‘I started ketamine at 14 and needed nappies at 22’

• Ketamine use can cause severe lower urinary tract symptoms and musculoskeletal complications, with younger users at risk of long-term disability requiring early intervention
• Chronic ketamine abuse may result in profound functional impairment affecting continence and mobility, potentially requiring dependency aids in young adults
• Clinicians should screen for ketamine use in young patients presenting with unexplained lower urinary tract dysfunction, chronic pain, or postural abnormalities to enable early treatment and harm reduction

For the last two years Megan has been in agony and unable to stand straight because of her ketamine use.

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