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Esmirtazapine (ORG-50,081) is a tetracyclic antidepressant drug that was under development by Organon for the treatment of insomnia and vasomotor symptoms (e.g., hot flashes) associated with menopause. Esmirtazapine is the (S)-(+)-enantiomer of mirtazapine and possesses similar overall pharmacology, including inverse agonist actions at H and 5-HT receptors and antagonist actions at α-adrenergic receptors.
Notably, esmirtazapine has a shorter half life of around 10 hours, compared to R-mirtazapine and racemic mixture, which has a half-life of 18–40 hours. Merck has run several studies on low dose (3–4.5 mg) esmirtazapine for the treatment of insomnia. It is attractive for treating insomnia since it is a potent H-inhibitor and a 5-HT antagonist. Unlike low-dose mirtazapine, the half life (10 hours) is short enough that next-day sedation may be manageable, however, for people with CYP2D6 polymorphisms, which constitute a sizable fraction of the population, the half-life is expected to be quite a bit longer. Merck researchers claimed that the incidence of next-day sedation was not a problem in one of their studies, but this claim has been challenged (15% of patients complained of daytime sleepiness vs 3.5% in the placebo group).
In March 2010, Merck terminated its internal clinical development program for esmirtazapine for hot flashes and insomnia, "for strategic reasons". | 1 | Enantiopure drugs |
Atmospheric concentrations fluctuate slightly with the seasons, falling during the Northern Hemisphere spring and summer as plants consume the gas and rising during northern autumn and winter as plants go dormant or die and decay. The level drops by about 6 or 7 ppm (about 50 Gt) from May to September during the Northern Hemisphere's growing season, and then goes up by about 8 or 9 ppm. The Northern Hemisphere dominates the annual cycle of concentration because it has much greater land area and plant biomass than the Southern Hemisphere. Concentrations reach a peak in May as the Northern Hemisphere spring greenup begins, and decline to a minimum in October, near the end of the growing season.
Concentrations also vary on a regional basis, most strongly near the ground with much smaller variations aloft. In urban areas concentrations are generally higher and indoors they can reach 10 times background levels. | 0 | Greenhouse Gases |
Brand names of flutamide include or have included Cebatrol, Cytomid, Drogenil, Etaconil, Eulexin, Flucinom, Flumid, Flutacan, Flutamid, Flutamida, Flutamin, Flutan, Flutaplex, Flutasin, Fugerel, Profamid, and Sebatrol, among others. | 1 | Enantiopure drugs |
The most common adverse effects of cefalexin, like other oral cephalosporins, are gastrointestinal (stomach area) disturbances and hypersensitivity reactions. Gastrointestinal disturbances include nausea, vomiting, and diarrhea, the latter being the most common. Hypersensitivity reactions include skin rashes, urticaria, fever, and anaphylaxis. Pseudomembranous colitis and Clostridium difficile have been reported with use of cefalexin. Less common and more serious side effects include bruising of the skin and yellowing of the skin or eye whites.
Signs and symptoms of an allergic reaction include rash, itching, swelling, trouble breathing, or red, blistered, swollen, or peeling skin. Overall, cefalexin allergy occurs in less than 0.1% of patients. Evidence suggests that it is seen in 1% to 10% of patients with a penicillin allergy. | 1 | Enantiopure drugs |
Meropenem, sold under the brand name Merrem among others, is an intravenous carbapenem antibiotic used to treat a variety of bacterial infections. Some of these include meningitis, intra-abdominal infection, pneumonia, sepsis, and anthrax.
Common side effects include nausea, diarrhea, constipation, headache, rash, and pain at the site of injection. Serious side effects include Clostridioides difficile infection, seizures, and allergic reactions including anaphylaxis. Those who are allergic to other β-lactam antibiotics are more likely to be allergic to meropenem as well. Use in pregnancy appears to be safe. It is in the carbapenem family of medications. Meropenem usually results in bacterial death through blocking their ability to make a cell wall. It is more resistant to breakdown by β-lactamase producing bacteria.
Meropenem was patented in 1983. It was approved for medical use in the United States in 1996. It is on the World Health Organization's List of Essential Medicines. The World Health Organization classifies meropenem as critically important for human medicine. | 1 | Enantiopure drugs |
According to the FDA approved prescribing information, levofloxacin is pregnancy category C. This designation indicates that animal reproduction studies have shown adverse effects on the fetus and there are no adequate and well-controlled studies in humans, but the potential benefit to the mother may in some cases outweigh the risk to the fetus. Available data point to a low risk for the unborn child. Exposure to quinolones, including levofloxacin, during the first-trimester is not associated with an increased risk of stillbirths, premature births, birth defects, or low birth weight.
Levofloxacin does penetrate into breastmilk, though the concentration of levofloxacin in the breastfeeding infant is expected to be low. Due to potential risks to the baby, the manufacturer does not recommend that nursing mothers take levofloxacin. However, the risk appears to be very low, and levofloxacin can be used in breastfeeding mothers with proper monitoring of the infant, combined with delaying breastfeeding for 4–6 hours after taking levofloxacin. | 1 | Enantiopure drugs |
The amount of methane in the atmosphere is the result of a balance between the production of methane on the Earth's surfaceits sourceand the destruction or removal of methane, mainly in the atmosphereits sink in an atmospheric chemical process.
Another major natural sink is through oxidation by methanotrophic or methane-consuming bacteria in Earth's soils.
These 2005 NASA computer model simulationscalculated based on data available at that timeillustrate how methane is destroyed as it rises.
As air rises in the tropics, methane is carried upwards through the tropospherethe lowest portion of Earths atmosphere which is to from the Earths surface, into the lower stratospherethe ozone layerand then the upper portion of the stratosphere.
This atmospheric chemical process is the most effective methane sink, as it removes 90% of atmospheric methane. This global destruction of atmospheric methane mainly occurs in the troposphere.
Methane molecules react with hydroxyl radicals (OH)the "major chemical scavenger in the troposphere" that "controls the atmospheric lifetime of most gases in the troposphere". Through this CH oxidation process, atmospheric methane is destroyed and water vapor and carbon dioxide are produced.
While this decreases the concentration of methane in the atmosphere, it also increases radiative forcing because both water vapor and carbon dioxide are more powerful GHGs factors in terms of affecting the warming of Earth.
This additional water vapor in the stratosphere caused by CH oxidation, adds approximately 15% to methane's radiative forcing effect.
By the 1980s, the global warming problem had been transformed by the inclusion of methane and other non-CO trace-gasesCFCs, NO, and O on global warming, instead of focusing primarily on carbon dioxide. Both water and ice clouds, when formed at cold lower stratospheric temperatures, have a significant impact by increasing the atmospheric greenhouse effect. Large increases in future methane could lead to a surface warming that increases nonlinearly with the methane concentration.
Methane also affects the degradation of the ozone layerthe lowest layer of the stratosphere from about above Earth, just above the troposphere. NASA researchers in 2001, had said that this process was enhanced by global warming, because warmer air holds more water vapor than colder air, so the amount of water vapor in the atmosphere increases as it is warmed by the greenhouse effect. Their climate models based on data available at that time, had indicated that carbon dioxide and methane enhanced the transport of water into the stratosphere.
