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Ketamine Therapy in Patients of Alcohol Use Disorder: A Prospective Pilot Study to Evaluate Abstinence Rate with This Add-on Treatment Modality

Nidhi Purushottum Marvania, Anto Leroy Rayan, Dhruti Vijaykumar Merchant, Drashti Paragkumar Shah, Prakash Ishwarlal Mehta, Fenil Dineshkumar Modh

Annals of Indian Psychiatry September 3, 2024 DOI: 10.4103/aip.aip_110_24 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Pre-post intervention study Pilot study Peer reviewed
Sample size 18
Population Individuals with alcohol use disorder
Intervention Ketamine
Duration Three doses with a 3-day gap between each; final assessment after three sessions
Topics Addiction Esketamine Ketamine
Keywords Abstinence and craving Ketamine therapy Paired t-test
Citations 3
Key points Ketamine therapy significantly increased confidence to abstain from alcohol, with a 51.98% increase in mean scores from baseline.

Abstract

Background: Alcohol use disorders (AUDs) are emerging as a substance use disorder having various psychological and physical ill effects leading to hampering of individual’s productivity and functioning.

Aims: The aim of this study was to evaluate the efficacy of ketamine in enhancing confidence levels to abstain from alcohol.

Methods: Eighteen patients were administered ketamine intravenously after detoxification; a total of three doses, with a 3-day gap between each. The Alcohol Abstinence Self-Efficacy Scale was used to measure their confidence in abstaining from alcohol.

Results: The study revealed a significant increase in mean confidence scores after three ketamine sessions, with a final assessment showing a 51.98% increase in confidence from baseline.

Conclusions: The study found that ketamine therapy significantly increased confidence levels in individuals with AUD to abstain from alcohol, with P = 0.05 threshold. However, the impact may wane over time, suggesting the need for additional support or maintenance treatments.

Comparable studies

Other non-randomized and open-label trials on ketamine for addiction, most cited first.

Study Year Design Participants
Ketamine Psychedelic Therapy (KPT): A Review of the Results of Ten Years of Research Alcoholic patients 1997 Controlled clinical trial n = 211
Acute Subjective Experiences of Intravenous Ketamine Therapy Among Medically Hospitalized Patients with Alcohol Use Disorder. Inpatients with alcohol use disorder receiving intravenous ketamine therapy 2024 Secondary analysis of clinical trial data with directed content analysis n = 12
The Montreal model of ketamine-therapy for alcohol use disorder and comorbid treatment-resistant depression: protocol for a feasibility trial Adults diagnosed with both alcohol use disorder and treatment-resistant depression 2026 Single-group, open-label feasibility trial n = 30
Adjunctive Ketamine With Relapse Prevention-Based Psychological Therapy in the Treatment of Alcohol Use Disorder People with alcohol use disorder 2022 Pilot trial
Ketamine to enhance methadone treatment retention in patients with opioid use disorder and co-morbid depression Patients diagnosed with opioid use disorder initiating methadone treatment and... 2025 Case series (single-arm open-label feasibility trial) n = 3

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