Transcranial Magnetic Stimulation (TMS) and ketamine

Transcranial Magnetic Stimulation (TMS) is an FDA-approved treatment for major depressive disorder and obsessive-compulsive disorder. TMS uses magnetic pulses, with a machine that places an electromagnetic coil on the scalp, to stimulate the prefrontal cortex area of the brain. This area is inactive in those suffering from depressive symptoms. TMS is considered safe and well-tolerated. Common side effects include scalp discomfort, headache, lightheadedness, tingling, spasms or twitching of facial muscles.

 

Research has shown that approximately 50% of patients suffering from depression will respond to TMS and see a significant reduction in symptoms. TMS is not a first-line treatment for depression. It is however a recommended treatment for those who have failed antidepressant medication therapies, along with electroconvulsive therapy (ECT), and ketamine.

 

Some patients have seen benefits from utilizing TMS and ketamine together. Both treatments have shown that they promote neuroplasticity. Which is the ability to form new connections in the brain.

 

Commonly asked questions:

 

I’ve already done TMS, am I still a candidate for ketamine?

A: Yes, there are no contraindications to engaging in ketamine therapy after trying or completing TMS if you are still experiencing unwanted depressive symptoms.

 

Can I do ketamine treatment with TMS?

A: Yes, there are patients who have reported benefits from utilizing both treatments at the same time. We are happy to coordinate with your TMS provider to discuss how best to utilize both therapies together.

 

TMS didn’t work for me, does that mean ketamine won’t work either?

A: Certainly not. Ketamine is a medication that works on specific receptors in the brain to reduce depressive symptoms, whereas TMS works with an electromagnetic pulse. Thus, there is still a likelihood that ketamine may work for you even if TMS didn’t.

 

Wondering if ketamine is right for you? Have questions for our medical team? Call Reset Restore MD today.