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Related Concept Videos

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early years,...
Antidepressant Drugs: MAOIs and Other Agents01:23

Antidepressant Drugs: MAOIs and Other Agents

Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

Sedatives and Hypnotics Drugs: Miscellaneous Agents

Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Long-term Depression01:03

Long-term Depression

Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over time, all...

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Related Experiment Video

Updated: May 8, 2026

Elevated Plus Maze Test Combined with Video Tracking Software to Investigate the Anxiolytic Effect of Exogenous Ketogenic Supplements
05:42

Elevated Plus Maze Test Combined with Video Tracking Software to Investigate the Anxiolytic Effect of Exogenous Ketogenic Supplements

Published on: January 7, 2019

Sustained antidepressant response to ketamine.

Onome Victor Atigari1, David Healy

  • 1Department of Psychiatry (Hergest Unit), Ysbyty Gwynedd Hospital, Bangor, Wales, UK.

BMJ Case Reports
|August 21, 2013
PubMed
Summary
This summary is machine-generated.

Ketamine shows sustained antidepressant effects in two bipolar disorder patients, potentially linked to seizure threshold modulation. Further research into ketamine

Related Experiment Videos

Last Updated: May 8, 2026

Elevated Plus Maze Test Combined with Video Tracking Software to Investigate the Anxiolytic Effect of Exogenous Ketogenic Supplements
05:42

Elevated Plus Maze Test Combined with Video Tracking Software to Investigate the Anxiolytic Effect of Exogenous Ketogenic Supplements

Published on: January 7, 2019

Area of Science:

  • Neuroscience
  • Psychiatry
  • Pharmacology

Background:

  • Ketamine is an N-methyl-d-aspartate receptor antagonist investigated for antidepressant properties.
  • Bipolar affective disorder (BAD) is a mood disorder characterized by alternating periods of depression and mania.
  • Electroconvulsive therapy (ECT) and lithium are established treatments for BAD, influencing seizure threshold.

Observation:

  • A case series of three patients treated with ketamine for depression was analyzed.
  • Two patients with BAD experienced sustained antidepressant effects from ketamine.
  • These responders had a history of positive response to ECT and lithium.

Findings:

  • Two out of three patients with bipolar affective disorder achieved sustained antidepressant response to ketamine.
  • These responders did not require maintenance antidepressant therapy.
  • Ketamine's effect may be related to its influence on seizure threshold, similar to ECT and lithium.

Implications:

  • Ketamine's impact on seizure threshold warrants further investigation to elucidate its antidepressant mechanism.
  • This finding suggests a potential therapeutic avenue for treatment-resistant bipolar depression.
  • Understanding ketamine's full mechanism could optimize its clinical application in mood disorders.