
Special K: Ketamine, From Party Drug To Depression Medication

MIAMI, FL - MARCH 23: Bottles of antidepressant pills Wellbutrin (L-R), Paxil, Lexapro, Effexor, Zoloft and Fluoxetine. Joe Raedle/Joe Raedle/Getty Images hide caption
MIAMI, FL - MARCH 23: Bottles of antidepressant pills Wellbutrin (L-R), Paxil, Lexapro, Effexor, Zoloft and Fluoxetine.
Joe Raedle/Joe Raedle/Getty ImagesDepression affects more than 16 million Americans, each of whom has a unique journey to finding treatments that work. This can involve a lot of trial and error — but what if you don't find anything that works?
Recently, the Food and Drug Administration approved a new drug based on ketamine to treat treatment-resistant depression. It's called esketamine, sold in a nasal spray called Spravato.
Intravenous ketamine has been used to treat depression for years — as well as to cause euphoric highs as a party drug.
What led the FDA to approve this new medication? Why is it so hard to find an anti-depression regimen that works? And what kind of difference has it made in patients' lives?