A possible method of reducing the delay in antidepressant response is
to use S-adenosyl-L-methionine (SAMe), a naturally occurring compound
that appears to have a rapid onset of effect in the treatment of depre
ssion. In this open, multicenter study, 195 patients were given 400 mg
of SAMe, administered parenterally, for 15 days. Depressive symptoms
remitted after both 7 and 15 days of treatment with SAMe, and no serio
us adverse events were reported. Further studies with a double-blind d
esign are needed to confirm this preliminary indication that SAMe is a
relatively safe and fast-acting antidepressant.