Ketamine Depression

Not all patients respond to ketamine. As variations in dose have not been studied so far, research is needed to determine whether higher or lower doses of the drug elicit antidepressant response in patients who fail to respond to the usual dose of 0.5 mg/kg




Another possibility in treatment failures is to consider repeated sessions of ketamine, such as at once-daily frequency, as is done in a course of electroconvulsive therapy. Strategies to maintain treatment response need to be identified for those who respond to the treatment; maintenance antidepressant pharmacotherapy or maintenance ketamine sessions are possibilities that spring to mind.

A good book for a better understanding of Ketamine is: Ketamine: Dreams and Realities

Because of its hallucinogenic side effects, ketamine is unlikely to become a widely used antidepressant. But now researchers think they have discovered how ketamine exerts its fast-acting effect. Several pharmaceutical companies are already developing compounds that target this mechanism, one of which will be tested at the NIMH within the next few months.


Ketamine is a chiral drug with R and S enantiomers. S-ketamine has greater affinity for the phencyclidine binding site on the NMDA receptor; S-ketamine is also three times more potent an anesthetic and two times more potent an analgesic than R-ketamine.