Trial challenges efficacy of treating depression with ketamine
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A recent study investigated the long-term efficacy of ketamine as an add-on treatment for inpatients with severe depression.
Researchers from Trinity College Dublin, St Patrick’s Mental Health Services, and Queen’s University Belfast conducted a randomised trial comparing twice-weekly ketamine infusions to a psychoactive comparison drug, midazolam.
The study found no significant difference in mood outcomes between patients receiving ketamine and those receiving midazolam over a six-month follow-up period.
Professor Declan McLoughlin said that repeated ketamine infusions offered no additional benefit to routine inpatient care, suggesting previous estimates of its antidepressant efficacy may have been overstated.
The trial also highlighted issues with blinding, as most patients correctly guessed their treatment, which could lead to enhanced placebo effects and potentially skewed results in such studies.