The overprescription of antidepressants and its impact on the elderly in Australia.

Alduhishy, Muath

Introduction: Psychopharmaceutical medications are noted for being one of the most commonly prescribed drugs worldwide, which makes the issue of overprescribing them such a heated topic in medicine and psychiatry today. Method: A literature review was made to investigate the topic of psychotropic medication prescriptions. The scope intended here is specific to antidepressant use, or rather overuse, in Australia, but it can be compared to the use of other psychotropic drugs in most western countries. The focus is directed towards the most vulnerable group of patients: the elderly. Results: The past few decades have witnessed a surge in the use of psychotropic drugs, most notably antidepressants, in Australia and worldwide. This has numerous reasons as well as consequences, especially on vulnerable members of society. Conclusion: It has been suggested that overprescription of antidepressants is fueled by the increase in the incidence of depression, stress and anxiety, or due to the way psychotropic medications are marketed. However, regardless of the validity of the said reasons, another explanation could be suggested: psychiatric disorders, namely depression, are being overdiagnosed on a considerable scale, probably leading to a list of significant adverse consequences that mostly affect the most vulnerable groups of patients. At the end, further rigorous research should certainly be undertaken to examine the extent and cost of overprescription of psychotropic drugs in society.

AUSTRALIA; PSYCHIATRIC drugs; ANTIDEPRESSANTS; OLDER patients; DRUG prescribing; ANXIETY treatment

Trends in Psychiatry & Psychotherapy, 2018, Vol 40, Issue 3, p241

2237-6089

Academic Journal

10.1590/2237-6089-2016-0077