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Ketamine for Treatment-Resistant Depression

The First Decade of Progress

  • Sanjay J. Mathew
  • Carlos A. Zarate, Jr.

Table of contents

  1. Front Matter
    Pages i-xix
  2. Lee C. Chang, Suman Rajagopalan, Sanjay J. Mathew
    Pages 1-12
  3. Elizabeth Wolf Fourcade, Kyle A. B. Lapidus
    Pages 13-29
  4. Elizabeth D. Ballard, Rebecca B. Price
    Pages 43-56
  5. Janusz K. Rybakowski, Agnieszka Permoda-Osip, Alicja Bartkowska-Sniatkowska
    Pages 57-71
  6. Lynnette A. Averill, James W. Murrough, Chadi G. Abdallah
    Pages 99-121
  7. Colleen K. Loo, Verònica Gálvez
    Pages 123-135

About this book

Introduction

This book brings together an international group of clinicians and researchers from a broad swath of inter-related disciplines to offer the most up-to-date information about clinical and preclinical research into ketamine and second-generation “ketamine-like” fast-acting antidepressants.

Currently available antidepressant medications act through monoaminergic systems, are ineffective for many individuals suffering from depression, and are associated with a delayed onset of peak efficacy of several months. The unexpected emergence of ketamine, an anesthetic N-methyl-D-aspartate (NMDA) receptor antagonist, as a rapid-acting antidepressant has reinvigorated CNS drug discovery research and catalyzed investigation in patient populations historically ignored in antidepressant drug development programs, particularly treatment-resistant patients and those with suicidality. Recent industry and academic research efforts have coalesced to explore NMDA receptor and glutamatergic molecular targets that lack ketamine’s psychotomimetic side effects and abuse liability but retain its rapid onset of efficacy. However, many fundamental questions remain regarding the neurobiological mechanisms underlying ketamine’s rapid antidepressant effects and the puzzling persistence of benefits observed in some patients following a single dose.

This book examines how insights from these studies are forging new conceptual models of the neurobiology of stress-related affective, anxiety, and addictive disorders and the nature of treatment resistance. It also discusses how ketamine’s rapid antidepressant effects provide a scientific platform to facilitate innovation in clinical trial designs pertaining to patient selection, choice of control group, outcome measures, and dose-optimization. This book brings together data and insights from this rapidly expanding and extraordinarily promising field of study. Readers will be able to extract integrated themes and useful insights from the material contained in these diverse chapters and appreciate the paradigm-shifting contributions of ketamine to modern psychiatry and clinical neuroscience research. 

Keywords

Alcohol and Substance Use Anhedonia Bipolar Disorder Clinical Trials Electroconvulsive Therapy Glutamate Intravenous Medication Major Depressive Disorder Neuroimaging N-methyl-D-aspartate (NMDA) Antagonist Obsessive-Compulsive Disorder Pharmacokinetics Pharmacology Pre-Clinical Studies Rapid-Acting Antidepressants Safety Suicide Treatment-Resistance

Editors and affiliations

  • Sanjay J. Mathew
    • 1
  • Carlos A. Zarate, Jr.
    • 2
  1. 1.Baylor College of Medicine and Michael E. Debakey VA Medical CenterHoustonUSA
  2. 2.National Institute of Mental Health, National Institutes of HealthBethesdaUSA

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-319-42925-0
  • Copyright Information Springer International Publishing Switzerland (outside the USA) 2016
  • Publisher Name Adis, Cham
  • eBook Packages Medicine
  • Print ISBN 978-3-319-42923-6
  • Online ISBN 978-3-319-42925-0
  • Buy this book on publisher's site