New agents and perspectives in the pharmacological treatment of major depressive disorder

Prog Neuropsychopharmacol Biol Psychiatry. 2021 Mar 2:106:110157. doi: 10.1016/j.pnpbp.2020.110157. Epub 2020 Nov 5.

Abstract

Despite the important advances in the understanding of the pathophysiology of MDD, a large proportion of depressed patients do not respond well to currently available pharmacological agents. The present review focuses on new targets and future directions in the pharmacological treatment of MDD. Novel agents and their efficacy in the treatment of depression are discussed, with a focus on the respectively target pathophysiological pathways and the level of available evidence. Although it is expected that classic antidepressants will remain the cornerstone of MDD treatment, at least for the near future, a large number of novel compounds is currently under investigation as for their efficacy in the treatment of MDD, many of which with promising results.

Keywords: Antidepressants; Ketamine; Major depressive disorder; Pharmacology; Treatment.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antidepressive Agents / therapeutic use*
  • Cholinergic Agents / therapeutic use
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / drug therapy*
  • Depressive Disorder, Major / physiopathology*
  • GABA Agents / therapeutic use
  • Glutamic Acid / therapeutic use
  • Hallucinogens / therapeutic use
  • Humans
  • Opiate Alkaloids / therapeutic use

Substances

  • Antidepressive Agents
  • Cholinergic Agents
  • GABA Agents
  • Hallucinogens
  • Opiate Alkaloids
  • Glutamic Acid