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Erschienen in: Journal of Neural Transmission 5/2016

31.12.2015 | Psychiatry and Preclinical Psychiatric Studies - Short communication

Treatment escalation in patients not responding to pharmacotherapy, psychotherapy, and electro-convulsive therapy: experiences from a novel regimen using intravenous S-ketamine as add-on therapy in treatment-resistant depression

verfasst von: Bernd Kallmünzer, Bastian Volbers, Anne Karthaus, Ozan Yüksel Tektas, Johannes Kornhuber, Helge H. Müller

Erschienen in: Journal of Neural Transmission | Ausgabe 5/2016

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Abstract

A lack of response despite maximum therapy is common in patients fulfilling criteria of treatment-resistant depression. Therefore, innovative strategies for treatment escalation are warranted. Here, we report the clinical experiences associated with a novel therapeutic regimen combining electroconvulsive therapy and repeated intravenous S-ketamine treatment in three patients. The combined therapy was feasible and had no serious side effects. All patients responded to the new treatment option. The augmentative effect of sub-anesthetic S-ketamine on ECT is discussed.
Literatur
Zurück zum Zitat Abdallah CG, Averill LA et al (2015) Ketamine as a promising prototype for a new generation of rapid-acting antidepressants. Ann N Y Acad Sci 1344:66–77CrossRefPubMed Abdallah CG, Averill LA et al (2015) Ketamine as a promising prototype for a new generation of rapid-acting antidepressants. Ann N Y Acad Sci 1344:66–77CrossRefPubMed
Zurück zum Zitat Bartova L, Vogl SE et al (2015) Combination of intravenous S-ketamine and oral tranylcypromine in treatment-resistant depression: a report of two cases. Eur Neuropsychopharmacol 25:2183–2184CrossRefPubMed Bartova L, Vogl SE et al (2015) Combination of intravenous S-ketamine and oral tranylcypromine in treatment-resistant depression: a report of two cases. Eur Neuropsychopharmacol 25:2183–2184CrossRefPubMed
Zurück zum Zitat Dang YH, Ma XC et al (2014) Targeting of NMDA receptors in the treatment of major depression. Curr Pharm Des 20:5151–5159CrossRefPubMed Dang YH, Ma XC et al (2014) Targeting of NMDA receptors in the treatment of major depression. Curr Pharm Des 20:5151–5159CrossRefPubMed
Zurück zum Zitat Homayoun H, Moghaddam B (2007) NMDA receptor hypofunction produces opposite effects on prefrontal cortex interneurons and pyramidal neurons. J Neurosci 27(43):11496–11500CrossRefPubMedPubMedCentral Homayoun H, Moghaddam B (2007) NMDA receptor hypofunction produces opposite effects on prefrontal cortex interneurons and pyramidal neurons. J Neurosci 27(43):11496–11500CrossRefPubMedPubMedCentral
Zurück zum Zitat Jarventausta K, Chrapek W et al (2013) Effects of S-ketamine as an anesthetic adjuvant to propofol on treatment response to electroconvulsive therapy in treatment-resistant depression: a randomized pilot study. J ECT 29(3):158–161CrossRefPubMed Jarventausta K, Chrapek W et al (2013) Effects of S-ketamine as an anesthetic adjuvant to propofol on treatment response to electroconvulsive therapy in treatment-resistant depression: a randomized pilot study. J ECT 29(3):158–161CrossRefPubMed
Zurück zum Zitat Kornhuber J, Weller M (1995) Patient selection and remission rates with the current practice of electroconvulsive therapy in Germany. Convuls Ther 11(2):104–109PubMed Kornhuber J, Weller M (1995) Patient selection and remission rates with the current practice of electroconvulsive therapy in Germany. Convuls Ther 11(2):104–109PubMed
Zurück zum Zitat Kornhuber J, Weller M (1997) Psychotogenicity and N-methyl-d-aspartate receptor antagonism: implications for neuroprotective pharmacotherapy. Biol Psychiatry 41(2):135–144CrossRefPubMed Kornhuber J, Weller M (1997) Psychotogenicity and N-methyl-d-aspartate receptor antagonism: implications for neuroprotective pharmacotherapy. Biol Psychiatry 41(2):135–144CrossRefPubMed
Zurück zum Zitat Kubitz N, Mehra M et al (2013) Characterization of treatment resistant depression episodes in a cohort of patients from a US commercial claims database. PLoS One 8(10):e76882CrossRefPubMedPubMedCentral Kubitz N, Mehra M et al (2013) Characterization of treatment resistant depression episodes in a cohort of patients from a US commercial claims database. PLoS One 8(10):e76882CrossRefPubMedPubMedCentral
Zurück zum Zitat Lecourtier L, Homayoun H et al (2007) Positive allosteric modulation of metabotropic glutamate 5 (mGlu5) receptors reverses N-methyl-d-aspartate antagonist-induced alteration of neuronal firing in prefrontal cortex. Biol Psychiatry 62(7):739–746CrossRefPubMedPubMedCentral Lecourtier L, Homayoun H et al (2007) Positive allosteric modulation of metabotropic glutamate 5 (mGlu5) receptors reverses N-methyl-d-aspartate antagonist-induced alteration of neuronal firing in prefrontal cortex. Biol Psychiatry 62(7):739–746CrossRefPubMedPubMedCentral
Zurück zum Zitat McGirr A, Berlim MT et al (2015) A systematic review and meta-analysis of randomized controlled trials of adjunctive ketamine in electroconvulsive therapy: efficacy and tolerability. J Psychiatr Res 62:23–30CrossRefPubMed McGirr A, Berlim MT et al (2015) A systematic review and meta-analysis of randomized controlled trials of adjunctive ketamine in electroconvulsive therapy: efficacy and tolerability. J Psychiatr Res 62:23–30CrossRefPubMed
Zurück zum Zitat Naughton M, Clarke G et al (2013) A review of ketamine in affective disorders: current evidence of clinical efficacy, limitations of use and pre-clinical evidence on proposed mechanisms of action. J Affect Disord 156:24–35CrossRefPubMed Naughton M, Clarke G et al (2013) A review of ketamine in affective disorders: current evidence of clinical efficacy, limitations of use and pre-clinical evidence on proposed mechanisms of action. J Affect Disord 156:24–35CrossRefPubMed
Zurück zum Zitat Pfleiderer B, Michael N et al (2003) Effective electroconvulsive therapy reverses glutamate/glutamine deficit in the left anterior cingulum of unipolar depressed patients. Psychiatry Res 122(3):185–192CrossRefPubMed Pfleiderer B, Michael N et al (2003) Effective electroconvulsive therapy reverses glutamate/glutamine deficit in the left anterior cingulum of unipolar depressed patients. Psychiatry Res 122(3):185–192CrossRefPubMed
Metadaten
Titel
Treatment escalation in patients not responding to pharmacotherapy, psychotherapy, and electro-convulsive therapy: experiences from a novel regimen using intravenous S-ketamine as add-on therapy in treatment-resistant depression
verfasst von
Bernd Kallmünzer
Bastian Volbers
Anne Karthaus
Ozan Yüksel Tektas
Johannes Kornhuber
Helge H. Müller
Publikationsdatum
31.12.2015
Verlag
Springer Vienna
Erschienen in
Journal of Neural Transmission / Ausgabe 5/2016
Print ISSN: 0300-9564
Elektronische ISSN: 1435-1463
DOI
https://doi.org/10.1007/s00702-015-1500-7

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