Ketamine: a new view on therapeutic opportunities in psychiatric practice

This article is a review of evidence-based research in English for the past 15 years thanks to access via a database PubMed and Medline, about the new features out of claimed indications of the well-known short--acting anesthetic, ketamine. Latter being the antagonist of NMDA receptors by activating...

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Main Authors: Dorovskih, I.V., Pavlova, T.A., Scheidegger, J.M.
Format: Article
Language:English
Published: Современная терапия психических расстройств 2016-09-01
Series:Современная терапия психических расстройств
Subjects:
Online Access:http://psypharma.ru/ru/ketamin-novyy-vzglyad-na-terapevticheskie-vozmozhnosti-v-psihiatricheskoy-praktike
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author Dorovskih, I.V.
Pavlova, T.A.
Scheidegger, J.M.
author_facet Dorovskih, I.V.
Pavlova, T.A.
Scheidegger, J.M.
author_sort Dorovskih, I.V.
collection DOAJ
description This article is a review of evidence-based research in English for the past 15 years thanks to access via a database PubMed and Medline, about the new features out of claimed indications of the well-known short--acting anesthetic, ketamine. Latter being the antagonist of NMDA receptors by activating glutamatergic transmission has antidepressant effects. One intravenous infusion of 0.5 mg/kg of ketamine for 40 minutes can provide fast antidepressant effect, during the bipolar and monopolar resistant depression, especially with high risk of suicide. Instability of antidepressant effect of ketamine from a few hours to several weeks is demonstrated. It is also proved the effectiveness of ketamine in obsessive-compulsive and posttraumatic frustration. Intramuscular, oral and intranasal routes of applications are researched. Ketamin can probably serve as a therapeutic alternative in some patients with pharmacotherapy resistant depression except patients with substance abuse or a history of psychosis.
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spelling doaj.art-2f76f76f35f04c2a9ace4b1c6cc841872022-12-21T21:48:51ZengСовременная терапия психических расстройствСовременная терапия психических расстройств2306-41372016-09-0120163 (38)91510.21265/PSYPH.2016.38.355710.21265/PSYPH.2016.38.3557Ketamine: a new view on therapeutic opportunities in psychiatric practiceDorovskih, I.V.0Pavlova, T.A.1Scheidegger, J.M.2FGKI 1586-th clinical military hospital of the defense Ministry RFFGKI 1586-th clinical military hospital of the defense Ministry RFFGKI 1586Vth clinical military hospital of the defense Ministry RFThis article is a review of evidence-based research in English for the past 15 years thanks to access via a database PubMed and Medline, about the new features out of claimed indications of the well-known short--acting anesthetic, ketamine. Latter being the antagonist of NMDA receptors by activating glutamatergic transmission has antidepressant effects. One intravenous infusion of 0.5 mg/kg of ketamine for 40 minutes can provide fast antidepressant effect, during the bipolar and monopolar resistant depression, especially with high risk of suicide. Instability of antidepressant effect of ketamine from a few hours to several weeks is demonstrated. It is also proved the effectiveness of ketamine in obsessive-compulsive and posttraumatic frustration. Intramuscular, oral and intranasal routes of applications are researched. Ketamin can probably serve as a therapeutic alternative in some patients with pharmacotherapy resistant depression except patients with substance abuse or a history of psychosis.http://psypharma.ru/ru/ketamin-novyy-vzglyad-na-terapevticheskie-vozmozhnosti-v-psihiatricheskoy-praktikeкетаминглютаматергическая нейропередачатерапевтически резистентная депрессияобссесивно-компульсивное расстройствопосттравматическое расстройствоketamineglutamatergic neurotransmissiontherapy-resistant depressionobsessive-compulsive disorderpost-traumatic stress disorder
spellingShingle Dorovskih, I.V.
Pavlova, T.A.
Scheidegger, J.M.
Ketamine: a new view on therapeutic opportunities in psychiatric practice
Современная терапия психических расстройств
кетамин
глютаматергическая нейропередача
терапевтически резистентная депрессия
обссесивно-компульсивное расстройство
посттравматическое расстройство
ketamine
glutamatergic neurotransmission
therapy-resistant depression
obsessive-compulsive disorder
post-traumatic stress disorder
title Ketamine: a new view on therapeutic opportunities in psychiatric practice
title_full Ketamine: a new view on therapeutic opportunities in psychiatric practice
title_fullStr Ketamine: a new view on therapeutic opportunities in psychiatric practice
title_full_unstemmed Ketamine: a new view on therapeutic opportunities in psychiatric practice
title_short Ketamine: a new view on therapeutic opportunities in psychiatric practice
title_sort ketamine a new view on therapeutic opportunities in psychiatric practice
topic кетамин
глютаматергическая нейропередача
терапевтически резистентная депрессия
обссесивно-компульсивное расстройство
посттравматическое расстройство
ketamine
glutamatergic neurotransmission
therapy-resistant depression
obsessive-compulsive disorder
post-traumatic stress disorder
url http://psypharma.ru/ru/ketamin-novyy-vzglyad-na-terapevticheskie-vozmozhnosti-v-psihiatricheskoy-praktike
work_keys_str_mv AT dorovskihiv ketamineanewviewontherapeuticopportunitiesinpsychiatricpractice
AT pavlovata ketamineanewviewontherapeuticopportunitiesinpsychiatricpractice
AT scheideggerjm ketamineanewviewontherapeuticopportunitiesinpsychiatricpractice