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Comparison

Ketamine vs MDMA.

Side-by-side comparison of Ketamine and MDMA — dosage, effects, duration, legal status, and key harm reduction considerations.

  • Category
    Ketamine
    dissociative
    MDMA
    empathogen
  • Chemical class
    Ketamine
    arylcyclohexylamine
    MDMA
    substituted-amphetamine
  • Common dose
    Ketamine
    50–100 mg
    MDMA
    75–125 mg
  • Peak duration
    Ketamine
    30–45 min
    MDMA
    90–150 min
  • Primary positives
    Ketamine
    Euphoria, Dissociation from body, Music and sound enhancement
    MDMA
    Euphoria, Emotional warmth and openness, Increased empathy
  • Primary negatives
    Ketamine
    Severe ataxia (loss of motor coordination) at high doses, Nausea, especially when combined with food or alcohol, K-hole (intense ego dissolution / out-of-body experience; sought by some, terrifying for others)
    MDMA
    Jaw clenching (bruxism), Dehydration or, conversely, hyponatremia from overhydration, Hyperthermia in warm environments
  • Legal (DE)
    Ketamine
    prescription-only
    MDMA
    illegal
  • Legal (NL)
    Ketamine
    schedule-1
    MDMA
    illegal-tolerated
  • Legal (US)
    Ketamine
    schedule-3
    MDMA
    schedule-1
  • Legal (UK)
    Ketamine
    class-b
    MDMA
    class-a

Key harm-reduction difference

Ketamine and MDMA differ most in their risk profiles and durations. Always research each independently before any session. If you are choosing between them based on safety alone, consult the full profiles and the interaction checker for any combinations you may be planning.

Related pages


FAQ.

Is Ketamine stronger than MDMA?
"Stronger" depends on the metric. Compare dose ranges, subjective intensity, and duration side by side above. Always factor in individual tolerance.
Can I combine Ketamine and MDMA?
Check the interaction checker for this specific pair. Many combinations carry serious risk even at low doses.
Which lasts longer, Ketamine or MDMA?
Duration varies by route. See the comparison table above for peak and total duration by the most common route.
Ketamine vs MDMA: which is safer?
Neither substance is "safe" in absolute terms. Harm is a function of dose, setting, purity, and individual factors. The comparison above covers the key risk differences.
Are Ketamine and MDMA in the same drug class?
See the category and chemical class rows above. Substances in different classes often have very different risk profiles even if subjective effects overlap.
Is Ketamine legal where MDMA is?
Legal status is substance- and jurisdiction-specific. See the legal status section for key countries.
Where can I get harm reduction info for Ketamine and MDMA?
Each substance has a full profile on this site with dosage, interactions, testing, and legal information. Follow the links at the bottom of this page.
How do I test whether my substance is Ketamine or MDMA?
Reagent testing can distinguish most substances. Check the reagent guide tool for expected color reactions for both.