Ketamine is an established, authorised medicine in Kuwait for anaesthesia, emergency sedation and other approved clinical uses and is used in hospital emergency and peri‑operative protocols; it remains subject to strict Ministry of Health controls for prescribing, storage and reporting under the new narcotics law. Clinical usage: Kuwaiti hospital emergency and pediatric clinical protocols list ketamine for induction, sedation and emergency airway management (local emergency/pediatric clinical guidance includes ketamine dosing and indications). [1]Kuwait Emergency Pediatric Booklet 2023–2024. Regulatory framework and supply controls: Decree‑Law No. 159/2025 centralises regulation of narcotic and psychotropic substances, requires Ministry‑approved special prescription forms, tight limits on dispensing quantities and strict 24‑hour/quarterly digital inventory and reporting for healthcare facilities and pharmacies; these requirements apply to ketamine where it is controlled as a narcotic/psychotropic for supply‑chain purposes. Implementation consequences: hospitals, pharmacies and prescribers must keep original prescriptions, enter transactions into Ministry‑approved registers within 24 hours, and comply with short prescription validity and limited refill windows unless a ministerial exception is obtained. Reimbursement: public reimbursement details are not published centrally; ketamine is used in public hospitals for anaesthesia/acute care (WHO lists ketamine on the Model List of Essential Medicines, supporting its role in essential clinical services), but routine outpatient or psychopharmacological ketamine infusion programs (for psychiatric indications) would require high‑level Ministry approvals, specialised licensing and would be constrained by the new law’s dispensing and reporting regime. [2]Meysan legal note on Kuwait Narcotics Law [3]WHO Model List of Essential Medicines (2023) [1]Kuwait Emergency Pediatric Booklet 2023–2024.