Antidepressant effects of ketamine in depressed patients.

Abstract:

BACKGROUND:A growing body of preclinical research suggests that brain glutamate systems may be involved in the pathophysiology of major depression and the mechanism of action of antidepressants. This is the first placebo-controlled, double-blinded trial to assess the treatment effects of a single dose of an N-methyl-D-aspartate (NMDA) receptor antagonist in patients with depression. METHODS:Seven subjects with major depression completed 2 test days that involved intravenous treatment with ketamine hydrochloride (.5 mg/kg) or saline solutions under randomized, double-blind conditions. RESULTS:Subjects with depression evidenced significant improvement in depressive symptoms within 72 hours after ketamine but not placebo infusion (i.e., mean 25-item Hamilton Depression Rating Scale scores decreased by 14 +/- SD 10 points vs. 0 +/- 12 points, respectively during active and sham treatment). CONCLUSIONS:These results suggest a potential role for NMDA receptor-modulating drugs in the treatment of depression.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Berman RM,Cappiello A,Anand A,Oren DA,Heninger GR,Charney DS,Krystal JH

doi

10.1016/s0006-3223(99)00230-9

subject

Has Abstract

pub_date

2000-02-15 00:00:00

pages

351-4

issue

4

eissn

0006-3223

issn

1873-2402

pii

S0006-3223(99)00230-9

journal_volume

47

pub_type

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