Atmospheric methane could last about 120 years in the stratosphere until it is eventually destroyed through the hydroxyl radicals oxidation process. | 0 | Greenhouse Gases |
Racemic drugs are not drug combinations in the accepted sense of two or more co-formulated therapeutic agents, but combinations of isomeric substances whose pharmacological activity may reside predominantly in one specific enantiomeric form. In case of stereoselectivity in action only one of the components in the racemic mixture is truly active. The other isomer, the distomer, should be regarded as impurity or isomeric ballast, a term coined by Ariëns, not contributing to the effects aimed at. In contrast to the pharmacokinetic properties of an enantiomeric pair, differences in pharmacodynamic activity tend to be more obvious. There is a wide spectrum of possibilities of distomer actions, many of which are confirmed experimentally. Selected examples of the distomer actions (viz. equipotent, less active, inactive, antagonistic, chiral inversion) are presented in the table below. | 1 | Enantiopure drugs |
Various clinical studies have shown that levamlodipine has more selectivity and better efficacy than (R)-amlodipine. In pooled data, from three comparative studies conducted in 200 patients with mild to moderate hypertension, 2.5 mg of levamlodipine was found to be equivalent in its blood pressure lowering efficacy to 5 mg of amlodipine. The average reduction in systolic BP was 19±3 vs 19±4, 20±2 vs 19±3 and 20±2 vs 19±3 mm of Hg recorded in standing, supine and sitting position respectively for levamlodipine compared to racemic amlodipine. The studies also reported a significant reduction in total cholesterol and triglyceride levels with levamlodipine, which was not seen with amlodipine.
Efficacy and safety of levamlodipine (2.5 mg, once daily) has been evaluated in the patients with isolated systolic hypertension (ISH). Levamlodipine effectively reduced the systolic BP (mean reduction 22±14 mm of Hg) in all grades of ISH. After 28 days of the treatment, overall responder rate was 73%. It significantly reduced the systolic and diastolic BP within 4 weeks with a responder rate of 96.5%.
Elderly hypertensives with diabetes mellitus exhibits higher response to levamlodipine therapy than non-diabetic patients. Levamlodipine is an effective switch-over option for the elderly patients who experience oedema and other adverse events with racemic amlodipine. | 1 | Enantiopure drugs |
Water vapor is the most important greenhouse gas overall, being responsible for 41–67% of the greenhouse effect, but its global concentrations are not directly affected by human activity. While local water vapor concentrations can be affected by developments such as irrigation, it has little impact on the global scale due to its short residence time of about nine days. Indirectly, an increase in global temperatures cause will also increase water vapor concentrations and thus their warming effect, in a process known as water vapor feedback. It occurs because Clausius–Clapeyron relation establishes that more water vapor will be present per unit volume at elevated temperatures. Thus, local atmospheric concentration of water vapor varies from less than 0.01% in extremely cold regions and up to 3% by mass in saturated air at about 32 °C. | 0 | Greenhouse Gases |
Captopril has an L-proline group which allows for it to be more bioavailable within oral formulations. The thiol moiety within the molecule has been associated with two significance adverse effects: the hapten or immune response. This immune response, also known as agranulocytosis, can explain the adverse drug events which may be seen in captopril with the allergic response, which would be: hives, severe stomach pain, difficulty breathing, swelling of the face, lips, tongue or throat.
In terms of interaction with the enzyme, the molecule's thiol moiety will attach to the binding site of the ACE enzyme. This will inhibit the port at which the angiotensin-1 molecule would normally bind, therefore inhibiting the downstream effects within the renin-angiotensin system. | 1 | Enantiopure drugs |
In 2010, the FDA approved the combination drug dextromethorphan/quinidine under the brand name Nuedexta for the treatment of pseudobulbar affect (uncontrollable laughing/crying). Dextromethorphan is the actual therapeutic agent in the combination; quinidine merely serves to inhibit the enzymatic degradation of dextromethorphan and thereby increase its circulating concentrations via inhibition of CYP2D6. | 1 | Enantiopure drugs |
Dexmethylphenidate has a 4–6 hour duration of effect. A long-acting formulation, Focalin XR, which spans 12 hours is also available and has been shown to be as effective as -TMP (threo-methylphenidate) XR (extended release) (Concerta, Ritalin LA), with flexible dosing and good tolerability. It has also been demonstrated to reduce ADHD symptoms in both children and adults. d-MPH has a similar side-effect profile to MPH and can be administered without regard to food intake. | 1 | Enantiopure drugs |
The Greenhouse Gases Observing Satellite-2 was launched from Tanegashima Space Center by a H-IIA rocket on October 29, 2018. | 0 | Greenhouse Gases |
Levocetirizine is used for allergic rhinitis. This includes allergy symptoms such as watery eyes, runny nose, sneezing, hives, and itching. | 1 | Enantiopure drugs |
Levoamphetamine is the levorotatory stereoisomer of the amphetamine molecule. Racemic amphetamine contains two optical isomers, dextroamphetamine, and levoamphetamine. | 1 | Enantiopure drugs |
Intravenous dexmedetomidine exhibits linear pharmacokinetics with a rapid distribution half-life of approximately 6 minutes in healthy volunteers, and a longer and more variable distribution half-life in ICU patients. The terminal elimination half-life of intravenous dexmedetomidine ranged 2.1 to 3.1 hours in healthy adults and 2.2 to 3.7 hours in ICU patients. Plasma protein binding of dexmedetomidine is about 94% (mostly albumin).
Dexmedetomidine is metabolized by the liver, largely by glucuronidation (34%) as well as by oxidation via CYP2A6 and other Cytochrome P450 enzymes. As such, it should be used with caution in people with liver disease.
The majority of metabolized dexmedetomidine is excreted in the urine (~95%).
It can be absorbed sublingually. | 1 | Enantiopure drugs |
Flutamide, as a monotherapy, causes gynecomastia in 30 to 79% of men, and also produces breast tenderness. However, more than 90% of cases of gynecomastia with NSAAs including flutamide are mild to moderate. Tamoxifen, a selective estrogen receptor modulator (SERM) with predominantly antiestrogenic actions, can counteract flutamide-induced gynecomastia and breast pain in men. | 1 | Enantiopure drugs |
We now turn to calculating the effect of CO on radiation, using a one-layer model, i.e. we treat the whole troposphere as a single layer:
Looking at a particular wavelength λ up to λ+dλ, the whole atmosphere has an optical depth OD, while the tropopause has an optical depth 0.12*OD; the troposphere has an optical depth of 0.88*OD.
Thus,
of the radiation from below the tropopause is transmitted out, but this includes of the radiation that originates from the ground.
Thus, the weight of the troposphere in determining the radiation that is emitted to outer space is:
A relative increase in the CO concentration means an equal relative increase in the total CO content of the atmosphere, dN/N where N is the number of CO molecules.
Adding a minute number of such molecules dN will increase the troposphere's weight in determining the radiation for the relevant wavelengths, approximately by the relative amount dN/N, and thus by:
Since CO hardly influences sunlight absorption by Earth, the radiative forcing due to an increase in CO content is equal to the difference in the flux radiated by Earth due to such an increase. To calculate this, one must multiply the above by the difference in radiation due to the difference in temperature. According to Planck's law, this is:
The ground is at temperature T = 288 K, and for the troposphere we will take a typical temperature, the one at the average height of molecules, 6.3 km, where the temperature is T247 K.
Therefore, dI, the change in Earth's emitted radiation is, in a rough approximation, is:
Since dN/N = d(ln N), this can be written as:
The function is maximal for x = 2.41, with a maximal value of 0.66, and it drops to half this value at x=0.5 and x = 9.2. Thus we look at wavelengths for which the OD is between 0.5 and 9.2: This gives a wavelength band at the width of approximately 1 micron around 17 microns, and less than 1 micron around 13.5 microns. We therefore take:
:λ = 13.5 microns and again 17 microns (summing contributions from both)
:dλ = 0.5 micron for the 13.5 microns band, and 1 micron for the 17 microns band.
