See also drug resistance; drug poisoning; drug addiction and drug abuse.
Sources of DrugsDrugs are obtained from many sources. Many inorganic materials, such as metals, are chemotherapeutic; hormones, alkaloids, vaccines, and antibiotics come from living organisms; and other drugs are synthetic or semisynthetic. Synthetics are often more effective and less toxic than the naturally obtained substances and are easier to prepare in standardized units. The techniques of genetic engineering are being applied to the production of drugs, and genetically engineered livestock that incorporate human genes are being developed for the production of scarce human enzymes and other proteins (see pharming).
Pharmacopoeia and Drug SafeguardsStandards for drugs and tests for their identity, quality, and purity are given in the U.S. pharmacopoeia, first published in 1820 and at first revised every 10 years, later every 5 years. The British publish a similar pharmacopoeia. The National Formulary published by the American Pharmaceutical Association gives the composition, description, method of preparation, and dosage for drugs; the Physician's Desk Reference is a privately published compilation of information supplied by drug companies about their drug products, published yearly. The scientific study of drugs, their actions and effects, is pharmacology.
Legislation to safeguard drug purchasers began in the United States with the Pure Food and Drugs Act of 1906; this was superseded by the more inclusive and more stringent federal Food, Drug, and Cosmetic Act of 1938. Such laws are enforced by the Food and Drug Administration. The 1962 Kefauver-Harris amendments to the Food, Drug, and Cosmetic Act increased the authority of the Food and Drug Administration to regulate testing and marketing of new drugs. There are two marketing classes of drugs: ethical drugs, for which prescriptions are needed, and proprietary drugs, which are sold over the counter without prescription. Many of the latter, such as mouthwashes, gargles, and cold preparations, are only slightly, if at all, effective in curing ailments.
BibliographySee B. Barber, Drugs and Society (1967); C. B. Clayman, ed., American Medical Association Guide to Prescription and Over-the-Counter Drugs (1988); A. Burger, Drugs and People: Medications, Their History and Origins, and the Way They Act (rev. 1988); United States Pharmacopeial Staff, The Complete Drug Reference (1995).
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Antidiabetic drug, any of several drugs that control blood sugar level in the treatment of diabetes. See insulin.
Orphan drug, drug developed under the U.S. Orphan Drug Act (1983) to treat a disease that affects fewer than 200,000 people in the United States. The orphan drug law offers tax breaks and a se...
Drug resistance, condition in which infecting bacteria can resist the destructive effects of drugs such as antibiotics and sulfa drugs. Drug resistance has become a serious public health probl...
Hypnotic drugs, drugs that induce sleep, sometimes called soporifics. In general, hypnotics are central nervous system depressants. Alcohol, laudanum (see opium), bromide salts, and herbs such...
Antiviral drug, any of several drugs used to treat viral infections. The drugs act by interfering with a virus's ability to enter a host cell and replicate itself with the host cell's DNA. Som...
Sympathomimetic drug, any of a group of substances whose actions resemble the response of stimulated sympathetic nerves (see nervous system). These drugs include epinephrine and other catechol...
Drug poisoning, toxic effects caused by an administered drug. Worldwide more than 9 million natural and synthetic chemicals have been identified; fewer than 3000 cause more than 95% of acident...
Generic drug, a drug sold or prescribed under the nonproprietary name of its active ingredients or under a generally descriptive name rather than under a brand or trade name. The name of the a...
Antianxiety drug, drug administered for the relief of anxiety. Although their action is not fully understood, most antianxiety medications appear to affect the action of neurotransmitters in t...
Hallucinogenic drug, any of a group of substances that alter consciousness; also called psychotomimetic (i.e., mimicking psychosis), mind-expanding, or psychedelic drug. The group includes mes...
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