Ketamine and rapid-acting antidepressants: a window into a new neurobiology for mood disorder therapeutics.

Abstract:

:Ketamine is the prototype for a new generation of glutamate-based antidepressants that rapidly alleviate depression within hours of treatment. Over the past decade, there has been replicated evidence demonstrating the rapid and potent antidepressant effects of ketamine in treatment-resistant depression. Moreover, preclinical and biomarker studies have begun to elucidate the mechanism underlying the rapid antidepressant effects of ketamine, offering a new window into the biology of depression and identifying a plethora of potential treatment targets. This article discusses the efficacy, safety, and tolerability of ketamine, summarizes the neurobiology of depression, reviews the mechanisms underlying the rapid antidepressant effects of ketamine, and discusses the prospects for next-generation rapid-acting antidepressants.

journal_name

Annu Rev Med

authors

Abdallah CG,Sanacora G,Duman RS,Krystal JH

doi

10.1146/annurev-med-053013-062946

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

509-23

eissn

0066-4219

issn

1545-326X

journal_volume

66

pub_type

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