Esketamine for treatment-resistant depression
Drug and Therapeutics Bulletin December 1, 2020 DOI: 10.1136/dtb.2020.000043 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Peer reviewed |
|---|---|
| Population | Adults with treatment-resistant major depressive disorder |
| Dose | Starting dose 56 mg for adults <65 years and 28 mg for adults ≥65 years; subsequent doses 56 mg or 84 mg for <65 years, 28 mg, 56 mg, or 84 mg for ≥65 years |
| Duration | Twice weekly for 4 weeks, then once weekly for 4 weeks, then once weekly or once every 2 weeks from week 9; treatment recommended for at least 6 months after symptoms improve |
| Topics | Depression Esketamine |
| Citations | 3 |
| Key points | Esketamine nasal spray is indicated for treatment-resistant major depressive disorder in adults who have not responded to at least two antidepressants, to be used with an SSRI or SNRI. |
Abstract
Generic name: Esketamine hydrochloride Brand name: Spravato Formulation: 28mg in 0.2ml nasal spray solution Market Authorisation holder: Janssen-Cilag International NV Indication: Treatment resistant major depressive disorder in adults who have failed to respond to at least two different antidepressants during the current moderate to severe episode. To be used in combination with a selective serotonin reuptake inhibitor (SSRI) or serotonin-noradrenaline reuptake inhibitor (SNRI). Dose: The starting dose is 56 mg for adults aged <65 years and 28 mg for adults aged ≥65 years 1 . Subsequent doses (56 mg or 84 mg for those <65 years; 28 mg, 56 mg or 84 mg for those ≥65 years) are given twice a week for 4 weeks, followed by once a week for 4 weeks, and then once a week or once every 2 weeks from week 9. Treatment is recommended for at least 6 months after symptoms improve. Cost: £163 for 28 mg (one device) Classification: Prescription only medicine (POM) subject to additional monitoring (▼). Controlled drug schedule 2.