PMID- 35326338 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220401 IS - 2076-3425 (Print) IS - 2076-3425 (Electronic) IS - 2076-3425 (Linking) VI - 12 IP - 3 DP - 2022 Mar 12 TI - Ketamine as a Novel Psychopharmacotherapy for Eating Disorders: Evidence and Future Directions. LID - 10.3390/brainsci12030382 [doi] LID - 382 AB - Eating disorders (EDs) are serious, life-threatening psychiatric conditions associated with physical and psychosocial impairment, as well as high morbidity and mortality. Given the chronic refractory nature of EDs and the paucity of evidence-based treatments, there is a pressing need to identify novel approaches for this population. The noncompetitive N-methyl-D-aspartate receptor (NMDAr) antagonist, ketamine, has recently been approved for treatment-resistant depression, exerting rapid and robust antidepressant effects. It is now being investigated for several new indications, including obsessive-compulsive, post-traumatic, and substance use disorder, and shows transdiagnostic potential for EDs, particularly among clinical nonresponders. Hence, the aim of this review is to examine contemporary findings on the treatment of EDs with ketamine, whether used as a primary, adjunctive, or combination psychopharmacotherapy. Avenues for future research are also discussed. Overall, results are encouraging and point to therapeutic value; however, are limited to case series and reports on anorexia nervosa. Further empirical research is thus needed to explore ketamine efficacy across ED subgroups, establish safety profiles and optimize dosing, and develop theory-driven, targeted treatment strategies at the individual patient level. FAU - Ragnhildstveit, Anya AU - Ragnhildstveit A AUID- ORCID: 0000-0002-5796-3428 AD - Department of Psychology and Neuroscience, Duke University, Durham, NC 27708, USA. AD - Integrated Research Literacy Group, Draper, UT 84020, USA. FAU - Slayton, Matthew AU - Slayton M AD - Department of Psychology and Neuroscience, Duke University, Durham, NC 27708, USA. AD - Integrated Research Literacy Group, Draper, UT 84020, USA. FAU - Jackson, Laura Kate AU - Jackson LK AD - Integrated Research Literacy Group, Draper, UT 84020, USA. AD - Novamind, Draper, UT 84020, USA. FAU - Brendle, Madeline AU - Brendle M AD - Integrated Research Literacy Group, Draper, UT 84020, USA. AD - Novamind, Draper, UT 84020, USA. AD - Department of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, UT 84112, USA. FAU - Ahuja, Sachin AU - Ahuja S AD - Novamind, Draper, UT 84020, USA. FAU - Holle, Willis AU - Holle W AD - Integrated Research Literacy Group, Draper, UT 84020, USA. FAU - Moore, Claire AU - Moore C AD - Novamind, Draper, UT 84020, USA. FAU - Sollars, Kellie AU - Sollars K AD - Novamind, Draper, UT 84020, USA. FAU - Seli, Paul AU - Seli P AD - Department of Psychology and Neuroscience, Duke University, Durham, NC 27708, USA. FAU - Robison, Reid AU - Robison R AD - Novamind, Draper, UT 84020, USA. AD - Department of Psychiatry, University of Utah School of Medicine, Salt Lake City, UT 84108, USA. LA - eng PT - Journal Article PT - Review DEP - 20220312 PL - Switzerland TA - Brain Sci JT - Brain sciences JID - 101598646 PMC - PMC8963252 OTO - NOTNLM OT - anorexia nervosa OT - binge eating disorder OT - bulimia nervosa OT - eating disorder OT - esketamine OT - ketamine OT - ketamine-assisted psychotherapy OT - pharmacology OT - psychedelics OT - treatment COIS- The authors declare no conflict of interest. EDAT- 2022/03/26 06:00 MHDA- 2022/03/26 06:01 PMCR- 2022/03/12 CRDT- 2022/03/25 01:01 PHST- 2022/02/05 00:00 [received] PHST- 2022/03/02 00:00 [revised] PHST- 2022/03/09 00:00 [accepted] PHST- 2022/03/25 01:01 [entrez] PHST- 2022/03/26 06:00 [pubmed] PHST- 2022/03/26 06:01 [medline] PHST- 2022/03/12 00:00 [pmc-release] AID - brainsci12030382 [pii] AID - brainsci-12-00382 [pii] AID - 10.3390/brainsci12030382 [doi] PST - epublish SO - Brain Sci. 2022 Mar 12;12(3):382. doi: 10.3390/brainsci12030382.