Evidence map›Paper›PMID 40823872›Full record

ArticleHuman psychopharmacology2025

National Prescribing Trends and Cost Analysis of Antidepressants, Anxiolytics, and Hypnotics in England, 2010-2023.

Mike Stedman, Mark Davies, John Warner- Levy, Joseph Ingram, David Taylor, Adrian Heald

Abstract read
In one paragraph

Article in Human psychopharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mike StedmanRes Consortium, Andover, UK.
Mark DaviesRes Consortium, Andover, UK.
John Warner- LevyUniversity of Manchester, Manchester, UK.
Joseph IngramGreater Manchester Mental Health, Manchester, UK.
David TaylorInstitute of Psychiatry, London, UK.
Adrian HealdDepartment of Endocrinology, Salford Royal Hospital, Salford, UK.ORCID 0000-0002-9537-4050

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe describe prescribing of anxiolytics/hypnotics/antidepressants at an all-England level between 2010 and 2023, taking account of the influence of the COVID-19 pandemic-period.

methodsAll Primary Care Prescribing data for England for anxiolytics/hypnotics/antidepressant agents taken as tablets or capsules from 1 January 2010 to 31 December 2023 were considered.

resultsAntidepressants: the greatest increases were in sertraline prescriptions increasing from 2.9million 2010 by 685% to 23.0 million-2023; duloxetine increased by 545% to 3.9million prescriptions; mirtazapine by 269% to 12.4million prescriptions. Regarding cost, overall average cost fell 2010-2023 by 54% from £4.86(Euros 5.68) to £2.25(Euros 2.63) per prescription. Anxiolytics: the number of prescriptions for anxiolytics fell 6.5-4.8 m (-27%) overall, with all anxiolytics falling except buspirone. The greatest period of fall was seen between 2018 and 2023. Lorazepam/diazepam/chlordiazepoxide were down 23%,16%, 88% respectively. Average cost of prescriptions fell by 13% to £3.20(Euros 3.74). Hypnotics: the number of prescriptions for hypnotics fell 41% from 9.8million to 5.8million in 2023. All prescriptions fell in number. Annual trends showed no deviations for the COVID-19 core pandemic (2020/2021) years.

conclusionOverall trends demonstrate a more than doubling of antidepressant prescribing over the period 2010-2023, with similar volume reduction in anxiolytics/hypnotics over the same period. Such real world data facilitate the development of policy influencing insights for psychotropic prescribing management now and in coming years.

Indexed as

Anti-Anxiety AgentsAntidepressive AgentsCOVID-19Drug CostsDrug PrescriptionsHypnotics and SedativesPractice Patterns, Physicians'Costs and Cost AnalysisEnglandHumansAnti-Anxiety AgentsAntidepressive AgentsHypnotics and Sedativesantidepressantanxiolyticgeneral practicehypnoticprescribingtrends

Identifiers

PMID40823872
PMCPMC12360015

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.