Tag: MONOGRAPH

  • Liothyronine (T3)

    Active thyroid hormone (T3)

    The active thyroid hormone triiodothyronine; faster-acting and more potent than levothyroxine, used in hypothyroidism, depression augmentation, and metabolic research.

    Abstract

    Liothyronine (3,3′,5-triiodo-L-thyronine, T3; CAS 6893-02-3; molecular formula C15H12I3NO4; molecular weight 650.97) is the active thyroid hormone, marketed as Cytomel for hypothyroidism. The compound binds thyroid hormone receptors (TR-alpha, TR-beta) with approximately 4-fold higher affinity than thyroxine (T4) and produces direct genomic effects on metabolic gene transcription without the conversion delay required for T4. Plasma half-life is 2.5 days, much shorter than T4’s 7-day half-life, producing more variable plasma levels but faster onset and offset. Approved for hypothyroidism (alternative or adjunct to levothyroxine), myxedema coma (intravenous), and as a thyroid suppression test. Off-label use in major depressive disorder augmentation (the STAR*D trial-supported strategy of T3 25 to 50 mcg added to a partially-responding antidepressant), fat loss, and bodybuilding cutting cycles. The cardiac risk is the principal limitation: T3 directly increases myocardial oxygen demand, producing tachycardia, atrial fibrillation, and angina at supratherapeutic doses. Used as the canonical T3 reference compound.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • Cannabidiol (CBD)

    Phytocannabinoid (non-intoxicating)

    A non-psychotomimetic phytocannabinoid from Cannabis; FDA-approved for refractory pediatric epilepsy syndromes; widely used for anxiety, sleep, and inflammation.

    Abstract

    Cannabidiol (CBD; CAS 13956-29-1; molecular formula C21H30O2; molecular weight 314.46) is the principal non-intoxicating phytocannabinoid of Cannabis sativa, approved by the FDA in 2018 as Epidiolex for Dravet syndrome, Lennox-Gastaut syndrome, and tuberous sclerosis complex-associated seizures. Mechanism is multifactorial and incompletely characterized: minimal CB1 affinity (avoiding the THC-like psychoactivity), CB2 partial agonism, allosteric CB1 negative modulation (potentially attenuating THC effects), TRPV1 agonism, GPR55 antagonism, 5-HT1A partial agonism, and inhibition of fatty acid amide hydrolase (raising endogenous anandamide). Plasma half-life is 18 to 32 hours; metabolism is via CYP3A4 and CYP2C19, with CBD itself being a moderate inhibitor of CYP3A4 and CYP2D6 producing clinically relevant drug-drug interactions. Approved indications: refractory pediatric epilepsy. Off-label use is extensive (anxiety, sleep, pain, inflammation) with mixed clinical evidence and substantial product variability in the consumer market. Used as the canonical non-intoxicating phytocannabinoid in research.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • Beta-Phenylethylamine (PEA)

    Endogenous trace amine / TAAR1 agonist

    An endogenous trace amine; a TAAR1 agonist found at low concentrations in mammalian brain; structurally the parent of amphetamine.

    Abstract

    Beta-phenylethylamine (PEA; 2-phenylethylamine; CAS 64-04-0; molecular formula C8H11N; molecular weight 121.18) is an endogenous trace amine produced by decarboxylation of L-phenylalanine. The compound is found at low concentrations in mammalian brain (nM range) and in dietary sources including chocolate, cheese, and certain fermented foods. PEA is the prototype TAAR1 agonist (Ki approximately 700 nM at human TAAR1) with secondary effects on monoamine release and inhibition of MAO-B. Plasma half-life is extremely short (approximately 5 to 10 minutes) owing to rapid MAO-B-mediated degradation; exogenous oral PEA is therefore largely inactive without MAO-B inhibition (selegiline combination is used to extend duration). Behavioral and physiological effects parallel amphetamine but with shorter duration and lower potency. Used as the canonical endogenous TAAR1 agonist in trace amine research.

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  • Low-Dose Naltrexone (LDN)

    Mu-opioid antagonist (low-dose immunomodulatory use)

    A mu-opioid antagonist used at low doses (1.5 to 4.5 mg) for autoimmune and chronic pain conditions; mechanism via transient opioid blockade and TLR4 modulation.

