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Ayahuasca vs Ketamine

A side-by-side research comparison of Ayahuasca and Ketamine across mechanism, dosing, half-life, benefits, side effects and research status.

Comparison table

AttributeAyahuascaKetamine
Full nameAyahuasca (DMT + MAO inhibitor brew)Ketamine (and esketamine)
CategoryPsychedelicsPsychedelics
StatusTraditional/ceremonial; research compoundSchedule III; esketamine FDA-approved for depression
MechanismThe MAO-inhibiting vine (harmine and related compounds) stops the body from breaking down DMT, allowing an oral psychedelic experience that activates serotonin 5-HT2A receptors.Blocks NMDA glutamate receptors, which is thought to quickly boost synaptic connections and lift mood. This is a different pathway from classic serotonin psychedelics.
Molecular weightMixture (no single value)237.73 g/mol
Half-lifeSeveral hours (extended by MAO inhibition)~2-3 hours
BioavailabilityOralIV, intramuscular, nasal, oral (varies)
Typical doseBrew-based, varies by preparationLow sub-anesthetic doses for depression (clinic-administered)
FrequencyCeremonial or occasional study sessionsA series of supervised sessions
RouteOral brewIV infusion, intramuscular, or nasal spray (esketamine)

Ayahuasca reported benefits

  • Studied for treatment-resistant depression
  • Explored for grief and trauma
  • Long history of ceremonial use
  • May produce lasting shifts in outlook

Ketamine reported benefits

  • Rapid relief from treatment-resistant depression
  • FDA-approved option (esketamine) exists
  • Can reduce suicidal thoughts quickly
  • Useful when other antidepressants fail

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Research and educational reference only. Not medical advice.