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Expert Review of Neurotherapeutics

ISSN 1744-8360

19 papers in the library · 565 citations · publishing 2007-2026

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DT120 (MM120): a single-dose orally disintegrating formulation of lysergide tartrate for generalized anxiety disorder

Expert Review of Neurotherapeutics October 8, 2026 Wiesław Jerzy Cubała

Introduction Generalized anxiety disorder (GAD) is a chronic, disabling condition for which currently available pharmacotherapies have delayed onset, incomplete remission rates, treatment-emergent adverse effects and substantial real-world discontinuation. DT120, formerly MM120, is an investigational orally disintegrating tablet formulation of lysergide tartrate being developed as a single-dose...

Profiling intranasal esketamine for adults with major depressive disorder and acute suicidal ideation or behavior: a phenotype-informed drug profile

Expert Review of Neurotherapeutics August 18, 2026 Mario Pinzi, Alessandro Cuomo, Maria Beatrice Rescalli et al.

INTRODUCTION: Acute suicidal ideation in major depressive disorder (MDD) is a psychiatric emergency requiring rapid risk assessment, containment, and treatment. Conventional monoaminergic antidepressants have delayed onset, leaving an interval during which severe depressive distress persists. Intranasal esketamine, a rapid-acting N-methyl-D-aspartate receptor antagonist, is approved for MDD...

A conceptual framework based on current and emerging treatments for treatment-resistant depression: mechanistic evolution, clinical evidence, and future directions.

Expert Review of Neurotherapeutics July 1, 2026 Stephen Rush, Henry A Nasrallah

Treatment-resistant depression (TRD) represents an unmet challenge, accounting for disproportionate morbidity, disability, and healthcare burden in depression. Limitations of monoaminergic antidepressants have prompted a conceptual shift toward models emphasizing impaired neuroplasticity, synaptic dysfunction, and network dysregulation. This expert review synthesizes preclinical, translational,...

Pharmacological therapies for early and long-term recovery in disorders of consciousness: current knowledge and promising avenues.

Expert Review of Neurotherapeutics June 1, 2025 Rosalie Girard Pepin, Fatemeh Seyfzadeh, David Williamson et al. 7 citations

Disorders of consciousness (DoC) are characterized by impaired arousal and/or awareness, ranging from coma to unresponsive wakefulness syndrome, minimally conscious state, and cognitive motor dissociation. Pharmacological treatment options remain limited, complicated by the heterogeneity of etiologies, such as traumatic brain injury, stroke, and infections. The lack of rigorous clinical trials...

Emerging strategies and clinical recommendations for the management of novel depression subtypes.

Expert Review of Neurotherapeutics April 1, 2025 Stefania Chiappini, Gaia Sampogna, Antonio Ventriglio et al. 17 citations

The phenomenology of depression is characterized by a wide array of emotional, cognitive, and physical symptoms that significantly disrupt an individual's life. Societal changes, driven by technological advancements, economic pressures, environmental concerns including climate change, and shifting cultural norms, have influenced how depression manifests and is understood. These developments...

DOI: 10.1080/14737175.2025.2470973 (opens in new tab) Full text (opens in new tab) Sud Early-onset depression Gender dysphoria Social disconnection +7

Evaluating the value and risks of psychedelics for psychiatric medicine: a clinical perspective.

Expert Review of Neurotherapeutics February 1, 2025 Donatella Marazziti, Francesco Weiss, Riccardo Gurrieri et al. 4 citations

After a long period of obscurantism, a possible role of psychedelics in clinical practice has progressively become a tangible perspective during the last two decades. However, the resounding enthusiasm linked to such 'psychedelic renaissance' runs the risk to unduly minimize the possible hazards associated with these compounds, while expanding their alleged benefits to improbable panacea-like...

Profiling the combination of bupropion and dextromethorphan as a treatment option for major depressive disorder.

Expert Review of Neurotherapeutics September 1, 2024 Joseph Blanco, Pamela Quimbaya, Manuel Mena et al.

Major Depressive Disorder (MDD) is a common mental health disorder marked by sadness, hopelessness, and anhedonia. Various therapies exist, but their effectiveness is limited. Dextromethorphan hydrobromide combined with bupropion hydrochloride (Auvelity®) is a recently approved alternative for treating this condition in adults. This review summarizes the neurobiology of major depression and...

DOI: 10.1080/14737175.2024.2374024 (opens in new tab) Full text (opens in new tab) Dextromethorphan Auvelity® Bupropion Neuropharmacology

Mindfulness as a therapeutic option for obsessive-compulsive disorder.

Expert Review of Neurotherapeutics August 1, 2024 Andreas Reis, Marlon Westhoff, Hicham Quintarelli et al.

Obsessive-compulsive disorder (OCD) is a prevalent mental health issue characterized by intrusive thoughts (obsessions) and repetitive behaviors (compulsions) that can cause significant life impairment. Despite cognitive-behavioral therapy (CBT) being the most effective treatment, some individuals experience insufficient symptom reduction or relapse. This special report explores the potential...

Pharmacological Treatment of Generalised Anxiety Disorder: Current Practice and Future Directions.

Expert Review of Neurotherapeutics June 1, 2023 Harry A Fagan, David S Baldwin 55 citations

Generalized Anxiety Disorder (GAD) is a common psychiatric condition, characterized by the presence of general apprehensiveness and excessive worry. Current management consists of a range of pharmacological and psychological treatments. However, many patients do not respond to first-line pharmacological treatments and novel anxiolytic drugs are being developed. In this review, the authors first...

Combinations of dextromethorphan for the treatment of mood disorders - a review of the evidence.

