Tag: MONOGRAPH

  • Risperidone

    Plain-language summaryIntrigue 65 / 100

    Risperidone (Risperdal) is the most prescribed atypical antipsychotic in the world. Janssen brought it to market in 1993 as the prototype of the combined dopamine D2 plus serotonin 5-HT2A blocker design that defined second-generation antipsychotics. Approved for schizophrenia, bipolar mania, and irritability in autism, it is also widely used off-label in dementia behavioral disturbance and various pediatric conditions. At low doses (1 to 2 mg) it acts more like a typical atypical; at higher doses (above 6 mg) the 5-HT2A advantage washes out and it produces extrapyramidal symptoms and prolactin elevation comparable to older haloperidol. Its active leftover is itself sold separately as paliperidone (Invega). Available as a long-acting injection (Risperdal Consta) for adherence support. 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 Kodiac editorial, not peer-reviewed.

    Atypical antipsychotic

    A benzisoxazole atypical antipsychotic; the most prescribed atypical worldwide and the prototype combined D2 / 5-HT2A antagonist.

    Abstract

    Risperidone (3-{2-[4-(6-fluoro-1,2-benzisoxazol-3-yl)piperidin-1-yl]ethyl}-2-methyl-6,7,8,9-tetrahydro-4H-pyrido[1,2-a]pyrimidin-4-one; CAS 106266-06-2; molecular formula C23H27FN4O2; molecular weight 410.49) is a benzisoxazole atypical antipsychotic developed at Janssen and approved by the FDA in 1993 under the trade name Risperdal. The receptor profile is the prototype combined D2/5-HT2A antagonist: D2 (Ki approximately 4 nM), 5-HT2A (Ki approximately 0.16 nM, ratio approximately 25:1 favoring 5-HT2A), with secondary alpha-1, alpha-2, and H1 antagonism. At doses below 6 mg the 5-HT2A predominates and EPS is minimal; above 6 mg the D2 antagonism produces dose-dependent EPS approaching haloperidol-like profile. The active metabolite 9-hydroxyrisperidone (paliperidone, marketed as Invega) carries similar receptor profile and contributes substantially to steady-state activity. Risperidone is the most prescribed atypical antipsychotic worldwide. Plasma half-life is 3 hours for parent, 24 hours for paliperidone metabolite. Long-acting injectables (Risperdal Consta, Perseris) provide biweekly or monthly administration. Approved for schizophrenia, bipolar mania, autism-associated irritability. Used as the canonical D2/5-HT2A reference atypical.

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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.

  • Tofisopam

    Plain-language summaryIntrigue 56 / 100

    Tofisopam (Grandaxin) is an unusual benzodiazepine from EGIS in Hungary, registered in the 1960s. The chemistry is technically a benzodiazepine, but the substitution pattern (a 2,3-fused ring rather than the standard 1,4-fused ring of diazepam and lorazepam) means it does not bind the classic GABA-A benzodiazepine site at all. As a result it produces anxiolysis without sedation, muscle relaxation, cognitive impairment, or dependence. The actual mechanism is not fully worked out, with proposals including phosphodiesterase inhibition and dopaminergic modulation. Approved across Europe and parts of Asia for anxiety and autonomic dysfunction; never approved in the US. Genuinely interesting pharmacologically because it shows that the benzodiazepine scaffold can do more than activate GABA-A. 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.

    2,3-benzodiazepine atypical anxiolytic

    A 2,3-benzodiazepine without classical GABA-A activity; a non-sedating anxiolytic marketed in Europe.

    Abstract

    Tofisopam (1-(3,4-dimethoxyphenyl)-5-ethyl-7,8-dimethoxy-4-methyl-5H-2,3-benzodiazepine; CAS 22345-47-7; molecular formula C22H26N2O4; molecular weight 382.46) is a 2,3-benzodiazepine developed at EGIS (Hungary) in the 1960s and approved in Hungary, France, and other European and Asian markets under the trade name Grandaxin. Distinct from the 1,4-benzodiazepine class (diazepam, lorazepam, etc.) by the position of the nitrogens in the diazepine ring: the 2,3 isomer does not bind the classical benzodiazepine site on GABA-A receptors and lacks the GABA-A-mediated sedation, anxiolysis, and dependence of conventional benzodiazepines. The mechanism is incompletely characterized; possibilities include phosphodiesterase IV inhibition and modulation of dopaminergic signaling. Plasma half-life is approximately 6 to 8 hours; metabolism is hepatic. Approved indications in markets where registered include anxiety disorders, autonomic instability, and post-stress recovery; off-label use in fatigue and reactive depression. Not approved in the US. Used as a reference 2,3-benzodiazepine.

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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.