Which gives -2.3 W/m for the 13.5 microns band, and -2.7 W/m for the 17 microns band, for a total of 5 W/m.
A 2-fold increase in CO content changes the wavelengths ranges only slightly, and so this derivative is approximately constant along such an increase. Thus, a 2-fold increase in CO content will reduce the radiation emitted by Earth by approximately:
:ln(2)*5 W/m = 3.4 W/m.
More generally, an increase by a factor c/c gives:
:ln(c/c)*5 W/m
These results are close to the approximation of a more elaborate yet simplified model giving
:ln(c/c)*5.35 W/m, and the radiative forcing due to CO doubling with much more complicated models giving 3.1 W/m. | 0 | Greenhouse Gases |
The quantum tunneling dynamics in water was reported as early as 1992. At that time it was known that there are motions which destroy and regenerate the weak hydrogen bond by internal rotations of the substituent water monomers. On 18 March 2016, it was reported that the hydrogen bond can be broken by quantum tunneling in the water hexamer. Unlike previously reported tunneling motions in water, this involved the concerted breaking of two hydrogen bonds. Later in the same year, the discovery of the quantum tunneling of water molecules was reported. | 0 | Greenhouse Gases |
Cefroxadine (INN, trade names Oraspor and Cefthan-DS) is a cephalosporin antibiotic. It is structurally related to cefalexin, and both drugs share a similar spectrum of activity.
It is available in Italy. | 1 | Enantiopure drugs |
CH has been measured directly in the environment since the 1970s. The Earth's atmospheric methane concentration has increased 160% since preindustrial levels in the mid-18th century.
Long term atmospheric measurements of methane by NOAA show that the build up of methane nearly tripled since pre-industrial times since 1750. In 1991 and 1998 there was a sudden growth rate of methane representing a doubling of growth rates in previous years. The June 15, 1991 eruption of Mount Pinatubo, measuring VEI-6was the second-largest terrestrial eruption of the 20th century. In 2007 it was reported that unprecedented warm temperatures in 1998the warmest year since surface records were recordedcould have induced elevated methane emissions, along with an increase in wetland and rice field emissions and the amount of biomass burning.
Data from 2007 suggested methane concentrations were beginning to rise again. This was confirmed in 2010 when a study showed methane levels were on the rise for the 3 years 2007 to 2009. After a decade of near-zero growth in methane levels, "globally averaged atmospheric methane increased by [approximately] 7 nmol/mol per year during 2007 and 2008. During the first half of 2009, globally averaged atmospheric CH was [approximately] 7 nmol/mol greater than it was in 2008, suggesting that the increase will continue in 2009." From 2015 to 2019 sharp rises in levels of atmospheric methane have been recorded.
In 2010, methane levels in the Arctic were measured at 1850 nmol/mol which is over twice as high as at any time in the last 400,000 years. According to the IPCC AR5, since 2011 concentrations continued to increase. After 2014, the increase accelerated and by 2017, it reached 1,850 (parts per billion) ppb. The annual average for methane (CH) was 1866 ppb in 2019 and scientists reported with "very high confidence" that concentrations of CH were higher than at any time in at least 800,000 years. The largest annual increase occurred in 2021 with current concentrations reaching a record 260% of pre-industrialwith the overwhelming percentage caused by human activity.
In 2013, IPCC scientists said with "very high confidence", that concentrations of atmospheric methane CH "exceeded the pre-industrial levels by about 150% which represented "levels unprecedented in at least the last 800,000 years." The globally averaged concentration of methane in Earth's atmosphere increased by about 150% from 722 ± 25 ppb in 1750 to 1803.1 ± 0.6 ppb in 2011. As of 2016, methane contributed radiative forcing of 0.62 ± 14% Wm, or about 20% of the total radiative forcing from all of the long-lived and globally mixed greenhouse gases. The atmospheric methane concentration has continued to increase since 2011 to an average global concentration of 1911.8 ± 0.6 ppb as of 2022. The May 2021 peak was 1891.6 ppb, while the April 2022 peak was 1909.4 ppb, a 0.9% increase. The Global Carbon Project consortium produces the Global Methane Budget. Working with over fifty international research institutions and 100 stations globally, it updates the methane budget every few years.
In 2013, the balance between sources and sinks of methane was not yet fully understood. Scientists were unable to explain why the atmospheric concentration of methane had temporarily ceased to increase.
The focus on the role of methane in anthropogenic climate change has become more relevant since the mid-2010s. | 0 | Greenhouse Gases |
Due to its density, tetrafluoromethane can displace air, creating an asphyxiation hazard in inadequately ventilated areas. Otherwise, it is normally harmless due to its stability. | 0 | Greenhouse Gases |
Levonorgestrel is a progestogen with weak androgenic activity. It has no other important hormonal activity, including no estrogenic, glucocorticoid, or antimineralocorticoid activity. The lack of significant mineralocorticoid or antimineralocorticoid activity with levonorgestrel is in spite of it having relatively high affinity for the mineralocorticoid receptor, which is as much as 75% of that of aldosterone. | 1 | Enantiopure drugs |
The Earth's oceans contain a large amount of in the form of bicarbonate and carbonate ions—much more than the amount in the atmosphere. The bicarbonate is produced in reactions between rock, water, and carbon dioxide. One example is the dissolution of calcium carbonate:
Reactions like this tend to buffer changes in atmospheric . Since the right side of the reaction produces an acidic compound, adding on the left side decreases the pH of seawater, a process which has been termed ocean acidification (pH of the ocean becomes more acidic although the pH value remains in the alkaline range). Reactions between and non-carbonate rocks also add bicarbonate to the seas. This can later undergo the reverse of the above reaction to form carbonate rocks, releasing half of the bicarbonate as . Over hundreds of millions of years, this has produced huge quantities of carbonate rocks.
From 1850 until 2022, the ocean has absorbed 26% of total anthropogenic emissions. However, the rate at which the ocean will take it up in the future is less certain. Even if equilibrium is reached, including dissolution of carbonate minerals, the increased concentration of bicarbonate and decreased or unchanged concentration of carbonate ion will give rise to a higher concentration of un-ionized carbonic acid and dissolved . This higher concentration in the seas, along with higher temperatures, would mean a higher equilibrium concentration of in the air.
Carbon moves between the atmosphere, vegetation (dead and alive), the soil, the surface layer of the ocean, and the deep ocean. | 0 | Greenhouse Gases |
Levosulpiride is a substituted benzamide derivative and a selective dopamine D antagonist with antipsychotic and antidepressant activity. Other benzamide derivatives include metoclopramide, tiapride, and sultopride. | 1 | Enantiopure drugs |
Levonorgestrel is used in combination with an estrogen in menopausal hormone therapy. It is used under the brand name Klimonorm as a combined oral tablet with estradiol valerate and under the brand name Climara Pro as a combined transdermal patch with estradiol. | 1 | Enantiopure drugs |
A 2013 systematic review of the drug's use as a treatment for acute asthma found that it "was not superior to albuterol regarding efficacy and safety in subjects with acute asthma." The review concluded: "We suggest that levalbuterol should not be used over albuterol for acute asthma." Levalbuterol is notably more costly. | 1 | Enantiopure drugs |
Enantiomers of a chiral drug often interact in an enantioselective way in a chiral environment. This may be offered by different biotic substances (viz. proteins, nucleic acids, phospholipids and oligosaccharides). They are made up of chiral building blocks that are put together in space in handed conformations. These biological targets function as receptors for the drug enantiomers. So, at the binding sites of these receptors, enantiomers will be seen as different chemical species. The three point attachment model (Easson & Stedman model) can be used to see how chiral discrimination works. Figure depicts how the enantiomers of a drug interact with receptors in a way that depends on the drug's shape.
