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Effects of cannabis use on antidepressant treatment response to repetitive transcranial magnetic stimulation and ketamine

Mohammad Ali Shenasa, Houtan Totonchi Afshar, Eric A. Miller, Em Ellerman-Tayag, Jyoti Mishra, Dhakshin Ramanathan

medRxiv Preprint Server June 28, 2023 preprint DOI: 10.1101/2023.06.28.23291446 (opens in new tab)

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AI-extracted from the abstract
Characteristics Theoretical or philosophical paper
Topics Cannabis Esketamine Ketamine
Keywords Cannabis use Substance use Depression treatment Depression therapy Antidepressant therapy Brain therapies Ketamine therapy Rtms Transcranial magnetic stimulation Neuromodulation Mental health Well-being
Key points Proposes that cannabis use may moderate the antidepressant effects of ketamine and rTMS by impairing synaptic plasticity via CB1 receptor activation.

Abstract

Background The antidepressant effects of ketamine and repetitive transcranial magnetic stimulation (rTMS) are hypothesized to rely on mechanisms of long-term-potentiation and synaptic plasticity. Cannabis, via activation of CB1 receptors has been shown to impair synaptic plasticity, suggesting that cannabis use might moderate the antidepressant effects of ketamine and/or rTMS.

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