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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 DOI: 10.1002/ccr3.6675

Summary

AI-generated from the abstract

A single patient with severe treatment-resistant depression received maintenance therapy with very low-dose subcutaneous ketamine, following initial improvement with intravenous ketamine. A retrospective chart review showed that this approach sustained the antidepressant response without significant side effects, suggesting a potential alternative maintenance strategy for patients who respond to intravenous ketamine but require ongoing treatment.

Study at a glance

Characteristics Case report Peer reviewed
Sample size 1
Population Patient with severe treatment-resistant depression
Intervention subcutaneous ketamine
Dose very low-dose
Citations 6
Key finding Very low-dose subcutaneous ketamine maintenance therapy sustained antidepressant response in 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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