This model was made for chiral drugs with a single stereogenic center. It says that there are three binding sites in the receptor (B, C and D) that match the drugs pharmacophoric groups (B, C, D). A three-point fit (good fit) is possible for the eutomer at BB, CC and DD(Fig. A). Even though the distomer is the wrong enantiomer, it can fit either a one-point interaction (bad fit), or a two-point attachment (CC and DD') with the same receptor site as shown in (Fig. B).
Eutomer is the version that works the way you want it to, and distomer is the version that doesnt work or works in a way you dont want it to. Most of the time, the mirror-image versions have different binding affinities. In the eutomer, the ligands or moiety around a stereogenic element have more binding energy than in the distomer. When the eutomer goes through chiral inversion, it loses its ability to bind to a biological receptor. Because of these enantiospecific interactions, therapeutic and toxicological properties are enantioselective So, the stereo-stability of chiral drugs may have big effects on the process of making new drugs, especially when it comes to how pharmaceutical, pharmacokinetic, and pharmacodynamic information is read and understood. At every stage of designing, making, and testing a drug for safety, chiral inversion must be taken into account. | 1 | Enantiopure drugs |
Pseudoephedrine (PSE) is a sympathomimetic drug of the phenethylamine and amphetamine chemical classes. It may be used as a nasal/sinus decongestant, as a stimulant, or as a wakefulness-promoting agent in higher doses.
It was first characterized in 1889 by the German chemists Ladenburg and Oelschlägel, who used a sample that had been isolated from Ephedra vulgaris by the Merck pharmaceutical corporation of Darmstadt, Germany. The salts pseudoephedrine hydrochloride and pseudoephedrine sulfate are found in over-the-counter preparations, either as a single ingredient or (more commonly) in a fixed-dose combination with one or more additional active ingredients such as antihistamines, guaifenesin, dextromethorphan, paracetamol (acetaminophen), or an NSAID (such as aspirin or ibuprofen). | 1 | Enantiopure drugs |
The plasma concentration of levobupivacaine is influenced by both the dosage and the method of administration. Additionally, absorption depends on the vascularity of the tissue. Maximum plasma concentration of 1.2 µg/mL is reached approximately 30 minutes post epidural injection.
Levobupivacaine undergoes biotransformation in the liver by the cytochrome P450 enzyme, specifically CYP1A2 and CYP3A isoforms as part of phase one biotransformation, thereby producing inactive metabolites. The major metabolite produced is 3-hydroxy-levobupivacaine and the minor one is desbutyl-levobupivacaine. Subsequently, levobupivacaine metabolites are further converted into glucuronic acid and sulphate ester conjugates as a part of phase two. Metabolic inversion of levobupivacaine is not observed. The extensive metabolism of levobupivacaine by the liver ensures that no unchanged drug is excreted via urine. As a result, in patients with renal dysfunction, only the inactive metabolites accumulate instead of the drug itself.
Research tracing radiolabelled levobupivacaine showed that 71% was recovered in urine and 24% was recovered in faecesl After the intravenous administration of 40 mg of levobupivacaine, the half-life was approximately 80 minutes and the rate of clearance was 651 ± 221.5 mL/min. | 1 | Enantiopure drugs |
Levobetaxolol inhibits the beta-1-adrenergic receptor. When applied topically, it reduces intra-ocular pressure (IOP) by 16-23% depending on time of day and the individual. It also has neuroprotective effects. Levobetaxolol has fewer cardiovascular side effects than other beta blockers. | 1 | Enantiopure drugs |
Arketamine appears to be more effective as a rapid-acting antidepressant than esketamine in preclinical research.
In rodent studies, esketamine produced hyperlocomotion, prepulse inhibition deficits, and rewarding effects, while arketamine did not, in accordance with its lower potency as an NMDA receptor antagonist and dopamine reuptake inhibitor. As such, arketamine may have a lower propensity for producing psychotomimetic effects and a lower abuse potential in addition to superior antidepressant efficacy.
A study conducted in mice found that ketamine's antidepressant activity is not caused by ketamine inhibiting NMDAR, but rather by sustained activation of a different glutamate receptor, the AMPA receptor, by a metabolite, (2R,6R)-hydroxynorketamine; as of 2017 it was unknown if this was happening in humans. Arketamine is an AMPA receptor agonist.
Paradoxically, arketamine shows greater and longer-lasting rapid antidepressant effects in animal models of depression relative to esketamine. It has been suggested that this may be due to the possibility of different activities of arketamine and esketamine and their respective metabolites at the α-nicotinic receptor, as norketamine and hydroxynorketamine are potent antagonists of this receptor and markers of potential rapid antidepressant effects (specifically, increased mammalian target of rapamycin function) correlate closely with their affinity for it. The picture is unclear however, and other mechanisms have also been implicated. | 1 | Enantiopure drugs |
The salt marsh plant Batis maritima contains the enzyme methyl chloride transferase that catalyzes the synthesis of CHCl from S-adenosine-L-methionine and chloride. This protein has been purified and expressed in E. coli, and seems to be present in other organisms such as white rot fungi (Phellinus pomaceus), red algae (Endocladia muricata), and the ice plant (Mesembryanthemum crystallinum), each of which is a known CHCl producer. | 0 | Greenhouse Gases |
GOSAT was launched along with seven other piggyback probes using the H-IIA, Japan's primary large-scale expendable launch system, at 3:54 am on 23 January 2009 UTC on Tanegashima, a small island in southern Japan, after a two-day delay due to unfavourable weather. At approximately 16 minutes after liftoff, the separation of Ibuki from the launch rocket was confirmed. | 0 | Greenhouse Gases |
The objectives of the charity are:
# To implement carbon reduction projects
# To challenge the misconceptions surrounding carbon reduction amongst individuals and organizations
# To encourage greater adoption of sustainable solutions | 0 | Greenhouse Gases |
Overall measurements from OCO-3 will help quantify sources and sinks of carbon dioxide from terrestrial ecosystems, the oceans, and from anthropogenic sources. Due to the ISS orbit, measurements will be made at latitudes less than 52°. Data from OCO-3 are expected to significantly improve understanding of global emissions from human activities, for example, using measurements over cities. Near simultaneous observations from other instruments onboard the International Space Station such as ECOSTRESS (measuring plant temperatures) and Global Ecosystem Dynamics Investigation lidar (measuring forest structure) may be combined with OCO-3 observations to help improve the understanding of the terrestrial ecosystem. Similar to OCO-2, OCO-3 will also measure Solar Induced Fluorescence which is a process that occurs during plant photosynthesis. | 0 | Greenhouse Gases |
Serotonin syndrome may result from the combined use of dextromethorphan and serotonergic antidepressants such as selective serotonin reuptake inhibitor (SSRIs) or monoamine oxidase inhibitor (MAOIs). Further research is needed to determine whether doses of dextromethorphan beyond those normally used therapeutically are needed to produce this effect. In any case, dextromethorphan should not be taken with MAOIs due to the possibility of this complication. Serotonin syndrome is a potentially life-threatening condition that can occur rapidly, due to a buildup of an excessive amount of serotonin in the body.
