Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
6234860 | Journal of Affective Disorders | 2013 | 5 Pages |
BackgroundAcute administration of subanesthestic doses of intravenous ketamine have been shown to elicit a rapid antidepressant response in patients with treatment-resistant depression. However, it remains to be seen if repeated doses over a longer period of time will have the same effects. Here, we assess the long-term efficacy of repeated intravenous ketamine infusions in three patients with high treatment-resistant depression via a naturalistic observation study.MethodThree patients consented to intravenous ketamine infusions as a therapy for their treatment-resistant depression. Patients were administered ketamine at 0.5Â mg/kg of ideal body weight over 40Â min followed by a saline flush until discharge. Severity of depressive symptoms was rated with the Montgomery-Asberg Depression Rating Scale.ResultsAll three patients responded to the ketamine infusions, but each went through an individualized course of treatment based on their own response.LimitationsThis was an open-label naturalistic observation without blinding, randomization, or a placebo control.ConclusionsThese cases add to the literature supporting the therapeutic effect of low-dose repeated intravenous ketamine for patients with treatment-resistant depression. Further study is needed to define the risks, benefits, indications, and contraindications of this potential treatment.