Using Oral and Intranasal Dosage Forms of Ketamine for Managing Treatment-Resistant Depression: A Review of the Literature

A lack of effective treatment for patients with treatment-resistant depression (TRD) has led to the evaluation of ketamine, an N-methyl- D-aspartate receptor antagonist. Despite the demonstrated short-term benefits of using intravenous (IV) ketamine, side effects and the difficulty in administering...

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Main Authors: Patrick Arthur Twohig, Vaughn Huckfeldt
Format: Article
Language:English
Published: University Library System, University of Pittsburgh 2016-07-01
Series:International Journal of Medical Students
Subjects:
Online Access:http://ijms.info/IJMS/article/view/153
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author Patrick Arthur Twohig
Vaughn Huckfeldt
author_facet Patrick Arthur Twohig
Vaughn Huckfeldt
author_sort Patrick Arthur Twohig
collection DOAJ
description A lack of effective treatment for patients with treatment-resistant depression (TRD) has led to the evaluation of ketamine, an N-methyl- D-aspartate receptor antagonist. Despite the demonstrated short-term benefits of using intravenous (IV) ketamine, side effects and the difficulty in administering ketamine outside the health-care setting has raised interest in alternative dosage forms. Research articles evaluating oral or intranasal (IN) ketamine were retrieved from the PubMed database. Patients who received oral or IN ketamine experienced a similar reduction in depressive symptoms within 24 hours of treatment and fewer side effects compared to patients who received IV ketamine. Novel administration forms of ketamine provide an opportunity for patients with TRD to achieve remission with fewer adverse side effects. Future studies should continue to evaluate these administration strategies in the hope of promoting ketamine’s use outside health-care settings and for longer time periods.
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spelling doaj.art-27546f51c60547faa4f554c46d4f2fe32023-09-02T02:19:36ZengUniversity Library System, University of PittsburghInternational Journal of Medical Students2076-63272016-07-0142647110.5195/ijms.2016.153153Using Oral and Intranasal Dosage Forms of Ketamine for Managing Treatment-Resistant Depression: A Review of the LiteraturePatrick Arthur Twohig0Vaughn Huckfeldt1Saba University School of Medicine, Caribbean Netherlands.Saba University School of Medicine, Caribbean Netherlands.A lack of effective treatment for patients with treatment-resistant depression (TRD) has led to the evaluation of ketamine, an N-methyl- D-aspartate receptor antagonist. Despite the demonstrated short-term benefits of using intravenous (IV) ketamine, side effects and the difficulty in administering ketamine outside the health-care setting has raised interest in alternative dosage forms. Research articles evaluating oral or intranasal (IN) ketamine were retrieved from the PubMed database. Patients who received oral or IN ketamine experienced a similar reduction in depressive symptoms within 24 hours of treatment and fewer side effects compared to patients who received IV ketamine. Novel administration forms of ketamine provide an opportunity for patients with TRD to achieve remission with fewer adverse side effects. Future studies should continue to evaluate these administration strategies in the hope of promoting ketamine’s use outside health-care settings and for longer time periods.http://ijms.info/IJMS/article/view/153ketaminedepressive disordertreatment-resistantadministrationoraladministration, intranasalintravenous
spellingShingle Patrick Arthur Twohig
Vaughn Huckfeldt
Using Oral and Intranasal Dosage Forms of Ketamine for Managing Treatment-Resistant Depression: A Review of the Literature
International Journal of Medical Students
ketamine
depressive disorder
treatment-resistant
administration
oral
administration, intranasal
intravenous
title Using Oral and Intranasal Dosage Forms of Ketamine for Managing Treatment-Resistant Depression: A Review of the Literature
title_full Using Oral and Intranasal Dosage Forms of Ketamine for Managing Treatment-Resistant Depression: A Review of the Literature
title_fullStr Using Oral and Intranasal Dosage Forms of Ketamine for Managing Treatment-Resistant Depression: A Review of the Literature
title_full_unstemmed Using Oral and Intranasal Dosage Forms of Ketamine for Managing Treatment-Resistant Depression: A Review of the Literature
title_short Using Oral and Intranasal Dosage Forms of Ketamine for Managing Treatment-Resistant Depression: A Review of the Literature
title_sort using oral and intranasal dosage forms of ketamine for managing treatment resistant depression a review of the literature
topic ketamine
depressive disorder
treatment-resistant
administration
oral
administration, intranasal
intravenous
url http://ijms.info/IJMS/article/view/153
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