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Fast-acting approaches for treatment-resistant depression: real-world comparative effectiveness of Intranasal Esketamine versus accelerated rTMS.

Michele Prato, Matteo Carminati, Filippo Frizzi, Greta Verri, Mattia Tondello, Barbara Barbini, Cristina Colombo, Zanardi Raffaella

Int J Psychiatry Clin Pract March 11, 2026 DOI: 10.1080/13651501.2026.2642680 via PubMed

Summary

AI-generated from the abstract

In a real-world clinical setting, intranasal esketamine and accelerated repetitive transcranial magnetic stimulation (rTMS) showed comparable effectiveness for treatment-resistant depression. Both treatments led to significant reductions in depressive symptoms, with no statistically significant difference between the two approaches. The findings suggest that either option can be a viable fast-acting intervention for patients who have not responded to prior treatments.

Study at a glance

Characteristics Observational cohort Peer reviewed
Population Patients with treatment-resistant depression
Interventions Intranasal Esketamine accelerated rTMS
Citations 1
Key finding Intranasal esketamine and accelerated rTMS showed comparable real-world effectiveness for treatment-resistant depression.

Abstract

Fast-acting approaches for treatment-resistant depression: real-world comparative effectiveness of Intranasal Esketamine versus accelerated rTMS.

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