Psychiatr. praxi. 2026;27(2):94-98 | DOI: 10.36290/psy.2026.016

Availability and future perspectives of psychopharmaceuticals in the Czech-Slovak context: what is and isn't available, and what could be

MUDr. Štefan Artim
Psychiatrická nemocnice Brno

Psychotropic drugs, together with psychotherapy, are a basic means of treating mental disorders. Their availability is varied and multifactorial, with legislation, market size and local specifics playing a role. In this review article, we present a summary of the availability of various psychotropic drugs in the Czech and Slovak regions. Despite the socioeconomic proximity, the differences are sometimes significant. The next section is devoted to groups of newer drugs that have various approvals, but are not yet available in our region or are currently in clinical trials. An interesting trend in the field may be, for example, the so-called fixed drug combinations (FDCs), melatonin agonists, neurosteroids, VMAT 2 inhibitors and the latest molecules intended for the treatment of drug-resistant schizophrenia.

Keywords: psychopharmaceuticals, availability, FDC, FDA, EMA.

Accepted: June 10, 2026; Published: July 21, 2026  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Artim Š. Availability and future perspectives of psychopharmaceuticals in the Czech-Slovak context: what is and isn't available, and what could be. Psychiatr. praxi. 2026;27(2):94-98. doi: 10.36290/psy.2026.016.
Download citation

