Discrepancies Between Nomenclature and Indications of Psychotropics

Pharmacopsychiatry. 2019 Jul;52(4):175-179. doi: 10.1055/a-0626-7135. Epub 2018 May 23.

Abstract

Introduction: While the current nomenclature of psychotropic drugs is disease-based, their approved indications do not always match their classifications.

Methods: Information on approved indications of "second-generation antipsychotics" and "newer antidepressants" that are available in the United States (US), the United Kingdom (UK), France, Germany, and Japan were extracted from their packet inserts.

Results: A significant proportion of "atypical antipsychotics" were approved for psychiatric conditions other than psychotic disorders (i. e., bipolar disorder, major depressive disorder, and autistic disorder) as follows: 76.9% in the US, 66.7% in the UK, 66.7% in France, 60.0% in Germany, and 44.4% in Japan. Likewise, more than half of "newer antidepressants" had approved indications for psychiatric conditions other than depression (e. g., panic disorder, obsessive compulsive disorder, social anxiety disorder, general anxiety disorder, and post-traumatic stress disorder): 56.3% in the US, 69.2% in the UK, 69.2% in France, 50.0% in Germany, and 62.5% in Japan.

Conclusions: Our results raise concerns regarding generic terminologies of "antipsychotics" and "antidepressants" since the conventional indication-based nomenclature does not fit well with the official indication.

MeSH terms

  • Antidepressive Agents / classification*
  • Antidepressive Agents / therapeutic use
  • Antipsychotic Agents / classification*
  • Antipsychotic Agents / therapeutic use
  • Drug Approval
  • Humans
  • Mental Disorders / classification*
  • Mental Disorders / drug therapy*
  • Off-Label Use
  • Terminology as Topic*

Substances

  • Antidepressive Agents
  • Antipsychotic Agents