Would it be bad to consume bicarbonate with ketamine?
The pKa is 7.5 for ketamine and one random study I cherry picked a figure from using Google images showed that urine pH can reach 8.1 or so after pre treatment with bicarbonate. It may be likely that unmetabolized ketamine could reabsorb through the bladder in a basified state. Is it right to think that would increase bladder exposure to the drug due to futile cycling?
I don't think the toxicity is from acidity, but would there be any benefit to the buffering ability of the bicarbonate ion?
The pKa is 7.5 for ketamine and one random study I cherry picked a figure from using Google images showed that urine pH can reach 8.1 or so after pre treatment with bicarbonate. It may be likely that unmetabolized ketamine could reabsorb through the bladder in a basified state. Is it right to think that would increase bladder exposure to the drug due to futile cycling?
I don't think the toxicity is from acidity, but would there be any benefit to the buffering ability of the bicarbonate ion?