Can a Party Drug Mitigate Bipolar Disorder's Depression?

Recreational drug users call it "Special K." Large, frequent doses of the anesthetic ketamine can give users vivid hallucinations, but a recently published study hints that the drug may have a medicinal use: temporarily treating depression brought on by bipolar disorder. The small, proof-of-concept study appears in the journal Archives of General Psychiatry. National Institutes of Health researchers randomly gave 18 depressed patients ketamine or a placebo on two different days, two weeks apart. They used a much smaller dose of the drug than the amount used for recreation or anesthesia, but within 40 minutes 71 percent of the patients who received ketamine showed a significant improvement in mood, which lasted for three days, as measured using a psychiatric depression rating scale. The quick response time is unusual for the drugs typically used to treat bipolar disorder's depression, such as lithium or antidepressants like Prozac, and many of the study's ...