Patients who are taking dextromethorphan should exercise caution when drinking grapefruit juice or eating grapefruit, as compounds in grapefruit affect a number of drugs, including dextromethorphan, through the inhibition of the cytochrome P450 system in the liver, and can lead to excessive accumulation of the drug which both increases and prolongs effects. Grapefruit and grapefruit juices (especially white grapefruit juice, but also including other citrus fruits such as bergamot and lime, as well as a number of noncitrus fruits) generally are recommended to be avoided while using dextromethorphan and numerous other medications. | 1 | Enantiopure drugs |
With 800,000 years of Azolla bloom episodes and a basin to cover, even by very conservative estimates more than enough carbon could be sequestered by plant burial to account for the observed 80% drop in CO by this one phenomenon alone. Other factors almost certainly played a role. This drop initiated the switch from a greenhouse to the current icehouse Earth; the Arctic cooled from an average sea-surface temperature of 13 °C to todays −9 °C, and the rest of the globe underwent a similar change. For perhaps the first time in its history, the planet had ice caps at both of its poles. A geologically rapid decrease in temperature between 49 and , around the Azolla' event, is evident; dropstones (which are taken as evidence for the presence of glaciers) are common in Arctic sediments thereafter. This is set against a backdrop of gradual, long-term cooling; it is not until that evidence for widespread northern polar freezing is common. | 0 | Greenhouse Gases |
Subcutaneous implants of levonorgestrel have been marketed as birth control implants under the brand names Norplant and Jadelle and are available for use in some countries. | 1 | Enantiopure drugs |
The total average energy per unit time radiated by Earth is equal to the average energy flux j times the surface area 4πR, where R is Earths radius. On the other hand, the average energy flux absorbed from sunlight is the solar constant S times Earths cross section of πR, times the fraction absorbed by Earth, which is one minus Earths albedo a'.
The average energy per unit time radiated out is equal to the average energy per unit time absorbed from sunlight, so:
giving:
Based on the value of 3.1 W/m^2 obtained above in the section on the one layer model, the radiative forcing due to CO relative to the average radiated flux is therefore:
An exact calculation using the MODTRAN model, over all wavelengths and including methane and ozone greenhouse gasses, as shown in the plot above, gives, for tropical latitudes, an outgoing flux 298.645 W/m for current CO levels and 295.286 W/m after CO doubling, i.e. a radiative forcing of 1.1%, under clear sky conditions, as well as a ground temperature of 299.7 K (26.6 Celsius). The radiative forcing is largely similar in different latitudes and under different weather conditions. | 0 | Greenhouse Gases |
Levosalbutamol's bronchodilator properties give it indications in treatment of COPD (chronic obstructive pulmonary disease, also known as chronic obstructive lung disease) and asthma. Like other bronchodilators, it acts by relaxing smooth muscle in the bronchial tubes, and thus shortening or reversing an acute "attack" of shortness of breath or difficulty breathing. Unlike some slower-acting bronchodilators, it is not indicated as a preventative of chronic bronchial constriction. | 1 | Enantiopure drugs |
Chlorprothixene's principal indications are the treatment of psychotic disorders (e.g. schizophrenia) and of acute mania occurring as part of bipolar disorders.
Other uses are pre- and postoperative states with anxiety and insomnia, severe nausea / emesis (in hospitalized patients), the amelioration of anxiety and agitation due to use of selective serotonin reuptake inhibitors for depression and, off-label, the amelioration of alcohol and opioid withdrawal. It may also be used cautiously to treat nonpsychotic irritability, aggression, and insomnia in pediatric patients.
An intrinsic antidepressant effect of chlorprothixene has been discussed, but not proven. Likewise, it is unclear if chlorprothixene has genuine (intrinsic) analgesic effects. However, chlorprothixene can be used as co-medication in severe chronic pain. Also, like most antipsychotics, chlorprothixene has antiemetic effects. | 1 | Enantiopure drugs |
Medications that contain more than 10% pseudoephedrine are prohibited under the Stimulants Control Law in Japan. | 1 | Enantiopure drugs |
Tetrafluoromethane is the product when any carbon compound, including carbon itself, is burned in an atmosphere of fluorine. With hydrocarbons, hydrogen fluoride is a coproduct. It was first reported in 1926. It can also be prepared by the fluorination of carbon dioxide, carbon monoxide or phosgene with sulfur tetrafluoride. Commercially it is manufactured by the reaction of hydrogen fluoride with dichlorodifluoromethane or chlorotrifluoromethane; it is also produced during the electrolysis of metal fluorides MF, MF using a carbon electrode.
Although it can be made from a myriad of precursors and fluorine, elemental fluorine is expensive and difficult to handle. Consequently, is prepared on an industrial scale using hydrogen fluoride:
:CClF + 2 HF → CF + 2 HCl | 0 | Greenhouse Gases |
Three days after the failed February 2009 launch, the OCO science team sent NASA headquarters a proposal to build and launch an OCO copy by late 2011. On 1 February 2010, the FY 2011 NASA budget request did include $170 million for NASA to develop and fly a replacement for the Orbiting Carbon Observatory: OCO-2.
NASA, in 2010, initially selected Orbital Sciences for launching the replacement in February 2013 on a Taurus XL 3110 from Vandenberg Air Force Base in California. The launch of the Glory satellite took place on 4 March 2011 and ended in failure, like OCO. Then, in February 2012 both NASA and Orbital Sciences came to an agreement to terminate the launch contract.
OCO-2 was initially scheduled for launch on 1 July 2014 at 09:56 UTC aboard a Delta II rocket, though that launch was scrubbed at 46 seconds on the countdown clock due to a faulty valve on the water suppression system that is used to flow water on the launch pad to dampen the acoustic energy during launch. The rocket launched 2 July at the same time. | 0 | Greenhouse Gases |
Methane (CH) in the Earth's atmosphere is a powerful greenhouse gas with a global warming potential (GWP) 84 times greater than CO over a 20-year time frame. Methane is not as persistent as CO, and tails off to about 28 times greater than CO over a 100-year time frame.
Radiative or climate forcing is the scientific concept used to measure the human impact on the environment in watts per square meter (W/m). It refers to the "difference between solar irradiance absorbed by the Earth and energy radiated back to space" The direct radiative greenhouse gas forcing effect of methane relative to the year 1750 was estimated at 0.5 W/m in the 2007 IPCC "Climate Change Synthesis Report 2007".
In their May 21, 2021 173-page "Global Methane Assessment", the UNEP and CCAP said that their "understanding of methane's effect on radiative forcing" improved with research by teams led by M. Etminan in 2016, and William Collins in 2018, which resulted in an "upward revision" since the 2014 IPCC Fifth Assessment Report (AR5). The "improved understanding" says that prior estimates of the "overall societal impact of methane emissions" were likely underestimated.
Etminan et al. published their new calculations for methane's radiative forcing (RF) in a 2016 Geophysical Research Letters journal article which incorporated the shortwave bands of CH in measuring forcing, not used in previous, simpler IPCC methods. Their new RF calculations which significantly revised those cited in earlier, successive IPCC reports for well mixed greenhouse gases (WMGHG) forcings by including the shortwave forcing component due to CH, resulted in estimates that were approximately 20–25% higher. Collins et al. said that CH mitigation that reduces atmospheric methane by the end of the century, could "make a substantial difference to the feasibility of achieving the Paris climate targets", and would provide us with more "allowable carbon emissions to 2100".
In addition to the direct heating effect and the normal feedbacks, the methane breaks down to carbon dioxide and water. This water is often above the tropopause, where little water usually reaches. Ramanathan (1998) notes that both water and ice clouds, when formed at cold lower stratospheric temperatures, are extremely efficient in enhancing the atmospheric greenhouse effect. He also notes that there is a distinct possibility that large increases in methane in future may lead to a surface warming that increases nonlinearly with the methane concentration.
