Ketamine: a cure for depression? – A critique

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Jeremy Laurance’s article “Ketamine: a cure for depression?” published in The Independent in October 2012, sanctions the use of a drug of abuse called ketamine for the treatment of depression. The author supports this theory by stating a study completed by Robert Dunman, a professor of Psychiatry and Neurobiology at Yale University School of Medicine in Boston. The following paragraph will summarise the main points of the article and discuss the evidence used by the author.

At the beginning of the article a brief history of ketamine is given, describing its use as a anaesthetic during the Vietnam war in the 1960s, its use in veterinary medicine as a horse tranquiliser and its revolution as a drug of abuse in the dance scene in the 1990s. The article also mentions the side effects heavy users have experienced from using ketamine, mainly increased bladder and kidney damage. Furthermore, after a review by the Government’s Advisory Council on the Misuse of Drugs, concerns have increased about this side effect, as patients have become very unwell needing a total bladder removal. Laurance mentions Robert Dunman, who describes ketamine as the “biggest breakthrough in depression research”. Professor Duman studied the effects of ketamine, which are meant to be triggering the release of glutamate, increasing and restoring the function of neuron synapses, which are reduced in patients with chronic depression. The article states that ketamine has shown to be able to increase mood levels with a single dose and effects lasting up to 10 days. Due to this Laurance sanctions ketamine’s potential use as a treatment for depression, mentioning that a third of patients with depression are not improving from current treatments available for depressio...

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...ne’s safety and use could be further researched as a potential treatment for depression.

In summary, Laurence’s article sanctioning ketamine as a cure for depression is an interesting and well-written article, however, it could give people the wrong idea about ketamine. There is a rapidly increasing interest in the discovery of drugs targeting glutamate neurotransmitter in the brain, as a hope to rapidly treat treatment-resistant patients (Duman & Ronald, 2013). While the mentioned studies in the article and this essay have given insight into ketamine’s antidepressant effects, this is still something that needs to be researched further as a lot of unresolved problems are still around with ketamine. Furthermore, the potential side effects of ketamine, including bladder and kidney damage, hepatotoxicity and psychological effects still require extreme consideration.

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