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Meta-Analysis Finds Nitrous Oxide Offers Rapid, Short-Lived Relief for Depression

Findings from small trials point to more durable effects with repeat dosing, spurring a first NHS test of how to deliver the treatment safely.

Overview

  • Researchers from the University of Birmingham, the University of Oxford and an NHS trust reviewed seven clinical trials (plus four protocol papers) published in eBioMedicine.
  • A single clinically administered 50% inhalation reduced depressive symptoms within 24 hours, but the effect generally diminished by one week.
  • Repeated treatment over several weeks was associated with more sustained improvement, suggesting ongoing dosing may be needed to maintain benefit.
  • Short-term side effects such as nausea, dizziness and headaches were reported and resolved quickly, with no acute safety concerns reported; long-term safety is unknown.
  • The team is preparing the first NHS trial to assess real-world delivery and acceptability, while independent experts stress that current evidence is small, heterogeneous and at risk of unblinding.