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Ketamine Therapy in Psychiatry: A Comprehensive Review

Asif Khan, Satyaveer *, Shrikant K. Nair, Deepali Gaikwad Joseph

Journal of Psychiatric Nursing August 30, 2025 DOI: 10.21088/jpn.2277.9035.14225.4 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Topics Depression Ketamine Esketamine
Keywords Antidepressant Depression economics Nmda receptor Safety profile Intensive care medicine Anesthesia Clinical trial Anesthetic agent Antagonist
Key findings Argues that ketamine shows rapid antidepressant properties for treatment-resistant depression but raises ethical, regulatory, and long-term safety concerns.

Abstract

Ketamine, traditionally known as an anesthetic agent, has garnered attention for its rapid acting antidepressant properties, particularly in patients with treatment resistant depression (TRD). The compound’s unique pharmacological profile primarily as an NMDA receptor antagonist has enabled its repositioning in psychiatric settings, where conventional antidepressants often fall short. This review delves into the evolving role of ketamine in psychiatry, examining its mechanisms of action, therapeutic applications, clinical efficacy, safety concerns, and emerging trends in the field. While ketamine therapy offers promise, its use raises ethical, regulatory, and long-term safety considerations that require continued research and careful implementation.

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