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Use of ketamine for treatment resistant depression

Updated review of literature and practical applications to a community ketamine program in Edmonton, Alberta, Canada

Bibliographic Data

ID15517826
AuthorsCarson Chrenek (University of Alberta, corresponding author), Bryan Duong (University of Alberta Hospital), Atul Khullar (Grey Nuns Community Hospital), Chris McRee (Grey Nuns Community Hospital), Rejish K Thomas (0000-0002-7082-4457, Grey Nuns Community Hospital), Rejish Thomas, Jennifer Swainson (0000-0002-6071-1395, University of Alberta, corresponding author)
Year2024
Volume14
Pages1283733-1283733
Publication date2024-01-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2023.1283733
PMID38260793
OpenAlexW4390664715
LanguageEN
References cited90

Evidence for the use of ketamine in resistant depression has grown in recent years, with evolving data to support and direct its clinical use. There is an increasing body of evidence to guide judicious use of ketamine in various clinical circumstances, for a population of patients with a high burden of suffering and morbidity. While large-scale, randomized controlled trials, comparative studies, and longer-term treatment outcomes is lacking, this community case study illustrates that currently available evidence can be applied to real-world clinical settings with complex patients. As cost is often a significant barrier to accessing initial and/or maintenance IV or esketamine treatments, public ketamine programs may incorporate SL or IN ketamine to support a sustainable and accessible treatment model. Three of such models are described

Adverse effect · Depression (economics · Dosing · Intensive care medicine · Ketamine · Major depressive disorder · Mood · Psychiatry · Tolerability · Treatment-resistant depression · Bipolar Disorder and Treatment · Medicine · Treatment of Major Depression · Tryptophan and brain disorders · Pharmacology

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    Open Access•Georgios Mikellides, Panayiota Michael et al.•Frontiers in Psychiatry•2022

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Highly citedNo

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