  • Tamoxifen

    Plain-language summaryIntrigue 70 / 100

    Tamoxifen (Nolvadex) is the foundational antiestrogen, FDA-approved in 1977 and one of the most-prescribed cancer drugs ever made. It is a selective estrogen receptor modulator (SERM): a blocker in breast tissue (the basis for hormone-receptor-positive breast cancer treatment and prevention) and a partial activator in bone, liver, and uterus. The active metabolite endoxifen, generated by the liver enzyme CYP2D6, is roughly a hundred times more potent than the parent drug, so people with low CYP2D6 activity may respond poorly. Off-label, it is widely used as post-cycle therapy by anabolic steroid users to restore natural testosterone production. Side effects include hot flashes and a small increase in endometrial cancer risk. 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 estrogen receptor modulator (triphenylethylene)

    A triphenylethylene SERM; the foundational antiestrogen for ER-positive breast cancer and an off-label tool for SARM/AAS post-cycle therapy.

    Abstract

    Tamoxifen ((Z)-2-[4-(1,2-diphenyl-1-butenyl)phenoxy]-N,N-dimethylethanamine; CAS 10540-29-1; molecular formula C26H29NO; molecular weight 371.51) is a triphenylethylene SERM developed at ICI Pharmaceuticals (now AstraZeneca) and approved by the FDA in 1977 under the trade name Nolvadex. The compound is a tissue-selective estrogen receptor modulator: antagonist in breast tissue (the basis for breast cancer indications) and partial agonist in bone, liver, and uterus. The active metabolite endoxifen (4-hydroxy-N-desmethyltamoxifen) generated via CYP2D6 is approximately 100-fold more potent than tamoxifen at ER binding and contributes substantially to clinical activity; CYP2D6 polymorphism affects clinical response. Plasma half-life is approximately 5 to 7 days for parent compound. Approved indications include adjuvant treatment of ER-positive breast cancer (premenopausal and postmenopausal), metastatic breast cancer, and breast cancer prevention in high-risk patients. Off-label use in male hypogonadism, gynecomastia treatment, and post-cycle therapy following SARM or anabolic steroid use is common. Adverse events include endometrial cancer (rare), thromboembolism, and hot flashes. Used as the canonical SERM in mechanism studies.

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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.

  • Human Chorionic Gonadotropin (HCG)

    Glycoprotein hormone (LH analog; placental origin)

    Human chorionic gonadotropin; a placental glycoprotein hormone that activates the LH receptor; used in IVF, hypogonadism, and HPG axis recovery.

    Abstract

    Human chorionic gonadotropin (hCG; CAS 9002-61-3; alpha subunit and unique beta subunit; total molecular weight approximately 36800 Da) is a placental glycoprotein hormone composed of an alpha subunit (shared with LH, FSH, and TSH) and a unique beta subunit. The compound is the principal hormone of pregnancy, produced by syncytiotrophoblasts of the implanting embryo and detected as the basis for pregnancy tests. Pharmacologically, hCG acts as an LH receptor agonist with a substantially longer half-life than endogenous LH (approximately 36 hours versus 30 minutes), making it useful as a pharmacological tool to stimulate Leydig cell testosterone production in males or to trigger ovulation in IVF protocols. Approved indications: male hypogonadotropic hypogonadism (testosterone restoration with preservation of fertility), cryptorchidism, and as ovulation trigger in IVF (single 5000 to 10000 IU injection). Off-label use in TRT users to restore testicular function or as part of post-cycle therapy after AAS or SARM use. Plasma half-life of urinary-derived (Pregnyl, Novarel) versus recombinant (Ovidrel) forms are similar; both work clinically. Used as the canonical LH receptor agonist in HPG axis 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.

  • Vinpocetine

    Plain-language summaryIntrigue 50 / 100

    Vinpocetine (Cavinton) is a synthetic alkaloid derived from vincamine in the lesser periwinkle plant, developed at Gedeon Richter in Hungary in the 1960s. Approved across Europe for cerebrovascular insufficiency and used as a nootropic in the US (sold as a supplement). It works through several mechanisms at once: cerebral vasodilation, weak phosphodiesterase 1 inhibition, neuronal sodium channel block, and modest antioxidant activity, with the combined effect of improving blood flow to the brain. Clinical evidence in cognitive impairment and stroke recovery is mixed and dominated by older Eastern European trials with weak methodology. The FDA flagged it in 2019 over concerns about miscarriage in pregnant users. 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 vincamine derivative / cerebrovascular agent

    A synthetic alkaloid derivative of vincamine from Vinca minor; a cerebrovascular agent and PDE1 inhibitor used as a nootropic.

