1. |
Brinzolamide |
Small molecule |
Carbonic anhydrase-2 (CA-II) |
Inhibition of CA-II reduces the formation of bicarbonates in the ciliary process and reduces the intraocular pressure |
Solution and ophthalmic |
111 days, primarily eliminated through urine |
Drug metabolised to N-desethylbrinzolamide |
DB01194 |
1989 |
2. |
Dorzolamide |
Small molecule |
Carbonic anhydrase-2 (CA-II) |
Inhibition of CA-II reduces the formation of bicarbonates in the ciliary process and reduces the intraocular pressure |
Solution (2.0% w/v) and ophthalmic |
Half-life >4 months, excreted out primarily through urine |
Drug metabolised to N-desethyldorzolamide |
DB00869 |
1995 |
3. |
Olanzapine |
Small molecule |
Dopamine receptor and serotonin receptors |
Blocks dopamine in the mesolimbic pathway for its post-synaptic action |
Tablet (15 mg) orally |
Half-life is about 21 to 54 h (average 30 h), mainly excreted in the urine |
Drug metabolized in the liver and most of the activity through cytochrome P450 (CYP-450) |
DB00334 |
1996 |
4. |
Ketotifen |
Small molecule |
Histamine-receptor blocker (H1R) |
Non-competitive antagonist of H1 histamine receptors |
Solution, syrup, tablet |
Half-life is about 3 to 5 h, excreted in the urine, primarily as metabolite |
Drug metabolised in the liver and form three metabolites; major one is the N-glucuronide derivative |
DB00920 |
1999 |
5. |
Suprofen |
Small molecule |
Cyclooxygenase (COX) inhibitor |
The drug inhibits the prostaglandin synthesis with COX inhibition, resulting in the analgesic effect |
Tablet orally |
Half-life 72 h |
Metabolised in the liver via CYP-450 isozyme 2C9 |
DB00870 |
1998 |
6. |
Tioconazole |
Small molecule |
Ergosterol inhibition |
Prevents the synthesis of ergosterol, which increases the cellular permeability |
Ointment via topical route |
NA |
Metabolization via glucuronide conjugation |
DB01007 |
1983 |
7. |
Duloxetine |
Small molecule |
Inhibition of sodium-dependent serotonin, dopamine, and noradrenaline transporters |
Drug inhibits the serotonin (5-HT2, 5-HT3), dopamine, and norepinephrine uptake |
Tablet orally |
Half-life 12 h, excreted mainly in urine |
Metabolised in the liver via CYP2D6 and CYP1A2 |
DB00476 |
1998 |
8. |
Canagliflozin |
Small molecule |
Sodium–glucose co-transporter 2 (SGLT-2) inhibitors |
Prevents SGLT-2 cotransporters, resulting in reduction |
Tablet orally |
Half-life 10.6 h, mainly excreted through faeces |
Metabolised via O-glucuronidation (UGT1A9 and UGT2B4) |
DB0890 |
2013 |
9. |
Rotigotine |
Small molecule |
Dopamine receptor agonist |
Drugs mimic the dopamine receptor and activate neurotransmitter |
Patch via transdermal route |
Half-life 5 to 7 h, route of elimination is urine (71%), fecal (23%) |
Metabolised via CYP isoenzyme, sulfotransferase |
DB05271 |
2007 |
10. |
Ticlopidine |
Small molecule |
Adenosine diphosphate inhibitor |
Inhibition activation of platelet and aggregation (P2Y12 ADP receptors) |
Tablet orally |
Half-life 7.9 h, mostly in the urine |
Metabolised by the liver |
DB00208 |
1991 |
11. |
Clopidogrel |
Small molecule |
Adenosine diphosphate inhibitor |
Inhibition activation of platelet and aggregation (P2Y12 ADP receptors) |
Tablet orally |
Half-life 6 h, excreted 50% in the urine and 46% in the feces |
Metabolised by cytochromes enzymes (CYP1A2, CYP2C9, CYP2B6) |
DB00758 |
1997 |
12. |
Prasugrel |
Small molecule |
Adenosine diphosphate inhibitor |
Inhibition activation of platelet and aggregation (P2Y12 ADP receptors) |
Tablet orally |
Half-life 7.4 h, mainly excreted in urine |
Metabolised by CYP-450 enzymes |
DB06209 |
2009 |
13. |
Eprosartan |
Small molecule |
Angiotensin II receptor antagonist (AT1 inhibitor) |
The drug inhibits the AT1 receptor, which results in vasodilation |
