Ketamine for Pain Management, Treatment of Depression

Ketamine for Pain Management, Treatment of DepressionLinda Peckel – May 30, 2017

Ketamine may alleviate depression, pain, and side effects associated with opioid treatment, and may thus represent an attractive adjunct therapy for pain management, according to a novel population analysis recently published in Scientific Reports.

Nearly half of all patients with depression taking conventional antidepressants discontinue their treatment prematurely.

 Researchers have sought alternatives to standard antidepressants, for which therapeutic effects are delayed by 2 to 10 weeks.  

Ketamine, an N-methyl-D-aspartate antagonist, was shown to provide acute benefits for

  • treatment-resistant depression,
  • bipolar depression, and
  • major depressive disorder with suicidal ideation,

when administered intravenously, however, those studies were conducted on limited samples (20 to 57 participants).

Researchers at the University of California San Diego, La Jolla, California therefore employed an Inverse-Frequency Analysis (IFA) approach to investigate whether ketamine – administered in addition to other therapeutics – has antidepressant properties

The team applied the IFA method, which looks for negative statistical patterns in the US Food and Drug Administration (FDA) Adverse Event Reporting System (FAERS) post-marketing database of > 8 million patient records.

They observed reductions in depression and pain in patients receiving ketamine, as indicated by negative log odds ratio (LogOR) values

According to Dr Abagyan, a study recently published by a British team indicates that ketamine might be effective in nearly 40% of patients with severe, treatment-resistant depression, results that are concordant with those from the current study.

The IFA method was also used to evaluate ketamine efficacy and associated side effects reported in the FAERS database.

The investigators found significant reductions in a number of side effects associated with opioid therapies, including

  • constipation (LogOR −0.17 ± 0.023),
  • vomiting (LogOR −0.16 ± 0.025), and
  • nausea (LogOR −0.45 ± 0.034)

compared with other drug combinations used for pain management.

Conclusion

The authors concluded that their findings are in line with those from smaller studies, indicating beneficial effects for ketamine as a monotherapy or adjunctive therapy for depression, particularly treatment-resistant depression, with particular indication for patients with suicide ideation, due to its rapid onset of action.

References

Advertisements

4 thoughts on “Ketamine for Pain Management, Treatment of Depression

  1. Emily Raven

    Yessssss this is so important for alot of people who have had good and long lasting results but can’t get their insurance to cover the treatment (or find anyone to do it like a few people I know in Canada that had alot of benefits from it but their doctor moved.) The very fact that beneficial after effects can last for about a month seems like it warrants all the investigation that can be done if you ask me.

    Liked by 1 person

    Reply
  2. leejcaroll

    Never thght of insurance coverage. My new pain management doc has suggested we consider this for my neuropathic pain, a 5 day inpatient infusion. I know lot of folks who report good results but the side effects hallucinations, etc frighten the heck out of me.

    Liked by 1 person

    Reply

Other thoughts?

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s