    Abstract

    Vinpocetine ((3-alpha,16-alpha)-eburnamenine-14-carboxylic acid ethyl ester; CAS 42971-09-5; molecular formula C22H26N2O2; molecular weight 350.46) is a synthetic alkaloid derivative of vincamine from Vinca minor (lesser periwinkle), developed at Gedeon Richter (Hungary) in the 1960s and approved in many European countries as Cavinton for cerebrovascular insufficiency. Mechanism is multifactorial: cerebral vasodilation through smooth muscle relaxation, weak phosphodiesterase 1 (PDE1) inhibition, sodium channel block in neurons, and modest antioxidant activity. The combined effect produces improved cerebral blood flow and reduced ischemic neuronal injury in animal stroke models. Plasma half-life is approximately 1 to 2 hours; metabolism is hepatic via CYP2C9 and CYP3A4. Approved indications in Europe include cerebrovascular disorders, age-related cognitive decline, and tinnitus. In the US, the compound is sold as a dietary supplement with FDA reservations about that designation given its drug-like history. Used as a cerebrovascular nootropic and PDE1 inhibitor 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.

  • Cannabigerol (CBG)

    Phytocannabinoid (CB receptor weak agonist)

    A non-intoxicating phytocannabinoid; the metabolic precursor of THC and CBD; investigated for inflammation, neuroprotection, and inflammatory bowel disease.

    Abstract

    Cannabigerol (CBG; CAS 25654-31-3; molecular formula C21H32O2; molecular weight 316.48) is a non-intoxicating phytocannabinoid from Cannabis sativa. The compound is the biosynthetic precursor of THC, CBD, and CBC in plants; mature plants typically contain less than 1 percent CBG owing to enzymatic conversion to these downstream cannabinoids. Mechanism: CB1 and CB2 partial agonism (weaker than THC), alpha-2 adrenergic agonism, 5-HT1A antagonism (opposite of CBD), and PPAR-gamma agonism. The mechanism profile is distinct from both THC and CBD. Preclinical evidence supports anti-inflammatory effects in colitis models, neuroprotection in Huntington and Parkinson models, and antibiotic activity against MRSA. Human clinical trial data are sparse; the compound is sold as a supplement with limited regulatory guidance. Plasma pharmacokinetics are similar to other phytocannabinoids: high lipophilicity, hepatic metabolism via CYP enzymes, long terminal half-life. Used as a non-intoxicating phytocannabinoid in inflammation and neuroprotection 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.

  • Harmaline

    Plain-language summaryIntrigue 60 / 100

    Harmaline is one of the three main beta-carboline alkaloids in the ayahuasca vine (Banisteriopsis caapi) and Syrian rue (Peganum harmala). Its critical pharmacological role is reversible MAO-A inhibition, which is what allows oral DMT to reach the brain in ayahuasca brews (without an MAO-A inhibitor, gut MAO destroys oral DMT before it can act centrally). Harmaline by itself produces vivid closed-eye visual imagery at high doses but is not a classical psychedelic. The reversible MAO inhibition is safer than the irreversible MAO inhibitors used as antidepressants but still creates real food and drug interaction risks. 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.

    Beta-carboline reversible MAO-A inhibitor

    A beta-carboline alkaloid from Peganum harmala and Banisteriopsis caapi; a reversible MAO-A inhibitor and component of ayahuasca.

    Abstract

    Harmaline (4,9-dihydro-7-methoxy-1-methyl-3H-pyrido[3,4-b]indole; CAS 304-21-2; molecular formula C13H14N2O; molecular weight 214.27) is a beta-carboline alkaloid isolated from Peganum harmala (Syrian rue) and Banisteriopsis caapi (ayahuasca vine). The compound is a reversible MAO-A inhibitor (Ki approximately 5 microM at human MAO-A) with greater than 100-fold selectivity over MAO-B; this reversible MAO-A inhibition is central to the pharmacology of ayahuasca, where harmaline (and harmine) prevent intestinal breakdown of the DMT in the brew, allowing oral activity. Harmaline itself has serotonergic and tremorgenic effects in animals and mild psychoactive effects in humans. Plasma half-life is approximately 2 to 3 hours. Used as a reference reversible MAO-A inhibitor and as a research probe for beta-carboline pharmacology.

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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.

  • Cyproheptadine

    Plain-language summaryIntrigue 56 / 100

    Cyproheptadine, sold as Periactin, is a first-generation antihistamine that also potently blocks 5-HT2A and 5-HT2C serotonin receptors. The combination gives it three fairly distinct clinical roles: appetite stimulation (5-HT2C blockade) used in pediatric failure-to-thrive and in cachexia; treatment of serotonin syndrome (5-HT2A blockade rapidly reverses the toxidrome); and migraine prophylaxis. The H1 and anticholinergic activity produces sedation and dry mouth as expected for a first-generation antihistamine. The serotonin syndrome reversal use is the most clinically important and is not interchangeable with other antihistamines. 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.

