Real-world comparison of intranasal racemic ketamine and esketamine in treatment-resistant depression: A retrospective observational study

Intranasal racemic ketamine is non-inferior to esketamine in symptom reduction and may represent a cost-effective alternative where esketamine access is limited. Higher remission rates with esketamine warrant further prospective studies to clarify clinical significance and optimize racemic ketamine use, improving accessibility and affordability for TRD patients.

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Publication Details

Journal
Journal of Affective Disorders
Published
2026-01-21
DOI
https://doi.org/10.1016/j.jad.2026.121208
Primary Topic
Treatment of Major Depression
Type
article
Field-Weighted Citation Impact
0.00
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article

Real-world comparison of intranasal racemic ketamine and esketamine in treatment-resistant depression: A retrospective observational study

Undine E. Lang, Jan Sarlon, Annette Beatrix Brühl, Timur Liwinski et al.
Journal of Affective Disorders
Treatment of Major Depression
article

Real-world comparison of intranasal racemic ketamine and esketamine in treatment-resistant depression: A retrospective observational study

Undine E. Lang, Jan Sarlon, Annette Beatrix Brühl, Timur Liwinski, Deanne Thomi
article en

Abstract

Intranasal racemic ketamine is non-inferior to esketamine in symptom reduction and may represent a cost-effective alternative where esketamine access is limited. Higher remission rates with esketamine warrant further prospective studies to clarify clinical significance and optimize racemic ketamine use, improving accessibility and affordability for TRD patients.

Journal of Affective DisordersVol. 400
Universitäre Psychiatrische Kliniken Basel (CH)
Openalex Percentile: Top 79%
Treatment of Major Depression
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