“…Since the potent, fast-acting (as well as easily reversible) inhibitory effects observed here with ketamine take place with similar concentrations of the amine-anaesthetic, it seems reasonable to suggest that the initial fall in blood pressure, at least in the rat, is due, at least in part, to a direct action of ketamine on vascular smooth muscle. Although it has been suggested by several workers that either actions on the sympathetic nervous system (Chang et al, 1969;Traber & Wilson, 1969) or a cocaine-like action of ketamine on vascular muscle (Montel, Starke, Gorlitz & Schumann, 1973;Nedergaard, 1973) may account for its pressor activity in several mammalian species, recent experiments by and Clanachan, McGrath & MacKenzie (1976), using pithed rats, a-adrenoceptor blocking agents, depletion of tissue noradrenaline and adrenalectomy would seem to eliminate mediation by either liberation of catecholamines or action on adrenergic vascular neuroeffectors, at least for the rat. Our results demonstrating a unique, and specific, potentiation by ketamine of 5-HT-induced contractile responses could, however, explain the secondary peripherally-mediated pressor response observed in the rat, after ketamine administration and possibly for other mammals as well.…”