    Abstract

    Naltrexone ((5alpha)-17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxymorphinan-6-one; CAS 16590-41-3; molecular formula C20H23NO4; molecular weight 341.40) is a long-acting mu-opioid antagonist approved by the FDA in 1984 (ReVia, Vivitrol) for opioid and alcohol use disorders at standard doses (50 mg/day or 380 mg monthly depot). The low-dose application (LDN, 1.5 to 4.5 mg/day) was developed by Bernard Bihari in the 1980s and has been adopted in immunology and chronic pain communities. Mechanism is multifactorial and incompletely characterized: brief, transient mu-opioid antagonism (only 4 to 6 hours per dose) triggers compensatory upregulation of endogenous opioid synthesis and receptor expression, producing a paradoxical increase in opioid-mediated tone over baseline; secondary TLR4 antagonism on microglia attenuates neuroinflammation. Approved indications: opioid and alcohol use disorders (standard dose). Off-label LDN use in multiple sclerosis, Crohn disease, fibromyalgia, complex regional pain syndrome, and Hashimoto thyroiditis is supported by small clinical trials with mixed methodology. Plasma half-life is approximately 4 hours. Used as a research compound for paradoxical opioid pharmacology and neuroimmune modulation.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • N-Acetylcysteine (NAC)

    Glutathione precursor / mucolytic / antioxidant

    N-acetyl-L-cysteine; a glutathione precursor used as a mucolytic, the antidote for acetaminophen overdose, and a candidate for neuropsychiatric and metabolic conditions.

    Abstract

    N-acetylcysteine (NAC; CAS 616-91-1; molecular formula C5H9NO3S; molecular weight 163.20) is the N-acetylated derivative of L-cysteine, approved by the FDA in 1963 as a mucolytic and acetaminophen overdose antidote. Mechanism: NAC is hydrolyzed to L-cysteine, the rate-limiting precursor for glutathione (GSH) biosynthesis; NAC administration rapidly replenishes intracellular GSH. The acetyl group also has direct mucolytic activity through disulfide bond reduction in mucus glycoproteins (the original FDA indication, Mucomyst). In acetaminophen overdose, replenished GSH conjugates the toxic NAPQI metabolite, preventing hepatocellular necrosis. Plasma half-life is approximately 6 hours. Off-label and research uses are extensive: OCD, trichotillomania, gambling disorder, addiction (cocaine, alcohol, cannabis), bipolar disorder, schizophrenia, and as a chemoprotective antioxidant. The clinical evidence is mixed; meta-analyses generally support modest effects in OCD and addictive behaviors. The compound is sold as both a prescription drug (oral, IV, inhaled) and as an OTC supplement. Used as the canonical glutathione precursor in research.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • Hordenine

    Plain-language summaryIntrigue 35 / 100

    Hordenine (N,N-dimethyl-tyramine) is a phenethylamine alkaloid found in germinating barley and several cacti. It is a weak MAO-B inhibitor and a weak monoamine reuptake inhibitor, and the combination slows the breakdown of dopamine and short-lived trace amines like beta-phenylethylamine (PEA). The supplement use angle is to pair it with PEA, where the MAO-B inhibition extends PEA’s normally minutes-long duration into something noticeable. Plasma half-life is one to two hours. The actual pharmacological effects in humans at supplement doses are modest, and most enthusiasm comes from extrapolation rather than human trials. Botanical MAO-B reference compound. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Phenethylamine MAO-B inhibitor / mild stimulant

    N,N-dimethyl-tyramine; a phenethylamine alkaloid found in barley sprouts; a weak MAO-B inhibitor used as a stimulant adjunct.

    Abstract

    Hordenine (N,N-dimethyl-tyramine; CAS 539-15-1; molecular formula C10H15NO; molecular weight 165.23) is a phenethylamine alkaloid found in germinating barley (Hordeum vulgare) and several cacti. The compound is a weak monoamine oxidase B inhibitor and a weak monoamine reuptake inhibitor; the combined activity slows the degradation of dopamine and trace amines including beta-phenylethylamine (PEA), prolonging their action. Used as a supplement, particularly in combination with PEA where the MAO-B inhibition extends PEA’s normally minutes-long duration. Plasma half-life is approximately 1 to 2 hours. The pharmacological effects in humans at supplement doses are modest. Used as a botanical MAO-B inhibitor in research and in supplement formulations.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • Org-26576

    Plain-language summaryIntrigue 40 / 100

    Org-26576 is a sulfonamide AMPA potentiator developed at Organon. Phase 2 trials investigated it in major depressive disorder and ADHD. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Sulfonamide AMPA potentiator

    An Organon/Merck ampakine that reached Phase 2 in major depressive disorder.

