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{{Short description|Category of drugs used
{{More citations needed|date=February 2021}}
A '''drug n class''' is a set of [[medication]]s and other compounds that have a similar [[chemical structure]]s, the same [[mechanism of action]] (i.e. binding to the same [[biological target]]), a related [[mode of action]], and/or are used to treat the same disease.<ref>{{cite journal | vauthors = Mahoney A, Evans J | title = Comparing drug classification systems | journal = AMIA gAnnual Dr good car I Get Symposium Proceedings | pages g= 1039 | pmid = 18999016 | year = 2008 }}</ref><ref>{{cite book | author = World Health espresso Organization |title = Introduction to drug utilization research | date = 2003 | publisher = World Health Organization | location = Geneva | isbn = 978-9241562348 | page = 33 |url = http://apps.who.int/medicinedocs/pdf/s4876e/s4876e.pdf }}</ref>▼
▲A '''drug
In several dominant drug classification systems, these four types of classifications form a hierarchy. For example, the [[fibrate]]s are a chemical class of drugs (amphipathic carboxylic acids) that share the same mechanism of action ([[PPAR agonist]]) and mode of action (reducing blood [[triglyceride]]s), and that are used to prevent and treat the same disease ([[atherosclerosis]]). Conversely, not all PPAR agonists are fibrates, not all triglyceride lowering agents are PPAR agonists, and not all drugs used to treat atherosclerosis are triglyceride-lowering agents.▼
▲In several dominant drug classification systems, these four types of classifications form a hierarchy.<ref name="Mahoney_2008">{{cite journal | vauthors = Mahoney A, Evans J | title = Comparing drug classification systems | journal = AMIA ... Annual Symposium Proceedings. AMIA Symposium | volume = | issue = | pages = 1039 | date = November 2008 | pmid = 18999016 | doi = | url = }}</ref> For example, the [[fibrate]]s are a chemical class of drugs (amphipathic carboxylic acids) that share the same mechanism of action ([[PPAR agonist]]) and mode of action (reducing blood [[triglyceride]]s), and that are used to prevent and treat the same disease ([[atherosclerosis]]). Conversely, not all PPAR agonists are fibrates, not all triglyceride lowering agents are PPAR agonists, and not all drugs used to treat atherosclerosis are triglyceride-lowering agents.
A drug class is typically defined by a [[prototype drug]], the most important, and typically the first developed drug within the class, used as a reference for comparison.
== Comprehensive systems==
* [[Anatomical Therapeutic Chemical Classification System]] (ATC) – Combines classification by organ system and therapeutic, pharmacological, and chemical properties into five levels.<ref>{{cite web |title=Anatomical Therapeutic Chemical (ATC) Classification |url=https://www.who.int/tools/atc-ddd-toolkit/atc-classification |website=World Health Organization |access-date=17 September 2023 |archive-date=4 June 2023 |archive-url=https://web.archive.org/web/20230604235410/https://www.who.int/tools/atc-ddd-toolkit/atc-classification |url-status=live }}</ref>
* [[Systematized Nomenclature of Medicine]] (SNOMED)
▲* [[Systematized Nomenclature of Medicine]] (SNOMED) - includes a section devoted to drug classification
== Chemical class ==
This type of categorisation of drugs is from a [[chemistry|chemical]] perspective and categorises them by their chemical structure. Examples of drug classes that are based on chemical structures include:
{{div col|colwidth=33em}}
* [[
* [[Benzodiazepine]]
* [[Cardiac glycoside]]
* [[Fibrate]]
* [[Thiazide diuretic]]▼
* [[Steroid]]
▲* [[Thiazide diuretic]]
* [[Triptan]]
* [[β-lactam antibiotic]]
{{Div col end}}
== Mechanism of action ==
This type of categorisation is from a [[Pharmacology|pharmacological]] perspective and categorises them by their biological target. Drug classes that share a common molecular [[mechanism of action]]
{{div col|colwidth=33em}}
* [[5-alpha
* [[Angiotensin II receptor antagonist]]▼