References

  1. Státní ústav pro kontrolu léčiv. Přehledy léčiv. [Internet] Praha. Aktualizované 17. 11. 2025 [cited 24. 11. 2025] Available from: https://prehledy.sukl.cz/prehled_leciv.html#/
  2. Štátny ústav pre kontrolu liečiv. Vyhľadávanie v databáze registrovaných liekov. [Internet] Bratislava. [cited 24. 11. 2025] Available from: https://www.sukl.sk/hlavna-stranka/slovenska-verzia/databazy-a-servis/vyhladavanie-liekov-zdravotnickych-pomocok-a-zmien-v-liekovej-databaze/vyhladavanie-v-databaze-registrovanych-liekov?page_id=242
  3. Kolářová Z. Průlom v léčbě duševních onemocnění. Léčba psilocybinem schválena. In: Tribune.cz [Internet]. Praha: Tribune.cz; 30. 5. 2025 [cited 24. 11. 2025]. Available from: https://www.tribune.cz/vsechny-clanky/prulom-v-lecbe-dusevnich-onemocneni-lecba-psilocybinem-schvalena/
  4. Anders M. Zoleptil - ukončení dodávek přípravku s obsahem účinné látky zotepin. In: Psychiatrie.cz [Internet]. Praha: České lékařské společnosti J. E. Purkyně [cited 24. 11. 2025]. Available from: https://www.psychiatrie.cz/deni/lekova-politika?view=article & id=3345:zoleptil-ukonceni-dodavek-pripravku-s-obsahem-ucinne-latky-zotepin & catid=70
  5. Musselman M, Faden J, Citrome L. Asenapine: an atypical antipsychotic with atypical formulations. Ther. adv. psychopharmacol. 2021;11. Go to original source...
  6. Edinoff AN, Sall S, Beckman SP, et al. Tianeptine, an Antidepressant with Opioid Agonist Effects: Pharmacology and Abuse Potential, a Narrative Review. Pain Ther. 2023; 12(5):1121-1134. Go to original source... Go to PubMed...
  7. Smith CM, Augustine MS, Dorrough J, et al. Xanomeline-trospium (CobenfyTM) for Schizophrenia: A Review of the Literature. Clin. Psychopharmacol. Neurosci. 2025;23(1):2-14. Go to original source... Go to PubMed...
  8. He L, Shen M, Zhang L, et al. A pharmacovigilance study of olanzapine/samidorphan based on FDA Adverse Event Reporting System (FAERS). BMC Pharmacol Toxicol. 2025;26:39. Go to original source... Go to PubMed...
  9. McCarthy B, Bunn H, Santalucia M, et al. Dextromethorphan-bupropion (Auvelity) for the Treatment of Major Depressive Disorder. Clin. Psychopharmacol. Neurosci. 2023; 21(4):609:616. Go to original source... Go to PubMed...
  10. Višňovský J, Vaněk J. Nová farmaka v léčbě nespavosti. Psychiatr. Praxi. 2023;24(3):176-179. Go to original source...
  11. Singhal M, Modi N, Bansal L, et al. The Emerging Role of Neurosteroids: Novel Drugs Brexanalone, Sepranolone, Zuranolone, and Ganaxolone in Mood and Neurological Disorders. Cureus. 2024;16(7): e65866. Go to original source...
  12. Drugs.com. Brexanolone (intravenous). In: Drugs.com [Internet]. 2025 [cited 24. 11. 2025]. Available from: https://www.drugs.com/cons/brexanolone.html
  13. EMA. Zurzuvae (zuranolone). In: European Medicines Agency [Internet]. [cited 24. 11. 2025]. Available from: https://www.ema.europa.eu/en/medicines/human/EPAR/zurzuvae
  14. Carbon M, Kane JM, Leucht S, et al. Tardive dyskinesia risk with first- and second-generation antipsychotics in comparative randomized controlled trials: a meta-analysis. World Psychiatry. 2018;17(3):330-40. Go to original source... Go to PubMed...
  15. Golsorkhi M, Koch J, Pedouim F, et al. Comparative Analysis of Deutetrabenazine and Valbenazine as VMAT2 Inhibitors for Tardive Dyskinesia: A Systematic Review. TOHM. 2024;14:13. Go to original source...
  16. European Medicines Agency. Austedo (deutetrabenazine) - EPAR. In: European Medicines Agency [Internet]. [cited 24. 11. 2025]. Available from: https://www.ema.europa.eu/en/medicines/human/EPAR/austedo
  17. Nucifora FC, Woznica E, Lee BJ, et al. Treatment resistant schizophrenia: Clinical, biological, and therapeutic perspectives. Neurobiol Dis. 2019; 131:104257. Go to original source... Go to PubMed...
  18. Durgam S, Kozauer SG, Earley WR, et al. Lumateperone for the Treatment of Major Depressive Disorder With Mixed Features or Bipolar Depression With Mixed Features: A Randomized Placebo-Controlled Trial. J. Clin. Psychopharmacol. 2025;45(2):67-75. Go to original source...
  19. Abusalameh A, Andonie CR, Ladadweh M, et al. Efficacy and Safety of Cariprazine, Asenapine, Xanomeline-Trospium, and Lumateperone for Acute Exacerbations of Schizophrenia in Adults: A Network Meta-Analysis. Schizophr Bull Open. 2025;6(1):sgaf024. Go to original source... Go to PubMed...
  20. Anand R, Turolla A, Chinellato G, et al. Efficacy and safety of evenamide, a glutamate modulator, added to a second-generation antipsychotic in inadequately/poorly responding patients with chronic schizophrenia: Results from a randomized, double-blind, placebo-controlled, phase 3, international clinical trial. Neuropharm. 2025;266:110275. Go to original source... Go to PubMed...
  21. Biso L, Carli M, Scarselli M, et al. Overview of Novel Antipsychotic Drugs: State of the Art, New Mechanisms, and Clinical Aspects of Promising Compounds. Biomedicines. 2025;13(1):85. Go to original source...
  22. Reynolds GP. The trace amine-associated receptor 1 agonists - non-dopaminergic antipsychotics or covert modulators of D2 receptors? J. Psychopharmacol. 2024;38(6):503-506. Go to original source...
  23. Minerva Neurosciences, Inc. Minerva Neurosciences Receives Complete Response Letter from FDA for New Drug Application for Roluperidone for the Treatment of Negative Symptoms in Patients with Schizophrenia. In: GlobeNewswire [Internet]. Burlington, Mass.: Minerva Neurosciences. [cited 24. 11. 2025]. Available from: https://www.globenewswire.com/news-release/2024/02/27/2835962/32445/en/Minerva-Neurosciences-Receives-Complete-Response-Letter-from-FDA-for-New-Drug-Application-for-Roluperidone-for-the-Treatment-of-Negative-Symptoms-in-Patients-with-Schizophrenia.html.




Psychiatry for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.