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A unique case of very low‐dose subcutaneous ketamine use: Maintenance option of ketamine for treatment‐resistant depression

Adem T. Can, Daniel F. Hermens, Jim Lagopoulos

Clinical Case Reports December 1, 2022 Peer reviewed DOI: 10.1002/ccr3.6675

Summary

A case report details the use of very low-dose subcutaneous ketamine as maintenance treatment for a patient with severe treatment-resistant depression. This approach follows numerous studies showing that low-dose subanesthetic intravenous ketamine infusions can rapidly improve symptoms in similar patients. The findings suggest that alternative routes of administration may be beneficial for maintaining treatment effects.

Study at a glance

Design case study
Population one patient with severe treatment-resistant depression
Key finding Very low-dose subcutaneous ketamine was used as maintenance treatment for a patient with severe treatment-resistant depression.

Abstract

Abstract Numerous studies have demonstrated that low‐dose subanesthetic intravenous ketamine infusion treatment leads to rapid improvement of treatment‐resistant depression. The following case report describes the use of a very low‐dose subcutaneous ketamine as a form of maintenance in a patient with severe treatment‐resistant depression using a retrospective chart review.

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