Next generation antidepressants with novel mechanisms for treatment resistant depression.
Progress in brain research – January 01, 2023
Source: PubMed
Summary
Breakthrough treatments like ketamine and psilocybin are revolutionizing depression care by rapidly altering brain chemistry and consciousness. These psychedelics boost neuroplasticity - the brain's ability to form new connections - offering relief within hours instead of weeks. Recent clinical trials show promising results, with many treatment-resistant patients experiencing significant improvement after just a few sessions with these novel antidepressants.
Abstract
Evidence has suggested that the modulation of N-methyl-d-aspartate receptors (NMDARs) and 5-hydroxytryptamine receptors (5-HTRs) via the psychedelic drugs, such as ketamine and psilocybin, rapidly alters the state of consciousness and the neuroplasticity. The United State Food and Drug Administration approved the indications of esketamine for treatment-resistant depression (TRD) in 2019 and major depressive disorder with suicidal ideation in 2020. The phase 2 clinical trials also discovered the rapid and sustained antidepressant effects of psilocybin among patients with TRD. In this chapter, we discussed the complex among the consciousness, neuroplasticity, and novel rapid-acting antidepressants and their possible neuromechanisms.