Expert Review of Neurotherapeutics March 1, 2023 Zamfira Parincu, Dan V. Iosifescu

Major depressive disorder (MDD) is one of the leading causes of disability worldwide. However, many patients do not achieve an adequate clinical improvement with pharmacotherapies targeting monoamine receptors, and the onset of therapeutic benefit typically lags by 4-6 weeks. There is a significant need for mechanistically novel treatments with more rapid efficacy. Combinations of...

Adapting psychedelic medicine for headache and chronic pain disorders.

Expert Review of Neurotherapeutics 2023 Emmanuelle A. D. Schindler, Peter S. Hendricks 5 citations

While the majority of current research and development surrounds depression, demoralization, and substance use disorders, there are numerous reports of psychedelics having beneficial effects in other branches of medicine, including for headache disorders and chronic pain. This perspective reviews conventional forms of treatment for headache and other chronic pain disorders and describes...

Assessment of clinical outcomes in patients with post-traumatic stress disorder: analysis from the UK Medical Cannabis Registry.

Expert Review of Neurotherapeutics 2022 Manaswini Pillai, Simon Erridge, Lara Bapir et al. 27 citations

The current paucity of clinical evidence limits the use of cannabis-based medicinal products (CBMPs) in post-traumatic stress disorder (PTSD). This study investigates health-related quality of life (HRQoL) changes and adverse events in patients prescribed CBMPs for PTSD. A case-series of patients from the UK Medical Cannabis Registry was analyzed. HRQoL was assessed at 1-, 3-, and 6-months...

The emerging role of psilocybin and MDMA in the treatment of mental illness

Expert Review of Neurotherapeutics September 21, 2020 Hartej Gill, Barjot Gill, David C J Chen-Li et al. 62 citations

Psychedelics, such as psilocybin and MDMA, offer an alternative avenue of therapy for many mental health disorders. Available evidence indicates that psychedelics may offer a single-dose, rapid effect model that have robust effects with treatment-resistant mental disorders and a unique advantage as a possible monotherapy for mental illness. Novel clinical trials that evaluate the safety,...

Mindfulness in migraine: A narrative review

Expert Review of Neurotherapeutics January 14, 2020 Rebecca Erwin Wells, Elizabeth K. Seng, Robert R Edwards et al. 74 citations

Introduction: Migraine is the second leading cause of disability worldwide, yet many patients are unable to tolerate, benefit from, or afford pharmacological treatment options. Non-pharmacological migraine therapies exist, especially to reduce opioid use, which represents a significant unmet need. Mindfulness-based interventions (MBI) have potential as a non-pharmacological treatment for...

DOI: 10.1080/14737175.2020.1715212 (opens in new tab) Full text (opens in new tab) Mindfulness Psychotherapist Psychological intervention Clinical psychology +2

An update on ketamine and its two enantiomers as rapid-acting antidepressants

Expert Review of Neurotherapeutics December 4, 2018 Kai Zhang, Kenji Hashimoto 133 citations

Introduction: Depression is one of the most disabling diseases worldwide. Approximately one-third of depressed patients are treatment-resistant to the currently available antidepressants and there is a significant therapeutic time lag of weeks to months. There is a clear unmet need for rapid-acting and more efficacious treatments. (R,S)-ketamine, an old anesthetic drug, appears now to be going...

DOI: 10.1080/14737175.2019.1554434 (opens in new tab) Ketamine Enantiomer Pharmacology Stereochemistry

Investigational drugs in recent clinical trials for treatment-resistant depression

Expert Review of Neurotherapeutics January 16, 2017 Ricardo Pablo Garay, Carlos A. Zarate, Thomas Charpeaud et al. 79 citations

INTRODUCTION: The authors describe the medications for treatment-resistant depression (TRD) in phase II/III of clinical development in the EU and USA and provide an opinion on how current treatment can be improved in the near future. Areas covered: Sixty-two trials were identified in US and EU clinical trial registries that included six investigational compounds in recent phase III development...

Psilocybin for treating substance use disorders?

Expert Review of Neurotherapeutics August 10, 2016 Bas T.h. de Veen, Arnt Schellekens, Michel M. M. Verheij et al. 102 citations

Evidence based treatment for Substance use disorders (SUD) includes psychotherapy and pharmacotherapy. However, these are only partially effective. Hallucinogens, such as psilocybin, may represent potential new treatment options for SUD. This review provides a summary of (human) studies on the putative therapeutic effects of psilocybin, and discusses the receptor systems, brain regions and...

Role of the mTOR signaling pathway in the rapid antidepressant action of ketamine.

Expert Review of Neurotherapeutics January 2011 Kenji Hashimoto

Some patients with major depressive disorder remain resistant to antidepressant medication. A randomized, placebo-controlled, double-blind trial demonstrated that a single subanesthetic dose (0.5 mg/kg) of the N-methyl-D-aspartate receptor antagonist ketamine caused a rapid antidepressant effect within hours in treatment-resistant patients with major depressive disorder. However, the precise...

New approaches to understanding hallucinations in Parkinson's disease: phenomenology and possible origins.

Expert Review of Neurotherapeutics December 2007 Marco Onofrj, Astrid Thomas, Laura Bonanni

The authors review current literature on hallucinations in Parkinson's disease (PD). Recent neuropathological studies showed that hallucinations occur in synucleinopathies and are a significant predictor of Lewy Body depositions. Therefore, hallucinations are a hallmark of PD and of dementia with Lewy Bodies. Visual hallucinations are mostly complex and kinematic; preserved or disturbed insight...