Sales of Antipsychotics Predicted to Drop, Then Hit a High by 2021


After a drop to $6.5 billion in 2014, due to the loss of patent protection by the Seroquel, Zyprexa, and Abilify, sales of antipsychotics in the United States, France, Germany, Italy, Spain, the U.K. and Japan are predicted to reach a high of $8 billion by 2021, driven largely by sales of high-priced depot antipsychotics.

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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected].


  1. Terrifying. I can imagine it in the U.S. especially. We’ve got so many kids on those drugs now and if most of them are like I was they are just looking for an opportunity to get out of that whole system and off the drugs. I can see many parents looking into depot injections for their kids when they turn 18. I can see it happening even if the kids do well off the drugs. What sort of parent is going to let their kids live a life that smacks them in the face every day and makes them look like they just drugged their kid for convenience? I’ve read into a lot of comments and arguments from child druggers over the years and am sure that most of them are weary of the possibility that their kid may get off the drugs and do fine, proving that the drugs were never needed all the harm and hardship they went through was for nothing and that they were bad parents.

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  2. Heh, I knew this. On the discussion forums, I talked a bit with Emily about how the pharma operates in Finland. The hospitals and health-care are much more socialised in Finland, my home country, compared to USA, yet the system still works according to the pharma rules.

    In Finland, the pharma is not allowed to advertise the meds directly to the consumers. Well, what they do instead is that they advertise directly to the doctors in the magazines for doctors. Another thing is that they print “official schizophrenia guides”, etc, and spread them to the patients. They can’t mention their own drug, but apparently they think that it’s still worth it to spread the “message” to the patients.

    One other thing that the pharma does in Finland is that they publish “official educational” web sites about schizophrenia, etc. These web sites then get advertised in the public, tax-payed hospitals.

    With this kind of propaganda, the pharma changed the general opinions so that that both the doctors and the patients now believe that the “second generation” neuroleptics are oh so much more better than the old ones.

    I know most of you can’t read Finnish, but I’ll explain. Here is a link to an “official educational” web site released a while ago. The site is run by a pharma company Janssen-Cilag. There is general blah blah kind of information about schizophrenia, this link takes directly to the medicine section.

    Well, instead of talking about the drugs, their function, side-effects, etc, when you go to the medicine section, first thing you see is a divider. Either you take the tablets (left side) or you take a depot (right side). Then there are a lot of benefits on the right side. Then on another page there’s a big banner “Because of the new techniques, new longer-lasting antipsychotics have been generated”.

    On the link “Different types of neuroleptics”, they’re no longer making the distinction between the “typical” and “atypical” neuroleptics. Instead the important distinction is whether it’s a tablet (left side) or a depot (right side).

    That is, instead of making it a patient-doctor decision of choosing between a typical or atypical neuroleptic, the big choice is now if the medicine is a tablet or a depot. That’s because pharma’s patents are going old, so they think they can more money with depots. Oh sure, you can’t advertise your depot medicine directly to the patient, but you can create an “official” web site which encourages the patient to ask the doctor for a depot neuroleptic. “You’re free to live your life to the fullest, you don’t even have to remember to take your daily doses”.

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  3. I don’t understand why heavy metal chelation therapy is not allowed to be properly administered to cure these mentally ill consumers. Doctors do it by telling everyone that vitamins don’t work, don’t take supplements because they will interact with your meds, etc. Heavy metal chelation using substances such as chlorella, cilantro, alfalfa and much more use substances which bind to the heavy metal and excrete it from the body. Heavy metals are deposited in the body like mineral would be and can create symptoms of psychosis. Heavy metals include lead, aluminum, mercury, cadmium, copper and more. I do not think it is fair that citizens are forced to be told the lie that mental illness is incurable, keeping so many people sick.

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