NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Supplement·Evidence index

Alcohol and Ketamine: what the published research says

PubMed indexes 8 records that name Alcohol and Ketamine together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Alcohol and Ketamine. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

8 studies naming Alcohol and Ketamine.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Safety and efficacy of ketamine for the treatment of patients with alcohol use disorder: a systematic review.

The American journal of drug and alcohol abuse · 2025 · PMID 40773768

Systematic ReviewHuman subjects605 participants

“While promising, considerable variability in dosing, therapeutic approaches, and study designs limits the certainty of evidence. Future research examining the long-term safety and efficacy of ketamine is needed.”

Rathore et al. · From the abstract

Names both Alcohol and Ketamine in its title.

The effect of intranasal (R,S)-ketamine on symptoms of fatigue in severe major depressive disorder or bipolar depression with and without comorbid alcohol use disorder: Results from a randomized, double-blind, placebo-controlled trial.

Journal of affective disorders · 2024 · PMID 39214377

Randomized Controlled Trial

“IN ketamine appears to induce rapid anti-fatigue effects in individuals with severe MDD and BDep both with and without comorbid AUD. This suggests that IN ketamine holds potential as an alternative, rapid-acting, anti-fatigue option for different medical conditions.”

Machado-Vieira et al. · Authors' conclusion

Names both Alcohol and Ketamine in its title.

Adjunctive Ketamine With Relapse Prevention-Based Psychological Therapy in the Treatment of Alcohol Use Disorder.

The American journal of psychiatry · 2022 · PMID 35012326

Randomized Controlled Trial

“This study demonstrated that treatment with three infusions of ketamine was well tolerated in patients with alcohol use disorder and was associated with more days of abstinence from alcohol at 6-month follow-up. The findings suggest a possible beneficial effect of adding psychological therapy alongside ketamine treatment.”

Grabski et al. · Authors' conclusion

Names both Alcohol and Ketamine in its title.

A new module in the drug development process: preclinical multi-center randomized controlled trial of R-ketamine on alcohol relapse.

Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025 · PMID 40021941

Animal study

“Notably, R-ketamine demonstrated a lasting reduction in alcohol consumption without adverse effects. In conclusion, our preRCT demonstrates R-ketamine's effectiveness in reducing alcohol relapse and supports translation to a clinical RCT that accounts for sex-dependent effects.”

Meinhardt et al. · From the abstract

Names both Alcohol and Ketamine in its title.

Ketamine Treatment for Alcohol Use Disorder: A Systematic Review.

Cureus · 2023 · PMID 37273364

Review

“Ketamine may be an effective therapeutic modality for people with alcohol use disorders who fail to respond to FDA-approved first-line agents. More robust clinical trials are necessary to provide a more accurate assessment of efficacy, safety profile, and dosing strategies for ketamine utilization in alcohol use disorder.”

Kelson et al. · From the abstract

Names both Alcohol and Ketamine in its title.

Therapeutic potential of ketamine for alcohol use disorder.

Neuroscience and biobehavioral reviews · 2021 · PMID 33989669

ReviewHuman subjects

“Ketamine's effect in treating depression and stress disorders, such as PTSD, and preliminary evidence for treating SUDs further suggests a role for treating AUDs. This review explores the behavioral and neural evidence for treating AUDs with ketamine and clinical data on ketamine therapy for AUDs and SUDs.”

Worrell et al. · From the abstract

Names both Alcohol and Ketamine in its title.

How much alcohol is in ketamine's antidepressant action?

Life sciences · 2017 · PMID 27836553

ReviewHuman subjects

“In essence, there are striking similarities between ketamine and alcohol particularly in terms of modulating glutamatergic and dopaminergic signaling in cortico-limbic brain areas involved in learning, reward and mood regulation, thereby, probably mediating both, AR as well as the development of addiction. Moreover, moderate amounts of both drugs have comparable immunoinhibitory effects hypothesized to be involved in AR, too.”

Bonnet · From the abstract

Names both Alcohol and Ketamine in its title.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Alcohol, Ketamine, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.