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{{Short description|Category of drugs used f BBC no to classify a drug according to certain criteria}}
{{More citations guy needed|date=February 2021}}{{about|pharmacological drug classification}}
{{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 n class''' is a setgroup 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 relatedsimilar [[modemodes of action]], and/or are used to treat the samesimilar diseasediseases.<ref>{{cite journal | vauthors = Mahoney A, Evans J | title = Comparing drug classification systems | journal = AMIA gAnnual Dr good car I GetAnnual 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 |archive-url = https://web.archive.org/web/20100605205116/http://apps.who.int/medicinedocs/pdf/s4876e/s4876e.pdf |url-status = dead |archive-date = June 5, 2010 }}</ref> The [[Food and Drug Administration|Food and Drug Administration (FDA)]] has worked on classifying and licensing new medications for many years. However, the [[Food and Drug Administration|FDA's]] Drug Evaluation and Research Center categorizes these new medications based on both their [[Chemical structure|chemical]] and [[Indication (medicine)|therapeutic]] class.<ref>Michael D. Sanborn, Harold N. Godwin, James D. Pessetto, FDA drug classification system, American Journal of Hospital Pharmacy, Volume 48, Issue 12, 1 December 1991, Pages 2659–2662, https://doi.org/10.1093/ajhp/48.12.2659</ref>
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) - includes a section devoted to drug classification
* [[Anatomical Therapeutic Chemical Classification System]] (ATC) - most widely used. Combines classification by organ system and therapeutic, pharmacological, and chemical properties.
* [[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}}
* [[β-lactam antibioticAnalgesic]]
* [[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]] by modulatingmodulate the activity of a specific [[biological target]].<ref name="pmid17016423">{{cite journal | vauthors = Imming P, Sinning C, Meyer A | title = Drugs, their targets and the nature and number of drug targets | journal = Nature Reviews. Drug Discovery | volume = 5 | issue = 10 | pages = 821–34 | date = Oct 2006 | pmid = 17016423 | doi = 10.1038/nrd2132 | s2cid = 8872470 }}</ref> The definition of a mechanism of action also includes the type of activity at that biological target. For receptors, these activities include [[agonist]], [[receptor antagonist|antagonist]], [[inverse agonist]], or [[selective receptor modulator|modulator]]. Enzyme target mechanisms include [[enzyme activator|activator]] or [[enzyme inhibitor|inhibitor]]. Ion channel modulators include [[channel opener|opener]] or [[channel blocker|blocker]]. The following are specific examples of drug classes whose definition is based on a specific mechanism of action:
{{div col|colwidth=33em}}
* [[5-alpha-reductase inhibitor|5-Alpha-reductase inhibitor]]
* [[Angiotensin II receptor antagonist]]
* [[ACE inhibitor]]
* [[Alpha-adrenergic agonist]]
* [[Angiotensin II receptor antagonist]]
* [[Beta blocker]]
* [[Dopamine agonistCholinergic]]
* [[Dopamine antagonistDopaminergic]]
* [[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]]
* [[Selective serotonin reuptake inhibitor]]
* [[Statin]] – [[HMG-CoA reductase]] inhibitor
* [[Cholinergic]]
* [[Dopaminergic]]
* [[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]]
* [[AnticancerAntidiabetic]]
* [[Antiepileptic]]
* [[Antipsychotic]]
* [[Antispasmodic]]
* [[Antiviral]]
* [[Cardiovascular]]
* [[Depressant]]
* [[Sedative]]
* [[Stimulant]]
* [[Antidiabetic]]
* [[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"." Because of the disastrous reputation that the corticosteroids had got in the 1950s, the new term, which offered to signal that an anti-inflammatory drug was not a steroid, rapidly gained currency.<ref name="Buer_2014">{{cite journal | vauthors = Buer JK | title = Origins and impact of the term 'NSAID' | journal = Inflammopharmacology | volume = 22 | issue = 5 | pages = 263–7 | date = Oct 2014 | pmid = 25064056 | doi = 10.1007/s10787-014-0211-2 | hdl = 10852/45403 | s2cid = 16777111 | hdl-access = free }}</ref> The drug class of "nonsteroidal anti-inflammatory drugs" (NSAIDs) is thus composed by one element ("anti-inflammatory") that designates the mechanism of action, and one element ("nonsteroidal") that separates it from other drugs with that same mechanism of action. Similarly, one might argue that the class of disease-modifying anti-rheumatic drugs (DMARD) is composed by one element ("disease-modifying") that albeit vaguely designates a mechanism of action, and one element ("anti-rheumatic drug") that indicates its therapeutic use.
 
* [[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 }}