Antidepressant Effects of Nitrous Oxide in Major Depressive Disorder: A Phase 2b Randomized Clinical Trial.
Biological psychiatry global open science July 1, 2025 Paul S Myles, Jayashri Kulkarni, Jessica Kasza et al.
In a phase 2b randomized, double-blind trial, 81 adults with major depressive disorder received either nitrous oxide (at 25% or 50% inspired concentration) or an oxygen/air control across four weekly one-hour sessions, with four additional weeks of follow-up. The primary outcome, change in Hamilton Depression Rating Scale scores over the four treatment weeks, was lower with nitrous oxide than control (mean difference -1.9, 95% CI -3.9 to 0.0, p = .051), a result that did not reach conventional statistical significance. However, in the first week, 38% of the nitrous oxide group versus 13% of the control group achieved remission (p = .031). Secondary measures of depression and suicidality also favored nitrous oxide. The findings suggest nitrous oxide likely has beneficial antidepressant effects.