147 articles
Cyproterone acetate
Cyproterone acetate, sold under trade names including Androcur, is a synthetic steroidal antiandrogen and progestogen used for androgen-dependent conditions such as hirsutism, acne, and prostate cancer, with a known meningioma risk at higher doses.
Cytoprotection
Cytoprotection: protection of cells or tissues from injury by agents acting separately from a drug's main effect. Coined by Robert (1979) for prostaglandin gastric protection; extended to oncology (leucovorin, amifostine, dexrazoxane) and stroke.
Daniel L. Azarnoff
Daniel L. Azarnoff is an American physician and clinical pharmacologist, elected to the Institute of Medicine in 1978, who led drug research at the University of Kansas and Searle.
Detoxification
Detoxification, also called biotransformation, is the set of metabolic reactions by which the body chemically alters foreign compounds such as drugs, reducing toxicity and easing excretion.
Diethylstilbestrol
Diethylstilbestrol (DES) is a synthetic estrogen first made in 1938, prescribed to prevent miscarriage from the 1940s to the 1970s until it was found to cause cancer.
Dopamine reuptake inhibitor
Dopamine reuptake inhibitor (DRI), also NDRI or DNRI: a drug blocking the dopamine transporter (DAT, SLC6A3) to raise synaptic dopamine. Key drugs: bupropion, methylphenidate, modafinil, solriamfetol; used for depression, ADHD, narcolepsy, smoking cessation.
Dose titration
Dose titration is the stepwise adjustment of a drug's dose, up or down, to reach a clinical target at the lowest effective dose for each patient.
Dose–response relationship
The dose–response relationship, also known as the dose-response curve, links the dose of a drug to the body's biological response, and supplies potency and efficacy parameters for comparing drugs.
Drug
A drug is a substance that, when absorbed into a living organism, may modify one or more of its functions; the word covers medicines, abused substances, and legal categories.
Drug Administration Schedule
Drug Administration Schedule: MeSH descriptor D004334 for the timing plan of drug dosing, covering frequency, intervals, and circadian timing, and its links to adherence and adverse reactions.
Drug Chronotherapy
Drug chronotherapy: timing drug administration to circadian rhythms for maximal efficacy and minimal toxicity; also called chronotherapeutics; key evidence in hypertension bedtime dosing and cancer chrono-chemotherapy.
Drug class
Drug class: a set of medications grouped by chemical structure, mechanism of action, physiologic effect, or therapeutic use. Formalized in the WHO ATC system (five levels, 14 main groups) and FDA Established Pharmacologic Classes.
Drug metabolism
Drug metabolism (biotransformation) is the enzymatic two-phase conversion of drugs into metabolites, mainly by hepatic cytochrome P450 enzymes, covering first-pass metabolism, induction, inhibition, pharmacogenetics, and toxicity.
Drug research
Drug Research (ISSN 2194-9379) is a Thieme peer-reviewed pharmacology journal in Stuttgart, published since 2013 as the continuation of Arzneimittel-Forschung (1951-2012), covering translational medicine and drug development.
Drug sensitivity testing
Drug sensitivity testing is the laboratory exposure of living cells, tissues, or microorganisms to drugs followed by measurement of viability or growth, underpinning functional precision medicine in oncology.
Drug tolerance
Drug tolerance: diminished response to a drug after repeated exposure, requiring higher doses; distinct from tachyphylaxis, dependence, and sensitization (reverse tolerance), with pharmacokinetic, pharmacodynamic, and learned mechanisms.
Dydrogesterone
Dydrogesterone (Duphaston, Femoston) is a synthetic retroprogesterone progestogen developed by Philips-Duphar in 1959, used with estradiol in menopausal hormone therapy and for IVF luteal phase support; oral doses 10–20 times lower than progesterone, no androgenic or glucocorticoid activity.
EC50
EC50 (half maximal effective concentration) is the agonist concentration producing a response halfway between baseline and maximum; the standard potency measure in pharmacology, derived from the 1910 Hill equation, distinct from IC50 and Kd.
Efficacy
Efficacy (pharmacology): a drug's capacity, once receptor-bound, to change target behavior and produce response; distinct from affinity and potency. Spans Ariëns' intrinsic activity, Furchgott's intrinsic efficacy, receptor reserve, inverse agonism, and biased agonism.
Elagolix
Elagolix (Orilissa, Oriahnn) is the first FDA-approved oral non-peptide GnRH receptor antagonist, approved in 2018 for endometriosis pain and in 2020 with hormonal add-back for fibroid heavy menstrual bleeding.
Emergency contraception
Emergency contraception: post-coital pregnancy prevention methods, including ulipristal acetate (ella/ellaOne), levonorgestrel (Plan B), the copper IUD, and the Yuzpe regimen, with mechanisms, efficacy, BMI effects, access rules, and the 2022 FDA nonabortifacient label change.
Encequidar
Encequidar (HM30181) is a minimally absorbed, gut-specific P-glycoprotein inhibitor by Hanmi/Athenex that enables oral paclitaxel (Oraxol); phase III in metastatic breast cancer showed higher response and less neuropathy than IV paclitaxel; not approved.
Enobosarm
Enobosarm (ostarine, GTx-024, MK-2866, VERU-024) is an oral nonsteroidal SARM developed for cancer cachexia; it raised lean body mass in phase 2/3 trials but won no US or EU approval and is WADA-prohibited.
Feminizing hormone therapy
Feminizing hormone therapy combines 17-beta estradiol with antiandrogens such as spironolactone to develop female secondary sex characteristics and suppress testosterone in transgender women, with VTE risk shaping formulation choice.
Finasteride
Finasteride (Propecia, Proscar) is a type II 5α-reductase inhibitor lowering DHT ~70%; used at 5 mg for BPH and 1 mg for male pattern hair loss, with PSA-lowering, sexual and psychiatric side-effect debates.
First pass effect
The first pass effect, or first-pass metabolism, is the metabolism of an oral drug in the liver and intestinal wall before it reaches systemic circulation, reducing bioavailability.
Food effect study
A food effect study is a clinical pharmacology study measuring how food changes an oral drug's absorption and exposure, comparing fed and fasted dosing to support labeling.
Gonadotropin-releasing hormone agonist
GnRH agonists (leuprolide, goserelin, triptorelin, buserelin, nafarelin, histrelin) are D-amino-acid-substituted GnRH decapeptide analogs that flare then suppress pituitary gonadotropins, used for prostate cancer, endometriosis, fibroids, and precocious puberty.
GW501516
GW501516 (GW1516, Cardarine, Endurobol) is a potent PPARδ agonist developed by GSK and Ligand for metabolic disease, abandoned in 2007 over rodent carcinogenicity, and banned in sport by WADA since 2009.
Hexafluorenium
Hexafluorenium (Mylaxen), C36H42N2, a bis-quaternary fluorene nondepolarizing neuromuscular blocker and reversible non-competitive plasma cholinesterase inhibitor used to prolong succinylcholine; US NDA withdrawn 1994.