Tag: MONOGRAPH

  • Anandamide (AEA)

    Endocannabinoid (N-arachidonoylethanolamine)

    The principal endogenous CB1 receptor agonist; a fatty acid amide neurotransmitter implicated in mood, pain, and reward.

    Abstract

    Anandamide (N-arachidonoylethanolamine, AEA; CAS 94421-68-8; molecular formula C22H37NO2; molecular weight 347.53) is the principal endogenous CB1 receptor agonist, isolated by Devane and Mechoulam in 1992 (Nature). The name derives from the Sanskrit ananda (bliss). The compound is synthesized on-demand from membrane phospholipid precursors via NAPE-PLD and degraded primarily by fatty acid amide hydrolase (FAAH); the on-demand synthesis-degradation kinetics produce highly localized signaling without the persistent receptor occupation typical of conventional neurotransmitters. CB1 affinity is approximately 89 nM with full agonist activity; secondary TRPV1 and PPAR-gamma activity. Plasma half-life is on the order of minutes, extremely short owing to rapid FAAH-mediated degradation. Used as the canonical endocannabinoid in academic neuroscience and as a substrate in FAAH inhibitor research. The administration of exogenous anandamide as a drug is impractical owing to the short half-life; FAAH inhibitors (URB597, PF-04457845) are used to elevate endogenous anandamide instead.

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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,N-Dimethyltryptamine (N,N-DMT)

    Endogenous tryptamine / 5-HT2A agonist

    An endogenous tryptamine; the principal psychoactive constituent of ayahuasca; a high-affinity 5-HT2A receptor agonist.

    Abstract

    N,N-Dimethyltryptamine (N,N-DMT; CAS 61-50-7; molecular formula C12H16N2; molecular weight 188.27) is an endogenous and exogenous tryptamine alkaloid identified in many plants (notably Mimosa hostilis and Psychotria viridis) and at trace concentrations in mammalian tissue. The compound is the principal psychoactive constituent of ayahuasca brews, where harmala beta-carbolines provide MAO-A inhibition that allows oral DMT activity. Pharmacologically, DMT is a high-affinity full agonist at 5-HT2A (Ki approximately 75 nM), 5-HT1A, and 5-HT2C receptors with secondary activity at sigma-1, TAAR1, and other targets. Plasma half-life is extremely short (approximately 15 minutes) owing to rapid MAO-A degradation; oral administration without MAO inhibition is essentially inactive. Behavioral effects include intense visual imagery, altered sense of time, and (at higher doses) sense of communicating with autonomous entities. Approximately 30 active research and clinical trials of DMT and analogs are underway as of 2024 for depression and other psychiatric indications. Schedule I in the US under the CSA. Used as the canonical classical psychedelic in academic neuroscience.

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  • Loratadine

    Plain-language summaryIntrigue 44 / 100

    Loratadine, sold as Claritin, is a second-generation antihistamine that is technically a prodrug: most of its clinical effect comes from the active metabolite desloratadine generated by the liver. Like cetirizine it stays largely peripheral, producing allergy relief without significant sedation or anticholinergic effects. It has somewhat lower H1 affinity than cetirizine but a longer duration of action, supporting once-daily dosing. The choice between loratadine, cetirizine, and fexofenadine is largely a matter of individual tolerability and onset preference. 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.

    Second-generation H1 antihistamine (peripheral)

    A piperidine second-generation H1 antihistamine; a non-sedating allergy medication and the prodrug of desloratadine.

    Abstract

    Loratadine (ethyl 4-(8-chloro-5,6-dihydro-11H-benzo[5,6]cyclohepta[1,2-b]pyridin-11-ylidene)-1-piperidinecarboxylate; CAS 79794-75-5; molecular formula C22H23ClN2O2; molecular weight 382.88) is a piperidine second-generation H1 antihistamine developed at Schering-Plough and approved by the FDA in 1993 (Claritin). H1 affinity is approximately 100 nM, lower than cetirizine but with similar peripheral selectivity (minimal CNS penetration). The principal active species is the metabolite desloratadine (formed via CYP3A4 and CYP2D6), which has higher H1 affinity (approximately 0.4 nM) and longer half-life; desloratadine is marketed separately as Clarinex. Plasma half-life of loratadine is approximately 8 hours; desloratadine half-life is approximately 27 hours. Approved indications: allergic rhinitis, urticaria. Sedation incidence is approximately 8 percent (similar to placebo in most trials), the lowest of the second-generation antihistamines. Used as the canonical non-sedating H1 antihistamine 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.

  • Edaravone

    Plain-language summaryIntrigue 70 / 100

    Edaravone is a small molecule that mops up free radicals (reactive oxygen species that damage neurons during stress). Mitsubishi-Tokyo developed it in Japan, where it was approved in 2001 for acute ischemic stroke. The FDA later approved it in 2017 for ALS based on a Japanese phase 3 trial showing slowed functional decline in early-stage patients with preserved breathing capacity. The benefit is real but modest, and only a subset of ALS patients qualify. An oral version arrived in 2022, replacing the original IV-only protocol. Edaravone is the canonical free-radical scavenger drug in neurology research. 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.

