Ketamine treatment for depression : Opportunities for clinical innovation and ethical foresight

Journal article


Singh, Ilina, Morgan, Celia, Curran, Valerie, Nutt, David, Schlag, Anne and McShane, Rupert. (2017). Ketamine treatment for depression : Opportunities for clinical innovation and ethical foresight. The Lancet Psychiatry. 4(5), pp. 419-426. https://doi.org/10.1016/S2215-0366(17)30102-5
AuthorsSingh, Ilina, Morgan, Celia, Curran, Valerie, Nutt, David, Schlag, Anne and McShane, Rupert
Abstract

We present a review and analysis of the ethical considerations in off-label ketamine use for severe, treatment-resistant depression. The analysis of ethical considerations is contextualised in an overview of the evidence for ketamine use in depression, and a review of the drug's safety profile. We find that, based on current evidence, ketamine use for severe, treatment-resistant depression does not violate ethical principles; however, clinicians and professional bodies must take steps to ensure that guidelines for good practice are enacted, that all experimental and trial data are made available through national registries, and that the risk potential of ketamine treatment continues to be monitored and modelled. We conclude with a set of key recommendations for oversight bodies that would support safe, effective, and ethical use of ketamine in depression.

Year2017
JournalThe Lancet Psychiatry
Journal citation4 (5), pp. 419-426
PublisherThe Lancet Publishing Group
ISSN2215-0366
Digital Object Identifier (DOI)https://doi.org/10.1016/S2215-0366(17)30102-5
Scopus EID2-s2.0-85017184333
Research or scholarlyResearch
Page range419-426
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Output statusPublished
Publication dates
Online05 Apr 2017
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Deposited07 Sep 2021
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