Tablet orally |
Half-life 5–9 h, NA |
Metabolised by CYP-450 enzymes |
DB00876 |
1997 |
14. |
Icatibant |
Small molecule |
Bradykinin B2 receptor (BB2 receptor) inhibitor |
Selective BB2 receptor inhibitor reduces the incidence of hereditary angioedema |
Solution via parenteral route |
Half-life 1.4 h, primarily excreted in the urine |
Metabolised by CYP-450 enzymes |
DB06196 |
2011 |
15. |
Rivaroxaban |
Small molecule |
Inhibits the coagulation factor |
The drug inhibits the free and clot-bound factor Xa |
Tablet orally |
Half-life 5–9 h, excreted into urine |
Metabolised by cytochrome enzymes |
DB06228 |
2011 |
16. |
Raltitrexed |
Small molecule |
Thymidylate synthase (TS) inhibition |
The drug is a folic acid antagonist via inhibiting TS, which results in cell death |
Solution via parenteral route |
Half-life 192 h, NA |
Metabolised into folyl polyglutamate synthetase |
DB00293 |
1998 |
17. |
Tenoxicam |
Small molecule |
Cyclooxygenase (COX) inhibitor |
The drug inhibits prostaglandin synthesis with COX inhibition, resulting in the analgesic effect |
Tablet orally |
Half-life 72 h, NA |
Metabolised in the liver to 5-hydroxy tenoxicam |
DB00469 |
2000 |
18. |
Tiagabine |
Small molecule |
Gamma-aminobutyric acid (GABA) inhibition |
Drugs block the sodium and chloride-dependent GABA transporter |
Tablet orally |
Half-life 7–9 h, mainly through faeces |
Drug excreted in the urine (25%) and faeces (63%) and other remaining unchanged |
DB00906 |
1997 |
19. |
Aclidinium |
Small molecule |
Muscarinic acetylcholine receptor |
The drug inhibits the M3 receptor located in the lungs, resulting in the relaxation of smooth muscles |
Capsule for respiratory inhalation; oral |
Half-life 24–44 h, excreted in urine |
74% of drugs excreted in urine, and others cleaved into dithienylglycolic acid and inactive metabolite N-methylscopine |
DB08897 |
2012 |
20. |
Tiotropium |
Small molecule |
Muscarinic acetylcholine receptor |
The drug inhibits the M3 receptor located in the lungs, resulting in the relaxation of smooth muscles |
Capsule for respiratory inhalation; oral |
Half-life 24 h (chronic obstructive pulmonary disease) COPD and 44 h in asthma, excreted unchanged in urine |
74% of drugs excreted in the urine, and others cleaved into dithienylglycolic acid and inactive metabolite N-methylscopine |
DB01409 |
2004 |
21. |
Cefoxitin |
Small molecule |
Cell wall inhibition |
d-Alanyl-d-alanine carboxypeptidase DacC inhibition |
Solution with intravenous and intramuscular injection |
Half-life is 41 to 59 minutes, excreted in urine |
Most of the drugs excreted from the kidney unchanged |
DB01331 |
1973 |
22. |
Lotilaner |
Small molecule |
Gamma-aminobutyric acid (GABA)-gated chloride channel |
Non-competitive inhibition of GABA-gated chloride channel |
Ophthalmic solution |
Half-life 11 days, NA |
Metabolised by cytochrome enzyme |
DB17992 |
23. |
Oliceridine |
Small molecule |
μ-Opioid receptor agonist |
Activate the μ-opioid receptor |
Intravenous injection |
Half-life is 1.3 to 3 h, mainly through urine |
Metabolised by CYP3A4 and CYP2D6 to oxy-oliceridine |
DB14881 |
24. |
Relugolix |
Small molecule |
Gonadotropin-releasing hormone (GnRH) receptor agonist |
GnRH receptor reduces the release of luteinising hormone |
Tablet orally |
Half-life 25 h, mainly through faeces |
Metabolised by CYP3A |
DB11853 |
25. |
Avatrombopag |
Small molecule |
Agonist thrombopoietin (TPO) receptor |
TPO stimulates the production of platelets |
Tablet orally |
Half-life 19 h, mainly faecal excretion |
Metabolised by CYP3A and CYP2C9 |
DB11995 |
26. |
Tiaprofenic acid |
Small molecule |
COX and LOX inhibitor |
Inhibit prostaglandin synthesis |
Capsule, tablet orally |
1.5–2.5 hours, NA |
Hepatic |
DB01600 |