anaesthesia & Sedation guidelines). ATC N01AX03 + RxNorm 6130. Thai translation + faculty review pending."
    },
    {
      "version": 1,
      "date": "2026-05-27",
      "summary": "Clinical content compiled from cited sources — ketamine 5–10 mg/kg IV with benzodiazepine co-induction verified against FDA Ketaset label + Lumb & Jones. Every statement cited. Reviewed by palmzamak2547. Pending faculty canonical signature."
    }
  ]
}

Public keys used

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