Mitigation efforts to reduce short-lived climate pollutants like methane and black carbon would help combat "near-term climate change" and would support Sustainable Development Goals. | 0 | Greenhouse Gases |
Sevoflurane will degrade into what is most commonly referred to as compound A (fluoromethyl 2,2-difluoro-1-(trifluoromethyl)vinyl ether) when in contact with CO absorbents, and this degradation tends to enhance with decreased fresh gas flow rates, increased temperatures, and increased sevoflurane concentration. Compound A is what some believe is in correlation with renal damage. | 0 | Greenhouse Gases |
Esketamine was introduced for medical use as an anesthetic in Germany in 1997, and was subsequently marketed in other countries. In addition to its anesthetic effects, the medication showed properties of being a rapid-acting antidepressant, and was subsequently investigated for use as such. Esketamine received a breakthrough designation from the for treatment-resistant depression (TRD) in 2013 and major depressive disorder (MDD) with accompanying suicidal ideation in 2016. In November 2017, it completed phase III clinical trials for treatment-resistant depression in the United States. Johnson & Johnson filed a Food and Drug Administration (FDA) New Drug Application (NDA) for approval on 4 September 2018; the application was endorsed by an FDA advisory panel on 12 February 2019, and on 5 March 2019, the FDA approved esketamine, in conjunction with an oral antidepressant, for the treatment of depression in adults. In August 2020, it was approved by the U.S. Food and Drug Administration (FDA) with the added indication for the short-term treatment of suicidal thoughts.
Since the 1980s, closely associated ketamine has been used as a club drug also known as "Special K" for its trip-inducing side effects. | 1 | Enantiopure drugs |
Cefapirin (INN, also spelled cephapirin) is an injectable, first-generation cephalosporin antibiotic. It is marketed under the trade name Cefadyl. Production for use in humans has been discontinued in the United States.
It also has a role in veterinary medicine as Metricure, an intrauterine preparation, and combined with prednisolone in Mastiplan, an intramammary preparation. Both are licensed in cattle. | 1 | Enantiopure drugs |
Levofenfluramine (INN), or (−)-3-trifluoromethyl-N-ethylamphetamine, also known as (−)-fenfluramine or (R)-fenfluramine, is a drug of the amphetamine family that, itself (i.e., in enantiopure form), was never marketed. It is the levorotatory enantiomer of fenfluramine, the racemic form of the compound, whereas the dextrorotatory enantiomer is dexfenfluramine. Both fenfluramine and dexfenfluramine are anorectic agents that have been used clinically in the treatment of obesity (and hence, levofenfluramine has been as well since it is a component of fenfluramine). However, they have since been discontinued due to reports of causing cardiovascular conditions such as valvular heart disease and pulmonary hypertension, adverse effects that are likely to be caused by excessive stimulation of 5-HT receptors expressed on heart valves.
Dexfenfluramine is believed to be solely responsible for the appetite suppressant properties of fenfluramine, of which it has been demonstrated to mediate predominantly via activation of postsynaptic 5-HT and 5-HT receptors through a combination of indirect serotonin releasing agent and direct serotonin receptor agonist activities (the latter of which are mediated fully by its active metabolite dexnorfenfluramine). Contrarily, levofenfluramine is thought to contribute only to unwanted side effects. Paradoxically, however, it has been shown that levofenfluramine too acts as a relatively potent releaser of serotonin, though with approximately 1/3 of the efficacy of dexfenfluramine. As such, it would be expected to possess some degree of appetite suppressant properties as well, yet it does not. A potential explanation as to why levofenfluramine is not similarly an effective anorectic is that it has also been found to behave as a dopamine receptor antagonist, which, as dopamine antagonists like atypical antipsychotics are associated with causing increased appetite and weight gain—effects that their actions on dopamine receptors have been implicated in playing a role in the development of, is an action that could in theory cancel out the hypothetical serotonergically-mediated appetite suppressant effects of the compound. However, this is speculation and has not been proven.
Levonorfenfluramine, an active metabolite of levofenfluramine, is also a fairly potent serotonin releasing agent (with a potency of approximately 1/2 that of norfenfluramine and 1/6 that of dexfenfluramine) and, similarly to dexnorfenfluramine, is a 5-HT and 5-HT receptor agonist, as well as a somewhat less potent norepinephrine reuptake inhibitor (about 1/2 that of its efficacy as a serotonin releaser). As such, it likely contributes significantly to the biological activity—though not necessarily appetite suppressant effects—of not only levofenfluramine but of racemic fenfluramine as well. In contrast to levonorfenfluramine, levofenfluramine is virtually inactive as a reuptake inhibitor or releaser of norepinephrine, and neither compound has any effect on dopamine reuptake or release. | 1 | Enantiopure drugs |
Flucloxacillin is insensitive to beta-lactamase (also known as penicillinase) enzymes secreted by many penicillin-resistant bacteria. The presence of the isoxazolyl group on the side chain of the penicillin nucleus facilitates the β-lactamase resistance, since they are relatively intolerant of side chain steric hindrance. Thus, it is able to bind to penicillin-binding proteins and inhibit peptidoglycan crosslinking, but is not bound by or inactivated by β-lactamases. | 1 | Enantiopure drugs |
The active component, eslicarbazepine, has the same mechanism of action as oxcarbazepine (which is a prodrug for licarbazepine, the racemate of eslicarbazepine) and most likely the closely related carbamazepine. It stabilises the inactive state of voltage-gated sodium channels, allowing for less sodium to enter neural cells, which leaves them less excitable. According to some sources, it has not been shown conclusively that this is the actual mechanism. | 1 | Enantiopure drugs |
BCF is commercially synthesized in a two-step process from chloroform. Chloroform is fluorinated with hydrogen fluoride. The resulting chlorodifluoromethane is then reacted with elemental bromine at 400-600 °C, with reaction time limited to about 3 seconds. The overall yield is over 90%. | 0 | Greenhouse Gases |
Drospirenone (DRSP) is used by itself as a progestogen-only birth control pill, in combination with the estrogens ethinylestradiol (EE) or estetrol (E4), with or without supplemental folic acid (vitamin B), as a combined birth control pill, and in combination with the estrogen estradiol (E2) for use in menopausal hormone therapy. A birth control pill with low-dose ethinylestradiol is also indicated for the treatment of moderate acne, premenstrual syndrome (PMS), premenstrual dysphoric disorder (PMDD), and dysmenorrhea (painful menstruation). For use in menopausal hormone therapy, E2/DRSP is specifically approved to treat moderate to severe vasomotor symptoms (hot flashes), vaginal atrophy, and postmenopausal osteoporosis. The drospirenone component in this formulation is included specifically to prevent estrogen-induced endometrial hyperplasia. Drospirenone has also been used in combination with an estrogen as a component of hormone therapy for transgender women.
Studies have found that EE/DRSP is superior to placebo in reducing premenstrual emotional and physical symptoms while also improving quality of life. E2/DRSP has been found to increase bone mineral density and to reduce the occurrence of bone fractures in postmenopausal women. In addition, E2/DRSP has a favorable influence on cholesterol and triglyceride levels and decreases blood pressure in women with high blood pressure. Due to its antimineralocorticoid activity, drospirenone opposes estrogen-induced salt and water retention and maintains or slightly reduces body weight. | 1 | Enantiopure drugs |
When the nasal decongestant is taken in excess, levomethamphetamine has potential side effects. These would be similar to those of other decongestants. | 1 | Enantiopure drugs |
The most common adverse effects of esketamine for depression (≥5% incidence) include dissociation, dizziness, sedation, nausea, vomiting, vertigo, numbness, anxiety, lethargy, increased blood pressure, and feelings of drunkenness. Long-term use of esketamine has been associated with bladder disease. | 1 | Enantiopure drugs |
Contraindications include:
* Pregnancy
* Impaired renal and liver function
* Patients with a history of angioedema related to previous treatment with an ACE inhibitor
* Hypersensitivity to Quinapril | 1 | Enantiopure drugs |
PFTs are believed non-toxic and chemically inert, clear, colourless liquids. They are non-flammable and are not radioactive. They do not occur in nature at all, so background levels are very low, but they can be detected at extremely low concentrations.
