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S (+) Ketamine

Asker & Baerum Hospital · FDA-approved active Small molecule

S(+) ketamine is an NMDA receptor antagonist that blocks glutamate signaling in the brain, producing rapid-onset anesthetic and analgesic effects.

S(+) ketamine is an NMDA receptor antagonist that blocks glutamate signaling in the brain, producing rapid-onset anesthetic and analgesic effects. Used for Anesthesia induction and maintenance, Acute pain management, Treatment-resistant depression (emerging indication).

At a glance

Generic nameS (+) Ketamine
SponsorAsker & Baerum Hospital
Drug classNMDA receptor antagonist
TargetNMDA receptor
ModalitySmall molecule
Therapeutic areaAnesthesia, Pain Management, Psychiatry
PhaseFDA-approved

Mechanism of action

S(+) ketamine, the active enantiomer of ketamine, preferentially antagonizes N-methyl-D-aspartate (NMDA) receptors on glutamatergic neurons. This blockade interrupts excitatory neurotransmission and produces dissociative anesthesia, analgesia, and sedation. The S(+) enantiomer is approximately 3-4 times more potent than the racemic mixture and has a faster onset and shorter duration of action.

Approved indications

Common side effects

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