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A survey of the clinical, off-label use of ketamine as a treatment for psychiatric disorders

S. T. Wilkinson, Mesut Toprak, Mason S. Turner, Steven P. Levine, Rachel B. Katz, Gerard Sanacora

American Journal of Psychiatry July 1, 2017 DOI: 10.1176/appi.ajp.2017.17020239 (opens in new tab)

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AI-extracted from the abstract
Characteristics Commentary Randomized Peer reviewed
Topics Esketamine Ketamine
Key points Notes that small randomized controlled trials since 2000 show ketamine has potent, rapid antidepressant effects in treatment-resistant depression, and that despite limited long-term data and no FDA indication, many providers now offer ketamine treatment. States that the practice patterns of these providers have not been studied.

Abstract

TO THE EDITOR: Since 2000, several small randomized controlled trials have demonstrated that ketamine has potent and rapid-acting antidepressant effects in patients with treatment-resistant depression (1). Despite a lack of longterm data or Food and Drug Administration indication, many community providers and academic centers have begun offering ketamine treatment to patients with major depressive disorder and with other psychiatric disorders, determining the existing evidence justifies use for some individuals. Thepractice patterns of suchprovidershavenot been studied.

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