    Abstract

    Org-26576 is a sulfonamide-class AMPA receptor positive allosteric modulator developed by Organon (subsequently Schering-Plough, Merck) for cognitive enhancement in major depressive disorder and other indications. The compound advanced through Phase 2 trials with results consistent with the ampakine class profile (modest cognitive endpoint improvements, no adverse signal). The development program was discontinued under Merck. Pharmacokinetics: plasma half-life approximately 5 hours; oral bioavailability adequate. The compound is rarely available in research-chemical-grade markets.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • MK-677 (Ibutamoren)

    Plain-language summaryIntrigue 72 / 100

    MK-677 (Ibutamoren) is a small-molecule growth hormone releaser that mimics ghrelin. Unlike GHRPs, it is orally active because it is not a peptide. It produces sustained growth hormone elevation, increased appetite, and improved sleep, often used in research contexts as an oral GH releaser. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Orally active non-peptide ghrelin receptor agonist

    A Merck-developed orally bioavailable non-peptide ghrelin receptor agonist that produces sustained GH and IGF-1 elevation with once-daily oral dosing.

    Abstract

    MK-677 (Ibutamoren; CAS 159752-10-0; molecular formula C27H36N4O5S; molecular weight 528.66) is a non-peptide ghrelin receptor agonist developed by Merck in the 1990s. Unlike the peptide GHRPs, MK-677 is orally bioavailable and produces sustained GH and IGF-1 elevation over 24 hours with once-daily dosing. Phase 2 trials in elderly subjects showed sustained increases in GH, IGF-1, and lean body mass over 12 to 24 month treatment periods. The compound did not advance to FDA approval; the program was deprioritized after disappointing Phase 3 results in the GHD elderly population. The compound is sold as a research chemical/dietary supplement in some markets, though FDA has issued warnings against its sale as a supplement. Pharmacokinetics: plasma half-life 4 to 6 hours; high oral bioavailability; hepatic CYP3A4 metabolism. Doses are typically 10 to 25 mg orally once daily, usually at bedtime to align with the natural GH pulse. Adverse events include increased appetite, water retention, and modest insulin resistance with chronic high-dose use.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • Setmelanotide

    Plain-language summaryIntrigue 84 / 100

    Setmelanotide, sold as Imcivree, is a selective MC4 receptor agonist approved by the FDA for genetic obesity caused by mutations in the leptin-melanocortin pathway. It is one of the first targeted obesity drugs. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Selective MC4 receptor agonist

    An FDA-approved (2020) selective MC4 receptor agonist (Imcivree) for genetic obesity disorders (POMC, LEPR, PCSK1 deficiency).

    Abstract

    Setmelanotide (Imcivree; RM-493; CAS 920014-72-8; molecular weight 1117.34) is a selective MC4 receptor agonist developed by Rhythm Pharmaceuticals and approved by the FDA in 2020 for chronic weight management in adults and children aged 6 years and older with obesity due to proopiomelanocortin (POMC), leptin receptor (LEPR), or PCSK1 deficiency. The compound is also approved for Bardet-Biedl syndrome obesity (2022). Mechanism is selective MC4 agonism in the hypothalamus, restoring downstream signaling in the leptin-melanocortin pathway disrupted by upstream genetic defects. The drug produces clinically meaningful weight loss in the genetically defined responder populations but minimal effect in non-genetic obesity. Pharmacokinetics: subcutaneous administration daily; plasma half-life approximately 11 hours. Approved doses are 2 to 3 mg once daily.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • Lion’s Mane (Hericium erinaceus)

    Plain-language summaryIntrigue 65 / 100

    Lion’s mane mushroom (Hericium erinaceus) contains hericenones and erinacines that promote nerve growth factor (NGF) production. Used as a nootropic and being studied for cognitive decline. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Medicinal mushroom / NGF inducer

    A medicinal mushroom containing hericenones and erinacines with documented NGF induction and modest cognitive enhancement in mild cognitive impairment.

    Abstract

    Hericium erinaceus (Lion’s Mane mushroom) is a medicinal mushroom containing hericenones (in the fruiting body) and erinacines (in the mycelium), both classes of which induce nerve growth factor (NGF) expression in vitro and in vivo. NGF is critical for cholinergic neuron survival and function. A small randomized trial in Japanese subjects with mild cognitive impairment showed cognitive endpoint improvements with chronic Lion’s Mane supplementation (3 grams per day for 16 weeks). Additional studies suggest peripheral nerve regeneration applications and modest anxiolytic effects. The compound is sold as both fruiting body extracts and mycelium-on-grain products; the latter contains erinacines but also significant residual grain (rice, oats) which has led to controversy about active constituent content. Doses are typically 500 mg to 3 grams per day of the fruiting body extract.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.