There is a range of PFTs available commercially, allowing the experimenter to release different PFTs at the same time. Cyclic perfluorocarbons, such as perfluoromethylhexane and perfluoro-1,3-dimethylcyclohexane, are generally believed to be better than acyclic ones as they can be detected at lower levels. | 0 | Greenhouse Gases |
Methane has a limited atmospheric lifetime, about 10 years, due to substantial methane sinks. The primary methane sink is atmospheric oxidation, from hydroxyl radicals (~90% of the total sink) and chlorine radicals (0-5% of the total sink). The rest is consumed by methanotrophs and other methane-oxidizing bacteria and archaea in soils (~5%). | 0 | Greenhouse Gases |
It is on the World Health Organization's List of Essential Medicines. The World Health Organization classifies cefalexin as highly important for human medicine. | 1 | Enantiopure drugs |
The Azolla event is a paleoclimatology scenario hypothesized to have occurred in the middle Eocene epoch, around , when blooms of the carbon-fixing freshwater fern Azolla are thought to have happened in the Arctic Ocean. As the fern died and sank to the stagnant sea floor, they were incorporated into the sediment over a period of about 800,000 years; the resulting draw-down of carbon dioxide has been speculated to have helped reverse the planet from the "greenhouse Earth" state of the Paleocene-Eocene Thermal Maximum, when the planet was hot enough for turtles and palm trees to prosper at the poles, to the current icehouse Earth known as the Late Cenozoic Ice Age. | 0 | Greenhouse Gases |
Dextromethorphan is the dextrorotatory enantiomer of levomethorphan, which is the methyl ether of levorphanol, both opioid analgesics. It is named according to IUPAC rules as (+)-3-methoxy-17-methyl-9α,13α,14α-morphinan. As its pure form, dextromethorphan occurs as an odorless, opalescent white powder. It is freely soluble in chloroform and insoluble in water; the hydrobromide salt is water-soluble up to 1.5 g/100 mL at 25 °C. Dextromethorphan is commonly available as the monohydrated hydrobromide salt, and is also available in extended-release formulations (sold as dextromethorphan polistirex) contain dextromethorphan bound to an ion-exchange resin based on polystyrene sulfonic acid. Dextromethorphan's specific rotation in water is +27.6° (20 °C, Sodium D-line). | 1 | Enantiopure drugs |
Esomeprazole is combined with the antibiotics clarithromycin and amoxicillin (or metronidazole instead of amoxicillin in penicillin-hypersensitive patients) in a 10-day eradication triple therapy for Helicobacter pylori. Infection by H. pylori is a causative factor in the majority of peptic and duodenal ulcers. | 1 | Enantiopure drugs |
The side effects of flutamide are sex-dependent. In men, a variety of side effects related to androgen deprivation may occur, the most common being gynecomastia and breast tenderness. Others include hot flashes, decreased muscle mass, decreased bone mass and an associated increased risk of fractures, depression, and sexual dysfunction including reduced libido and erectile dysfunction. In women, flutamide is, generally, relatively well tolerated, and does not interfere with ovulation. The only common side effect of flutamide in women is dry skin (75%), which can be attributed to a reduction of androgen-mediated sebum production. General side effects that may occur in either sex include dizziness, lack of appetite, gastrointestinal side effects such as nausea, vomiting, and diarrhea, a greenish-bluish discoloration of the urine, and hepatic changes. Because flutamide is a pure antiandrogen, unlike steroidal antiandrogens like cyproterone acetate and megestrol acetate (which additionally possess progestogenic activity), it does not appear to have a risk of cardiovascular side effects (e.g., thromboembolism) or fluid retention. | 1 | Enantiopure drugs |
Bromotrifluoromethane, commonly referred to by the code numbers Halon 1301, R13B1, Halon 13B1 or BTM, is an organic halide with the chemical formula CBrF. It is used for gaseous fire suppression as a far less toxic alternative to bromochloromethane. | 0 | Greenhouse Gases |
Lisinopril is contraindicated in people who have a history of angioedema (hereditary or idiopathic) or who have diabetes and are taking aliskiren. | 1 | Enantiopure drugs |
In the U.S. it is marketed as Zinacef by Covis Pharmaceuticals since the company acquired the U.S. rights to the product from GSK. GSK had continued marketing a pediatric oral suspension as Ceftin; however, this presentation was discontinued as of 24 June 2017.
In Bangladesh, it is available as Kilbac by Incepta, Axim by Aristopharma, Rofurox by Radiant and Xorimax by Sandoz. In India, it is available as Ceftum and "Cefuall" by Allencia Biosciences in tablet form and Supacef in injection form by GSK. In Poland, it is available as Zamur by Mepha, subsidiary of Teva Pharmaceutical Industries. In Australia, the "first generic" form of Cefuroxime axetil, Pharmacor Cefuroxime (tablets) from Pharmacor Pty Ltd, was registered on 27 March 2017, by the Therapeutic Goods Administration. Cefuroxime axetil is sold in tablet form in Turkey inder the brand names Aksef and Cefaks. Cefuroxime axetil is also available (in two strengths) as granules for oral suspension from Aspen Pharmacare Australia Pty Ltd under the brand name Zinnat cefuroxime. | 1 | Enantiopure drugs |
R-12 was used in most refrigeration and vehicle air conditioning applications prior to 1994 before being replaced by 1,1,1,2-tetrafluoroethane (R-134a), which has an insignificant ozone depletion potential. Automobile manufacturers started using R-134a instead of R-12 in 1992–1994. When older units leak or require repair involving removal of the refrigerant, retrofitment to a refrigerant other than R-12 (most commonly R-134a which has a global warming potential 3,400 times that of carbon dioxide) is required in some jurisdictions. The United States does not require automobile owners to retrofit their systems; however, taxes on ozone-depleting chemicals coupled with the relative scarcity of the original refrigerants on the open market make retrofitting the only economical option. Retrofitment requires a system flush and a new filter/dryer or accumulator, and may also involve the installation of new seals and/or hoses made of materials compatible with the refrigerant being installed. Mineral oil used with R-12 is not compatible with R-134a. Some oils designed for conversion to R-134a are advertised as compatible with residual R-12 mineral oil. Another replacement for R-12 is the highly flammable, but truly drop-in HC-12a, whose flammability has led to injuries and deaths in a bus fire in 2006. | 0 | Greenhouse Gases |
1,1,1-Trichloroethane is generally considered a non-polar solvent. Owing to the good polarizability of the chlorine atoms, it is a superior solvent for organic compounds that do not dissolve well in hydrocarbons such as hexane. It is an excellent solvent for many organic materials and also one of the least toxic of the chlorinated hydrocarbons. Prior to the Montreal Protocol, it was widely used for cleaning metal parts and circuit boards, as a photoresist solvent in the electronics industry, as an aerosol propellant, as a cutting fluid additive, and as a solvent for inks, paints, adhesives, and other coatings. 1,1,1-Trichloroethane was used to dry-clean leather and suede. 1,1,1-Trichloroethane is also used as an insecticidal fumigant.
