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Yıl:2015; Cilt: 7; Sayı: 1>> Özet
TAM METİN
Psikiyatride Güncel Yaklaşımlar; 2015;7(1):30-40
Ketamin: Yeni Bir Antidepresan?
F Karacaer
Çukurova Üniversitesi, Adana
Major depresif bozukluğu olan birçok hastada standart antidepresanlara ihtiyaç duyulmaktadır. Son çalışmalar subanestezik dozlardaki ketaminin depresyon tedavisinde etkin ve güvenilir olduğunu göstermiştir. Ketaminin antidepresan etkilerinin kısa süreli olduğu görülmüştür ve psikomimetik yan etkileri depresif hastalarda kullanımını kısıtlayabilir. Gelecekte yapılacak çalışmaların yanıtı belirleyecek faktörlere (klinik ve farmakolojik olarak), farklı doz uygulamalarının ve uygulama yollarının araştırılmasına ve antidepresan etkinin sürdürülmesine odaklanması gerekmektedir
Ketamine: A New Antidepressant?
Standart antidepressants are widely used for the treatment of major depressive disorder. Recent studies show that subanesthetic dose of ketamine is efficient and safe for the treatment of depression. Antidepressant effects of ketamine have been found to be short-lived and its psychotomimetic properties may limit the use of ketamine to depressive patients. Future research studies should focus on identifying predictors of response (pharmalogical and clinical) to ketamine and should investigate the required doses and routes of administration to maintain the antidepressant effect.

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