Expert Opinion on Drug Safety,
Journal Year:
2024,
Volume and Issue:
unknown, P. 1 - 6
Published: June 17, 2024
Introduction
Replicated
evidence
indicates
that
ketamine
and
esketamine
reduces
measures
of
suicidality
in
persons
with
treatment
resistant
depression
(TRD).
It
remains
uncertain
whether
susceptible
individuals
may
experience
worsening
pre-existing
either
agent.
Medicine,
Journal Year:
2024,
Volume and Issue:
103(27), P. e38821 - e38821
Published: July 5, 2024
Background:
To
evaluate
the
effect
of
perioperative
esketamine
administration
on
postpartum
depression
in
pregnant
women
undergoing
cesarean
section.
Methods:
Data
sources
was
PubMed,
Embase,
Web
Science,
and
Cochrane
Library
from
inception
to
February
1,
2024.
Randomized
controlled
trials
section
were
selected
compared
use
period.
The
primary
outcome
measure
incidence
maternal
depression.
Preferred
reporting
items
for
systematic
reviews
meta-analyses
used.
pooled
by
random-effects
models
are
presented
as
risk
ratios
(RR)
(95%
confidence
intervals,
95%
CI)
or
mean
differences
CI).
This
review
registered
PROSPERO
(ID:
CRD42023431197).
Results:
We
included
8
studies
with
a
total
1655
participants.
quality
rated
high
unclear.
Seven
involving
1485
participants
reported
Compared
without
esketamine,
those
using
period
showed
48%
decreased
developing
(RR:
0.52,
CI:
0.35–0.79)
1.43-point
reduction
EPDS
(Edinburgh
Postnatal
Depression
Scale)
(mean
difference:
−1.43,
−2.32
−0.54).
For
immediate
intraoperative
adverse
reactions,
application
caused
nausea
vomiting
2.16,
1.22–3.81),
dizziness
6.11,
1.49–24.98),
hallucinations
6.83,
1.57–29.68)
no
use.
Conclusions:
Perioperative
may
reduce
increase
but
has
significant
postoperative
reactions.
Therapeutic Advances in Drug Safety,
Journal Year:
2025,
Volume and Issue:
16
Published: Jan. 1, 2025
In
2019,
intranasal
esketamine
gained
approval
as
a
promising
therapy
for
those
individuals
grappling
with
treatment-resistant
depression.
Both
clinical
trials
and
real-world
studies
have
underscored
its
efficacy
in
alleviating
remitting
depressive
symptoms,
sustained
benefits
observed
nearly
4.5
years.
As
the
S-enantiomer
of
ketamine,
esketamine's
dosing
guidelines
strict
medical
supervision
stem
from
prior
research
on
ketamine's
use
depression
history
recreational
drug.
Despite
initial
concerns,
long-term
not
documented
instances
abuse,
misuse,
addiction
or
withdrawal,
same
was
found
case
reports
subsamples
high-risk
populations
comorbidities
such
substance
disorder
alcohol
disorder.
Esketamine
has
proven
to
be
safe
well
tolerated
without
fostering
new-onset
vulnerable
groups.
Real-world
reinforced
these
observations,
reporting
no
adverse
events
(AEs)
related
pharmacological
interactions
any
other
substance,
drug
craving,
misuse
diversion
use.
Reports
craving
remain
rare,
only
one
report
2022.
Most
drug-related
AEs
reported
pharmacovigilance
databases
are
identified
product's
technical
data
sheet
known
frequency.
More
importantly,
register
illicit
acquisition
tampering
obtaining
ketamine
altered
products
our
search.
Overall,
review
confirms
safety
across
diverse
patient
populations,
reassuring
responsible
scarcity
abuse
since
introduction
market.
Journal of Psychiatric Research,
Journal Year:
2025,
Volume and Issue:
184, P. 307 - 317
Published: March 6, 2025
Ketamine,
a
fast-acting
antidepressant,
is
racemic
mixture,
composed
of
equal
amounts
R-
and
S-ketamine.
Preclinical
studies
are
comparing
them
to
better
understand
their
role
in
therapeutic
undesirable
effects.
An
important
research
gap
that
do
not
use
long
clinically
relevant
protocols
compare
the
desired
undesired
effects
ketamine
enantiomers
modeled
control
animals.
In
our
preclinical
study,
we
explored
behavioral
S-ketamine
at
10
mg/kg
treatment
protocol
using
Wistar-Kyoto
rats
as
depression
model
Wistar
control.
Undesirable
psychomotor
were
evaluated
with
locomotor
stimulation
sensitization,
ataxia,
stereotypy.
Persistent
associated
outcomes
by
measuring
working
memory,
anxiety,
despair.
We
found
has
stronger
acute
compared
R-ketamine
more
sensitive
these
rats.
After
repeated
treatment,
sensitization
stimulating
effects,
tolerance
ataxic
develops.
no
persistent
changes
due
treatments.
Taken
together,
results
may
indicate
depressed
patients
would
be
prone
negative
side
ketamine,
healthy
controls.
However,
after
develop
make
tolerable.
Future
clinical
needed
address
neurobiological
mechanisms
relevance
higher
sensitivity
development
individuals.
Scientific Reports,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: March 12, 2025
This
study
aims
to
explore
potential
adverse
events
(AEs)
related
Dupilumab
using
data
from
the
US
FDA
Adverse
Event
Reporting
System
(FAERS)
database.
The
FAERS
database
Q2
2017
Q4
2023
was
mined
for
AEs
Dupilumab.
types
of
reported,
along
with
gender,
age
distribution,
and
severity,
were
evaluated.
Signal
detection
methods
including
Odds
Ratio,
Proportional
Bayesian
Confidence
Propagation
Neural
Network,
Empirical
Geometric
Mean
used.
A
total
11,547,571
AE
reports
collected,
5335
suspected
being
Dupilumab,
identifying
307
Preferred
Terms
involving
27
Organ
Classes.
Reports
female
patients
outnumbered
males
(56.08%
vs.
34.65%).
Patients
aged
45–65
years
reported
most
(21.34%).
number
increased
significantly
in
(34.25%)
compared
(0.42%),
highest
reporting
rate
(98.07%).
Common
included
Pruritus,
Product
use
unapproved
indication,
Rash,
dose
omission
issue
indicating
widespread
misuse
High
signal
strength
Rebound
atopic
dermatitis,
eczema,
Dermatitis
atopic,
Dry
skin;
injection
site
like
Injection
dryness
eczema;
new
such
as
eye,
Eye
pruritus,
Ocular
hyperaemia,
irritation,
Conjunctivitis,
Vision
blurred,
Sleep
disorder.
reveals
various
associated
newly
identified
risks.
Future
research
needs
delve
deeper
into
safety
better
guide
its
clinical
application.