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If taking ketamine recreationally, how can people be as safe as possible? The first thing is to do this with someone you trust—someone who could help you should you get into trouble. If you end up getting laryngospasm, you need someone OK with giving you mouth-to-mouth resuscitation.If you have an emergence reaction—where you wake up in an agitated state—you need someone there who you can trust to help bring you back down and get you to a safe place.