    Free radical scavenger

    A pyrazolone free radical scavenger; approved in Japan and the US for amyotrophic lateral sclerosis (ALS) and acute ischemic stroke.

    Abstract

    Edaravone (3-methyl-1-phenyl-2-pyrazolin-5-one; CAS 89-25-8; molecular formula C10H10N2O; molecular weight 174.20) is a pyrazolone free radical scavenger developed at Mitsubishi-Tokyo Pharmaceuticals. Originally approved in Japan in 2001 for acute ischemic stroke (Radicut), and in 2017 approved by the FDA for amyotrophic lateral sclerosis (Radicava). Mechanism: edaravone scavenges peroxyl, hydroxyl, and other reactive oxygen species, reducing oxidative damage to neurons and the surrounding glia in the affected region. The ALS approval was supported by a Japanese phase 3 trial (MCI186-19) demonstrating slowed functional decline (ALSFRS-R score) in a subset of patients with early disease and preserved respiratory function. Initially IV-only; an oral formulation (Radicava ORS) was approved in 2022. Plasma half-life is approximately 4.5 hours. Used as the canonical free radical scavenger in neurology 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.

  • Progesterone (Research)

    Plain-language summaryIntrigue 65 / 100

    Progesterone is the principal endogenous progestogen, built from cholesterol via pregnenolone in the corpus luteum, adrenal cortex, and (in pregnancy) placenta. It activates the progesterone receptor with high affinity and also has interesting side effects: it antagonizes mineralocorticoid receptors (driving sodium loss) and its metabolite allopregnanolone is a powerful positive modulator of GABA-A receptors (driving sedation). Approved for menopausal hormone therapy paired with estrogen for endometrial protection, IVF luteal support, secondary amenorrhea, and preterm birth prevention. Oral micronized progesterone hits the liver hard and produces sedating allopregnanolone, while vaginal and transdermal forms give cleaner PR effects. Plasma half-life of the parent is short (5 to 20 minutes). Canonical PR agonist. 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.

    Endogenous progestogen / PR agonist

    The principal endogenous progestogen; a progesterone receptor agonist with luteal phase, gestational, and neurosteroid functions.

    Abstract

    Progesterone (pregn-4-ene-3,20-dione; CAS 57-83-0; molecular formula C21H30O2; molecular weight 314.46) is the principal endogenous progestogen, biosynthesized from cholesterol via pregnenolone in the corpus luteum, adrenal cortex, and (during pregnancy) placenta. The compound is a high-affinity progesterone receptor (PR) agonist with secondary effects at the glucocorticoid receptor (mineralocorticoid antagonism contributing to natriuretic effects) and at GABA-A receptors (the pregnanolone metabolite is a positive allosteric modulator producing sedation). Approved indications: menopausal hormone therapy (combined with estrogen for endometrial protection in women with intact uterus), assisted reproductive technology luteal support, secondary amenorrhea, and prevention of preterm birth (intramuscular formulation). Oral micronized progesterone (Prometrium) is highly subject to first-pass metabolism producing the sedating allopregnanolone metabolite; vaginal and transdermal forms produce more direct PR effects with less sedation. Plasma half-life is short (5 to 20 minutes for parent; metabolites variable). Used as the canonical PR agonist 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.

  • Donepezil

    Plain-language summaryIntrigue 75 / 100

    Donepezil, sold as Aricept, is the most prescribed acetylcholinesterase inhibitor for Alzheimer disease. It selectively raises brain acetylcholine to compensate for cholinergic neuron loss in dementia. 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 acetylcholinesterase inhibitor

    A piperidine-class selective reversible acetylcholinesterase inhibitor, FDA-approved as Aricept for Alzheimer disease, with the largest clinical evidence base of the AChE inhibitor class.

    Abstract

    Donepezil (Aricept; (R/S)-2-((1-benzylpiperidin-4-yl)methyl)-5,6-dimethoxy-2,3-dihydro-1H-inden-1-one hydrochloride; CAS 120014-06-4; molecular formula C24H29NO3; molecular weight 379.49) is a piperidine-class selective reversible acetylcholinesterase inhibitor developed by Eisai and approved by the FDA in 1996 for mild, moderate, and severe Alzheimer disease. The compound has the highest AChE selectivity (over 1000-fold versus butyrylcholinesterase) of the marketed AChE inhibitors and a long plasma half-life (70 hours) that supports once-daily dosing. Mechanism is selective AChE inhibition without significant secondary activities at nicotinic receptors or other targets. The clinical evidence base in Alzheimer disease is extensive; multiple Phase 3 trials demonstrate small but consistent improvements in cognitive endpoint measures (ADAS-cog, MMSE) and global functional status. The compound is also approved for vascular dementia and Parkinson disease dementia in some jurisdictions. Pharmacokinetics: oral bioavailability essentially complete; metabolism is hepatic via CYP2D6 and CYP3A4 with minor active metabolites. Approved doses are 5 to 23 mg per day; the 23 mg formulation was approved in 2010 for severe Alzheimer disease. Schedule status: prescription-only but not federally scheduled.

