Saves the questions and what to expect into your notes, next to the visit they belong to.
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Lead
University Hospital, Grenoble
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
Patients aged 18 or over,
Introducing a single depressive episode or recurrent unipolar
Responding to the diagnosis of severe major depressive episode according to DSM IV (Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition): MADRS score ≥ 20,
absence of treatment with ketamine for analgesia or anesthesia during the last 6 months
Affiliate (or beneficiary) to a social security system
Informed consent signed
You may not be if
Contraindication to ketamine administration or treatment with venlafaxine;
Failure of treatment with venlafaxine in the current episode (as low as 150 mg for 15 days);
Axis I diagnosis according to DSM IV bipolar disorder (type I, II or III), schizoaffective disorder, schizophrenia, alcohol and other toxic or weaned for at least 6 months;
Current Episode resistant stage V according to the classification of Thase and Rush (failed a course of bilateral ECT);
Major depressive episode with severity criteria (significant risk of suicide is a MADRS score ≥ 5-SI; decubitus complications, intravenous hydration);
episode currently being treated with fluoxetine;
Patients hospitalized without their consent or measure of legal protection (guardianship, curatorship);
Affection Organic likely to affect cognitive abilities and brain structures (eg, HIV, MS, lupus, Parkinson's disease, epilepsy, dementia ...) or decompensation;
Pregnancy or breastfeeding underway.
Clareo Health | Estimate the Efficiency of the Association of an Injection of Ketamine and the Venlafaxine in the Severe Major Depressive Disorder for Six Weeks