Spotlight: Intravenous Ketamine Followed by Intranasal Esketamine in 2 Subsequent Treatment-resistant Depressive Episodes: Insights From a Case Series (Carminati, et al, 2025)

"Findings from this case series suggest that both ketamine and esketamine are associated with significant reductions in depressive symptoms in TRD. We observed a generally better response to ketamine than to esketamine."
Ketamina intravenosa seguida por Esketamina Intranasal en 2 Episodios depresivos resistentes al tratamiento posteriores: Perspectivas de una serie de casos
Ketamina intravenosa seguida por Esketamina Intranasal en 2 Episodios depresivos resistentes al tratamiento posteriores: Perspectivas de una serie de casosKetamina intravenosa seguida por Esketamina Intranasal en 2 Episodios depresivos resistentes al tratamiento posteriores: Perspectivas de una serie de casos
Intravenous Ketamine Followed by Intranasal Esketamine in 2 Subsequent Treatment-resistant Depressive Episodes: Insights From a Case Series - PubMed
Treatment-resistant depression (TRD) remains a relevant issue in psychiatric practice, driving the exploration of innovative therapeutic alternatives. Ketamine and its enantiomer, esketamine, are emerging as treatments known for their effectiveness as rapid-acting antidepressants. Although previous …

(2025): "A better response to ketamine was not predictive of a better response to esketamine in our case series. A deeper insight into the side effects of the treatments (eg, dissociation) and into the clinical history of the patients would be helpful in better understanding the relationship between the 2 treatments."(Carminati, et al, 2025)

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