Abstract

Treatment resistant depression (TRD) affects 10–30% of patients with major depressive disorder; most patients do not respond to real-world treatments (RWT).1 Esketamine nasal spray (NS), in combination with a selective serotonin or serotonin-norepinephrine reuptake inhibitor (SSRI/SNRI), was recently approved for treatment of TRD. Esketamine NS has demonstrated significant benefit on response and remission versus RWT strategies;2 benefit on daily function remains to be established.

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