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Hope for Treatment-Resistant Depression: Subcutaneous Ketamine Injections

Writer: Professor MoosaProfessor Moosa

If you or someone you know has struggled with treatment-resistant depression (TRD), there might be a glimmer of hope on the horizon. Recent research conducted in Australia and New Zealand has explored the potential of subcutaneous ketamine injections as a treatment option for TRD. This exciting study, known as the KADS study, aimed to evaluate the effectiveness and safety of a four-week course of repeated ketamine injections.


Study Details and Findings:

The KADS study was a double-blind, randomized, and controlled trial involving participants with TRD. They received subcutaneous injections of either ketamine or a comparison medication called midazolam twice a week for four weeks. The study was divided into two cohorts, with the second cohort receiving flexible doses based on their individual responses.


The results of the study were encouraging. In the flexible-dose cohort, ketamine was found to be more effective than midazolam in achieving remission from depression. A remission rate of 19.6% was observed for the ketamine group, compared to only 2.0% for the midazolam group. However, the fixed-dose cohort did not show significant differences between ketamine and midazolam.


It is also worth noting that the subcutaneous ketamine injections were well-tolerated by participants, with any side effects, such as temporary changes in blood pressure or psychotomimetic effects, resolving within two hours.


Conclusion:

This groundbreaking study provides promising evidence that subcutaneous ketamine injections could be an effective and safe treatment option for individuals with TRD. The findings offer hope to those who have not responded to traditional antidepressant therapies. The subcutaneous route of administration was found to be practical and feasible, further enhancing the potential of ketamine as a treatment option.


While more research is needed to fully understand the long-term effects and optimal dosing strategies, the results of the KADS study open doors to new possibilities in the field of depression treatment. For individuals struggling with TRD, these findings bring renewed hope for a brighter future.


 
 

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