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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.

  • Resveratrol

    Plain-language summaryIntrigue 60 / 100

    Resveratrol is a natural compound found in red wine, grape skins, and Japanese knotweed. It activates sirtuins and other longevity-associated pathways and has been the subject of intense longevity research. Oral bioavailability is poor, limiting clinical efficacy. 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.

    Stilbenoid polyphenol / sirtuin modulator

    A trans-stilbenoid polyphenol from grapes and other plants, characterized by SIRT1 activation and pleiotropic anti-aging effects with disputed clinical efficacy.

    Abstract

    Resveratrol (trans-3,4′,5-trihydroxystilbene; CAS 501-36-0; molecular formula C14H12O3; molecular weight 228.25) is a stilbenoid polyphenol present in grapes, peanuts, berries, and several other plants. The compound has been extensively studied for anti-aging applications since David Sinclair’s group at Harvard demonstrated SIRT1 activation in 2003. Mechanism includes SIRT1 sirtuin activation (allosteric activator at certain peptide substrates; the activity is substrate-dependent), AMPK activation, anti-inflammatory effects through NF-kB inhibition, and direct antioxidant activity. Resveratrol extends lifespan in obese mice and in some short-lived model organisms but does not extend lifespan in normally fed mice; the lifespan-extending effect appears to be selective for high-fat-diet stress conditions. Bioavailability is poor (high first-pass metabolism); plasma resveratrol concentrations after oral administration are typically 1 to 10 percent of those that produce in vitro effects. Doses are typically 250 to 1500 mg per day. The clinical evidence base in humans is mixed; many endpoints show no effect at achievable plasma concentrations.

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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.

  • Panax Ginseng

    Plain-language summaryIntrigue 55 / 100

    Panax ginseng is the original Asian ginseng, used in traditional medicine for thousands of years. Ginsenosides drive the energy, cognitive, and stress-resistance effects. 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.

    Asian ginseng adaptogen

    The classical Asian ginseng root with documented cognitive and metabolic effects mediated through ginsenoside saponins.

    Abstract

    Panax ginseng (Asian or Korean ginseng) is the most studied of the Panax genus, with millennia of traditional use in East Asian medicine. The active constituents are ginsenosides (Rg1, Rb1, Rb2, Rd, Re, Rf, and others), triterpene saponins with diverse pharmacological activities. The compound has documented modest effects on cognitive function (working memory, attention), fatigue, immune function, and erectile function. Mechanism is highly variable across ginsenosides (some are CNS stimulant-like, others sedating; some immunomodulatory, others not), making whole-extract pharmacology multifaceted. Doses are typically 200 to 600 mg of standardized extract (4 to 7 percent ginsenosides) per day. The compound interacts with many drugs through CYP 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.

  • Thymopentin

    Plain-language summaryIntrigue 50 / 100

    Thymopentin is a 5-amino-acid synthetic peptide representing the active region of thymopoietin. Used historically for psoriasis and immune modulation. 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.

    Synthetic pentapeptide of thymopoietin

    A synthetic pentapeptide fragment (residues 32-36) of thymopoietin marketed in Europe and Asia for immunomodulation in chronic infections and autoimmune disease.

    Abstract

    Thymopentin (Timunox, TP-5; Arg-Lys-Asp-Val-Tyr; CAS 69558-55-0; molecular weight 679.78) is a synthetic pentapeptide corresponding to residues 32-36 of thymopoietin, a thymic hormone. The fragment retains the immunomodulatory activity of full-length thymopoietin. The compound is approved in Italy and several Asian countries for primary immunodeficiency, hepatitis B, atopic dermatitis adjunct, and autoimmune disease support. Mechanism includes T-cell maturation, NK cell modulation, and cytokine balance effects. Administered subcutaneously. Doses are 50 mg three times weekly in clinical 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.

  • N-Acetyl-L-Tyrosine

    Plain-language summaryIntrigue 42 / 100

    N-acetyl-L-tyrosine (NALT) is the acetylated form of tyrosine, marketed as more bioavailable than free tyrosine. Evidence for the bioavailability claim is limited but the compound is widely used in nootropic formulations. 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.

    Acetylated tyrosine

    An N-acetylated form of L-tyrosine with claimed superior bioavailability that has not been validated in pharmacokinetic studies.

    Abstract

    N-Acetyl-L-Tyrosine (NALT) is an N-acetylated form of L-tyrosine sold as a dietary supplement with claims of improved bioavailability and CNS penetration compared with L-tyrosine itself. Pharmacokinetic studies in humans show that NALT is poorly converted to free tyrosine by tissue deacetylases (the bulk is excreted as NALT in urine without contributing to tyrosine pools). The compound is therefore likely to be inferior to L-tyrosine on a milligram basis for catecholamine support applications, despite vendor claims. Investigators should generally use L-tyrosine itself.

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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.