Evidence map›Paper›PMID 34046159›Full record

ArticleTherapeutic advances in psychopharmacology2021

Central nervous system-related safety and tolerability of add-on ketamine to antidepressant medication in treatment-resistant depression: focus on the unique safety profile of bipolar depression.

Adam Włodarczyk, Wiesław J Cubała, Maria Gałuszko-Węgielnik, Joanna Szarmach

Registry-linked trialAbstract read
In one paragraph

Article in Therapeutic advances in psychopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05565352 (Ketamine Treatment Safety and Tolerability in Psychiatric Inpatient Care Delivered at Depatment of Psychiatry, Medical University of Gdańsk, Poland), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05565352 enrolling by invitationnot on this mapstarted 2022, after this paper: background citation

Ketamine Treatment Safety and Tolerability in Psychiatric Inpatient Care Delivered at Depatment of Psychiatry, Medical University of Gdańsk, Poland

TypeobservationalSponsorMedical University of GdanskRan2022 to 2029Enrolled140ConditionsMajor Depressive Disorder, Post Traumatic Stress Disorder, Obsessive-Compulsive Disorder, Somatoform DisordersArmsKetamine Hydrochloride
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Adam WłodarczykDepartment of Psychiatry, Faculty of Medicine, Medical University of Gdańsk, Dębinki 7 St. Build. 25, Gdańsk, pomorskie 80-952, Poland.ORCID https://orcid.org/0000-0001-8549-254X
Wiesław J CubałaDepartment of Psychiatry, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Pomorskie, Poland.
Maria Gałuszko-WęgielnikDepartment of Psychiatry, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Pomorskie, Poland.
Joanna SzarmachDepartment of Psychiatry, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Pomorskie, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is evidence supporting the use of ketamine in treatment-resistant depression (TRD). However, there are some safety and tolerability concerns associated with ketamine. This study aimed to investigate ketamine's safety and tolerability to the central nervous system and to assess the relationship between dissociative symptomology and psychometric outcomes during and after intravenous ketamine treatment concurrent with treatment by varying psychotropic medications in treatment-refractory inpatients with major depressive disorder (MDD) and bipolar disorder (BP).

methodsA total of 49 patients with MDD and BP were included in this study. The subjects were administered ketamine and were assessed for changes using an observational protocol.

resultsNo antidepressants were associated with psychomimetic symptomatology except for citalopram (

conclusionsDespite the limitations that this study may be underpowered due to the small sample size, the sample consisted of a heterogeneous TRD population in a single site, and there no blinding of who underwent only acute ketamine administration, our observations indicate ketamine use requires close safety and tolerability monitoring with regards to psychomimetic and dissociative symptoms in TRD-BP and careful management for MDD patients.

Indexed as

dissociationketaminepsychosissafetytolerabilitytreatment-resistant depression

Identifiers

PMID34046159
PMCPMC8138297

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.