我国医生阅读英语文献,特别是美国文献的较多,对于美国常用的药物比较熟悉。美国有一个药物审查机构(简称FDA),对药物管理较严。有些有效药物若未经FDA通过,在美国就不能使用。例如在我国已用了多年的氯氮平,在美国直到1990年代才允许使用。实际上,精神科多数常用药物(例如氯丙嗪、氟哌啶醇、氯氮平、丙咪嗪等)都起源于欧洲。近年来由于部分美国医生和病家的强烈要求,对于某些欧洲药物,FDA也可以临时批准进口使用3个月。有些药物只批准使用于某些适应证而不允许用于其他适应证(例如抗抑郁药只能用于抑郁而不 Chinese doctors read English literature, especially in the United States, and are familiar with the commonly used drugs in the United States. The United States has a drug review agency (referred to as FDA), more stringent drug management. Some effective drugs can not be used in the United States unless approved by the FDA. For example, clozapine, which has been used for many years in our country, was not allowed in the United States until the 1990s. In fact, most commonly used psychotropic drugs (such as chlorpromazine, haloperidol, clozapine, imipramine, etc.) originated in Europe. In recent years, due to the strong demand of some American doctors and patients, the FDA can also temporarily approve the import for 3 months for certain European drugs. Some medications are approved for certain indications only and not for other indications (eg antidepressants can only be used for depression instead