Thursday, May 31, 2012

Can Ketamine Alleviate Bipolar Depression and Suicidal Thoughts?



A recent study undertaken by researchers at the National Institute of Mental Health found a single dose of ketamine was able to drastically reduce suicidal thoughts in patients with bipolar depression. Bipolar disorder occurs when a patient suffers sever mood swings that may range from mania to depression; patients who have this disorder are often at risk for suicide.

In the study led by Dr. Carlos Zarate, patients were either given a placebo or the ketamine treatment on two different days for two different weeks. The study found that the “in the ketamine group, depression symptoms significantly improved within 40 minutes, and remained improved over 3 days. Overall, 79 percent of the patients improved with ketamine, but none reported improvement when they received placebo”. The findings are a breakthrough in medicine because, traditionally, patients suffering from bipolar disorder are often treated with antidepressants which may take longer or need higher dosages to work and may not even be effective since patients could still suffer episodes while on medication, but the ketamine was able to rapidly reduce suicidal thoughts in just under an hour. This is very vital for future research into medication because patients with bipolar depression are often at high risk for suicide. Dr. Zarate said “We think that these findings are of true importance given that we only have a few treatments approved for acute bipolar depression, and none of them have this rapid onset of action; they usually take weeks or longer to have comparable antidepressant effects as ketamine does.”

Ketamine is often used in tandem with sedatives as a potent anesthetic. It acts a receptor antagonist, meaning it blocks the actions of N-methyl-D-aspartate (NMDA). Zarate said of the ketamine’s effectiveness, “…Confirmation that blocking the NMDA receptor complex is involved in generating rapid antidepressant and antisuicidal effects offers an avenue for developing the next generation of treatments for depression that are radically different than existing ones”.

Source:

Written By: Salma Khan

Image Provided by Google Images

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