    First-generation antihistamine + 5-HT2 antagonist

    A piperidine first-generation antihistamine with 5-HT2A and 5-HT2C antagonist activity; used for appetite stimulation, serotonin syndrome reversal, and migraine prophylaxis.

    Abstract

    Cyproheptadine (4-(5H-dibenzo[a,d]cyclohepten-5-ylidene)-1-methylpiperidine; CAS 129-03-3; molecular formula C21H21N; molecular weight 287.40) is a piperidine first-generation antihistamine with potent 5-HT2A and 5-HT2C antagonist activity, approved by the FDA in 1961 (Periactin). The compound combines H1 antihistamine activity (Ki approximately 1 nM, comparable to diphenhydramine) with strong 5-HT2 antagonism (Ki approximately 1 nM at 5-HT2A); the combined activity drives appetite stimulation (5-HT2C antagonism, the same mechanism as the appetite gain seen with olanzapine and clozapine), serotonin syndrome reversal, and migraine prophylaxis. Plasma half-life is approximately 8 hours. Approved for allergic conditions; off-label use in failure-to-thrive (pediatric appetite stimulation), serotonin syndrome (the only specific antidote besides supportive care), and post-SSRI sexual dysfunction (5-HT2A antagonism). Used as the canonical 5-HT2 antagonist 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.

  • Testosterone (Research)

    Plain-language summaryIntrigue 75 / 100

    Testosterone is the principal androgen in humans, made from cholesterol in the testes (men) and ovaries plus adrenals (women). It is the foundational compound of androgen pharmacology and the active ingredient in essentially all testosterone replacement therapy plus the backbone of most non-medical anabolic steroid stacks. It binds the androgen receptor directly and is also converted on the fly into dihydrotestosterone (more potent androgen) by 5-alpha-reductase, and into estradiol by aromatase. Sold as cypionate, enanthate, propionate, undecanoate, plus gels and patches, with each ester releasing testosterone over different timescales. Schedule III in the US. The reference androgen receptor agonist for nearly all related 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.

    Endogenous androgen / anabolic-androgenic steroid

    The principal endogenous androgen; the foundational compound of androgen pharmacology and the active component of TRT and many AAS regimens.

    Abstract

    Testosterone (17-beta-hydroxyandrost-4-en-3-one; CAS 58-22-0; molecular formula C19H28O2; molecular weight 288.42) is the principal endogenous androgen, biosynthesized from cholesterol via pregnenolone and progesterone in Leydig cells of the testis (males) and theca cells, ovary, and adrenal cortex (females). The compound is the prototype androgen receptor agonist and the foundation of androgen pharmacology. Pharmacologically, testosterone binds AR (Ki approximately 0.5 nM) and is converted to dihydrotestosterone (DHT) by 5-alpha-reductase (more potent AR agonist) and to estradiol by aromatase (estrogen receptor agonist). Approved as testosterone replacement therapy in male hypogonadism via various ester formulations: cypionate (weekly), enanthate (weekly), propionate (every 2 to 3 days), undecanoate (oral and depot), gels and patches (daily). Schedule III in the US under the CSA. The compound is the foundation of most anabolic-androgenic steroid (AAS) regimens used non-medically for muscle building. Plasma half-life of native testosterone is short (1 to 2 hours); ester formulations release the parent compound over days. Used as the canonical AR 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.

  • Sermorelin

    Plain-language summaryIntrigue 60 / 100

    Sermorelin is the first 29 amino acids of growth hormone releasing hormone (the active portion). It triggers natural pulsatile growth hormone release from the pituitary. Approved historically for pediatric growth hormone deficiency before being discontinued in 2008. 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.

    GHRH 1-29 analog

    A 29-amino-acid synthetic fragment of GHRH (residues 1-29) used for growth hormone deficiency diagnosis and treatment.

    Abstract

    Sermorelin (GRF 1-29; CAS 86168-78-7; molecular weight 3357.93) is a synthetic peptide consisting of the first 29 amino acids of human growth hormone releasing hormone (GHRH). The 1-29 fragment retains essentially all the GH-stimulating activity of full-length GHRH (44 residues) and was the basis for the FDA approval (under the trade name Geref) for GH deficiency in children. The brand-name product was discontinued in 2008 for commercial reasons; sermorelin is now compounded for clinical use in some jurisdictions and sold as a research chemical. The compound is administered subcutaneously and stimulates pituitary GH release through GHRH receptor activation, distinct from the ghrelin receptor agonism of GHRPs. Combination of sermorelin with a GHRP (ipamorelin, GHRP-2) produces synergistic GH release. Pharmacokinetics: plasma half-life 11 to 12 minutes; subcutaneous bioavailability good. Doses for GH deficiency are 0.3 mcg/kg subcutaneously once daily at bedtime.

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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.