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Single ketamine infusion with behavioral therapy improves outcomes in cocaine‐dependent patients

The Brown University Psychopharmacology Update October 1, 2019 DOI: 10.1002/pu.30484 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 55
Population Individuals with cocaine dependence
Intervention Ketamine
Dose single infusion
Duration 5-week trial
Topics Esketamine Ketamine
Citations 2
Key findings A single infusion of ketamine combined with mindfulness-based psychotherapy was more effective than midazolam with therapy in limiting craving and maintaining abstinence among individuals with cocaine dependence.

Abstract

A five‐week trial involving 55 participants has concluded that a single infusion of ketamine in combination with a course of mindfulness‐based psychotherapy was more effective than midazolam with therapy in limiting craving and maintaining abstinence among individuals with cocaine dependence. The researchers found that participants receiving ketamine were 53% less likely to drop out of treatment or use cocaine in comparison with the midazolam group.

Comparable studies

Other randomized controlled trials on ketamine, most cited first.

Study Year Design Participants
Subanesthetic Effects of the Noncompetitive NMDA Antagonist, Ketamine, in Humans Healthy human subjects recruited from the community 1994 Randomized controlled trial n = 19
Antidepressant Efficacy of Ketamine in Treatment-Resistant Major Depression: A Two-Site Randomized Controlled Trial Patients with treatment-resistant major depression experiencing a major depressive episode 2013 Randomized controlled trial n = 73
Remifentanil-induced Postoperative Hyperalgesia and Its Prevention with Small-dose Ketamine Patients undergoing major abdominal surgery 2005 Randomized controlled trial n = 75
Efficacy of Intravenous Ketamine for Treatment of Chronic Posttraumatic Stress Disorder Patients with chronic PTSD related to a range of trauma exposures 2014 Randomized controlled trial n = 41
Ketamine-Induced Deficits in Auditory and Visual Context-Dependent Processing in Healthy Volunteers Healthy volunteers 2000 Single-blind placebo-controlled study n = 20

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