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Effects of cannabis use on antidepressant treatment response to repetitive transcranial magnetic stimulation and ketamine

Mohammad Ali Shenasa, Houtan Totonchi Afshar, Eric A. Miller, Em Ellerman-Tayag, Jyoti Mishra, Dhakshin Ramanathan

medRxiv Preprint Server June 28, 2023 preprint DOI: 10.1101/2023.06.28.23291446 via medRxiv

Summary

AI-generated from the abstract

Cannabis use may weaken the antidepressant effects of ketamine and repetitive transcranial magnetic stimulation (rTMS). The antidepressant effects of these treatments rely on long-term potentiation and synaptic plasticity, but cannabis activates CB1 receptors, which can impair synaptic plasticity. This suggests that cannabis use might reduce the effectiveness of ketamine and rTMS for depression treatment.

Study at a glance

Characteristics Theoretical or philosophical paper
Topics Cannabis
Keywords Cannabis use Substance use Depression treatment Depression therapy
Key finding Cannabis use might moderate the antidepressant effects of ketamine and rTMS by impairing synaptic plasticity.

Abstract

Background The antidepressant effects of ketamine and repetitive transcranial magnetic stimulation (rTMS) are hypothesized to rely on mechanisms of long-term-potentiation and synaptic plasticity. Cannabis, via activation of CB1 receptors has been shown to impair synaptic plasticity, suggesting that cannabis use might moderate the antidepressant effects of ketamine and/or rTMS.

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