A drug inspired by ketamine just became the first new type of depression drug in 35 years. The FDA approved the nasal spray made by Johnson & Johnson.
, esketamine appeared safe and well tolerated, with some caveats. For example, they noted that the drug had some important negative side effects: more than a third of the trial patients reported feeling the"out of body" sensation known as dissociation, for example. About the same amount of patients reported dizziness, sedation, and nausea.
To address esketamine's side effects, the FDA will require that the drug be given in the presence of a clinician where patients can be monitored for a few hours. While those steps may make the treatment less convenient for patients, they could also help keep the drug from being illicitly diverted and used for other purposes.
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