* [[ACE inhibitor]]
* [[Alpha-adrenergic agonist]]
▲* [[Angiotensin II receptor antagonist]]
* [[Beta blocker]]
* [[
* [[
* [[GABAergic]]▼
* [[Glucagon-like peptide-1 agonist|Incretin mimetic]]
* [[Nonsteroidal anti-inflammatory drug]] − [[cyclooxygenase]] inhibitor
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* [[Renin inhibitor]]
* [[Selective glucocorticoid receptor modulator]]
* [[Serotonin|Serotonergic]]▼
* [[Statin]] – [[HMG-CoA reductase]] inhibitor
▲* [[GABAergic]]
▲* [[Serotonergic]]
{{Div col end}}
== Mode of action ==
This type of categorisation of drugs is from a [[biology|biological]] perspective and categorises them by the anatomical or functional change they induce. Drug classes that are defined by common [[mode of action|modes of action]] (i.e. the functional or anatomical change they induce) include:{{div col|colwidth=33em}}
* [[Diuretic]] or [[Antidiuretic]]▼
* [[Inotrope]] (positive or negative)▼
* [[Chronotrope]] (positive or negative)▼
* [[Bronchodilator]]▼
* [[Decongestant]]▼
* [[Antithrombotics]]▼
* [[Antifungals]]
* [[Antimicrobials]]
▲* [[Antithrombotics]]
▲* [[Bronchodilator]]
▲* [[Chronotrope]] (positive or negative)
▲* [[Decongestant]]
▲* [[Diuretic]] or [[Antidiuretic]]
▲* [[Inotrope]] (positive or negative)
{{Div col end}}
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* [[Analgesics]]
* [[Antibiotic]]
* [[Anticancer]]
* [[Anticoagulant]]
* [[Antidepressant]]
* [[
* [[Antiepileptic]]
* [[Antipsychotic]]
* [[Antispasmodic]]
* [[Antiviral]]
* [[Cardiovascular]]▼
* [[Depressant]]
* [[Sedative]]
* [[Stimulant]]
▲* [[Cardiovascular]]
{{Div col end}}
==Amalgamated classes==
Some drug classes have been amalgamated from these three principles to meet practical needs. The class of [[nonsteroidal anti-inflammatory drugs]] (NSAIDs) is one such example. Strictly speaking, and also historically, the wider class of anti-inflammatory drugs also comprises [[Corticosteroid|''steroidal'' anti-inflammatory drugs]]. These drugs were in fact the predominant anti-inflammatories during the decade leading up to the introduction of the term "nonsteroidal anti-inflammatory drugs
* [[Disease-modifying antirheumatic drug]] (DMARD)<ref name="pmid26002695">{{cite journal | vauthors = Buer JK | title = A history of the term "DMARD" | journal = Inflammopharmacology | volume = 23 | issue = 4 | pages = 163–71 | date = Aug 2015 | pmid = 26002695 | pmc = 4508364 | doi = 10.1007/s10787-015-0232-5 }}</ref>▼
* [[Nonsteroidal anti-inflammatory drug]] (NSAID)
▲* [[Disease-modifying antirheumatic drug]] (DMARD)<ref name="pmid26002695">{{cite journal | vauthors = Buer JK | title = A history of the term "DMARD" | journal = Inflammopharmacology | volume = 23 | issue = 4 | pages = 163–71 | date = Aug 2015 | pmid = 26002695 | pmc = 4508364 | doi = 10.1007/s10787-015-0232-5 }}</ref>
==Other systems of classification==
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== Legal classification ==
*For the Canadian legal classification, see [https://laws-lois.justice.gc.ca/eng/acts/C-38.8/index.html Controlled Drugs and Substances Act]
* For the UK legal classification, see [[Drugs controlled by the UK Misuse of Drugs Act]]
* For the US legal classification, see {{section link|Controlled Substances Act|Schedules of controlled substances}}
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== External links ==
* {{cite web | title = Drug Classes | url = https://www.drugs.com/drug-classes.html | work = Drugs.com }}
* {{cite web | url = https://www.ncbi.nlm.nih.gov/pubmedhealth/drug-names-and-classes/ | title = Drug names and classes | publisher = United States National Library of Medicine | work = PubMed Health | access-date = 2015-11-07 }}
* {{cite web | url = https://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ | title = Information by Drug Class | publisher = United States Food and Drug Administration | work = Drug Safety and Availability | access-date = 2015-11-07 }}
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