It was also the standard cleaner for photographic film (movie/slide/negatives, etc.). Other commonly available solvents damage emulsion and base (acetone will severely damage triacetate base on most films), and thus are not suitable for this application. The standard replacement, Forane 141 is much less effective, and tends to leave a residue. 1,1,1-Trichloroethane was used as a thinner in correction fluid products such as liquid paper. Many of its applications previously used carbon tetrachloride (which was banned in US consumer products in 1970). In turn, 1,1,1-trichloroethane itself is now being replaced by other solvents in the laboratory. | 0 | Greenhouse Gases |
According to the Alternative Fluorocarbons Environmental Acceptability Study (AFEAS), in 2006 global production (excluding India and China who did not report production data) of HCFC-142b was 33,779 metric tons and an increase in production from 2006 to 2007 of 34%.
For the most part, concentrations of HCFCs in the atmosphere match the emission rates that were reported by industries. The exception to this is HCFC-142b which had a higher concentration than the emission rates suggest it should. | 0 | Greenhouse Gases |
One way that Zero Carbon World aims to meet its objectives is the donation of Electric Vehicle Charging stations to various organisations around the UK. Sites that install donated chargers get added to the charity's ZeroNet EV charger map. | 0 | Greenhouse Gases |
Water vapor is lighter or less dense than dry air. At equivalent temperatures it is buoyant with respect to dry air, whereby the density of dry air at standard temperature and pressure (273.15 K, 101.325 kPa) is 1.27 g/L and water vapor at standard temperature has a vapor pressure of 0.6 kPa and the much lower density of 0.0048 g/L. | 0 | Greenhouse Gases |
Trichlorofluoromethane, also called freon-11, CFC-11, or R-11, is a chlorofluorocarbon (CFC). It is a colorless, faintly ethereal, and sweetish-smelling liquid that boils around room temperature. CFC-11 is a Class 1 ozone-depleting substance which allegedly damages Earth's protective stratospheric ozone layer. | 0 | Greenhouse Gases |
Chlorodifluoromethane or difluoromonochloromethane is a hydrochlorofluorocarbon (HCFC). This colorless gas is better known as HCFC-22, or R-22, or . It was commonly used as a propellant and refrigerant. These applications were phased out under the Montreal Protocol in developed countries in 2020 due to the compound's ozone depletion potential (ODP) and high global warming potential (GWP), and in developing countries this process will be completed by 2030. R-22 is a versatile intermediate in industrial organofluorine chemistry, e.g. as a precursor to tetrafluoroethylene. | 0 | Greenhouse Gases |
Using 0.75% (7.5 mg/ml) of levobupivacaine, similar to bupivacaine, is contraindicated in obstetric patients. Use in paracervical blocks in obstetrics is also contraindicated. Levobupivacaine is furthermore contraindicated in patients with known hypersensitivity to levobupivacaine or other amide-type local anaesthetics, in patients with severe hypotension (e.g. cardiac or hypovolemic shock) and for use in intravenous regional anaesthesia (Bier’s block). | 1 | Enantiopure drugs |
Levetiracetam, along with other anti-epileptic drugs, can increase the risk of suicidal behavior or thoughts. People taking levetiracetam should be monitored closely for signs of worsening depression, suicidal thoughts or tendencies, or any altered emotional or behavioral states. | 1 | Enantiopure drugs |
CDP Cities provides a platform for cities to measure, manage and disclose their environmental data. More than 500 cities are now measuring and disclosing environmental data annually. The potential and need for this program is enormous since over 56% of the world's population now live in cities. CDP Cities provides a global platform based upon a simple questionnaire that allows city governments to disclose their greenhouse gas emission data publicly. One of the greatest values of the annual report, first released in June 2011, is to city leaders who can identify peers who are addressing similar risks and issues with new and innovative strategies for reducing carbon emissions and for mitigating risk from climate change. | 0 | Greenhouse Gases |
The amount of water vapor in an atmosphere is constrained by the restrictions of partial pressures and temperature. Dew point temperature and relative humidity act as guidelines for the process of water vapor in the water cycle. Energy input, such as sunlight, can trigger more evaporation on an ocean surface or more sublimation on a chunk of ice on top of a mountain. The balance between condensation and evaporation gives the quantity called vapor partial pressure.
The maximum partial pressure (saturation pressure) of water vapor in air varies with temperature of the air and water vapor mixture. A variety of empirical formulas exist for this quantity; the most used reference formula is the Goff-Gratch equation for the SVP over liquid water below zero degrees Celsius:
where , temperature of the moist air, is given in units of kelvin, and is given in units of millibars (hectopascals).
The formula is valid from about −50 to 102 °C; however there are a very limited number of measurements of the vapor pressure of water over supercooled liquid water. There are a number of other formulae which can be used.
Under certain conditions, such as when the boiling temperature of water is reached, a net evaporation will always occur during standard atmospheric conditions regardless of the percent of relative humidity. This immediate process will dispel massive amounts of water vapor into a cooler atmosphere.
Exhaled air is almost fully at equilibrium with water vapor at the body temperature. In the cold air the exhaled vapor quickly condenses, thus showing up as a fog or mist of water droplets and as condensation or frost on surfaces. Forcibly condensing these water droplets from exhaled breath is the basis of exhaled breath condensate, an evolving medical diagnostic test.
Controlling water vapor in air is a key concern in the heating, ventilating, and air-conditioning (HVAC) industry. Thermal comfort depends on the moist air conditions. Non-human comfort situations are called refrigeration, and also are affected by water vapor. For example, many food stores, like supermarkets, utilize open chiller cabinets, or food cases, which can significantly lower the water vapor pressure (lowering humidity). This practice delivers several benefits as well as problems. | 0 | Greenhouse Gases |
Contraindications to its use include volume-depleted patients, a history of angioedema while on an ACE inhibitor, pregnancy and hypotension.
People should not take ramipril (or any ACE inhibitors) if they have hyperkalemia. It is also recommended to avoid using salt-substitutes as this can further increase potassium levels in the blood.
Ramipril can be considered in patients with bilateral or unilateral significant renal artery stenosis (RAS). An early rise in serum creatinine above baseline is expected after initiation of therapy with Ramipril, however, monitoring serum biochemistry and renal function after initiation is crucial. Treatment with Ramipril in some patients with significant narrowing in both kidneys can increase serum creatinine concentration (measured in the blood test), which returns to baseline upon therapy cessation. | 1 | Enantiopure drugs |
Ampicillin is in the penicillin group of beta-lactam antibiotics and is part of the aminopenicillin family. It is roughly equivalent to amoxicillin in terms of activity. Ampicillin is able to penetrate gram-positive and some gram-negative bacteria. It differs from penicillin G, or benzylpenicillin, only by the presence of an amino group. This amino group, present on both ampicillin and amoxicillin, helps these antibiotics pass through the pores of the outer membrane of gram-negative bacteria, such as Escherichia coli, Proteus mirabilis, Salmonella enterica, and Shigella.
Ampicillin acts as an irreversible inhibitor of the enzyme transpeptidase, which is needed by bacteria to make the cell wall. It inhibits the third and final stage of bacterial cell wall synthesis in binary fission, which ultimately leads to cell lysis; therefore, ampicillin is usually bacteriolytic. | 1 | Enantiopure drugs |
Armodafinil (trade name Nuvigil) is the enantiopure compound of the eugeroic modafinil (Provigil). It consists of only the (R)-(−)-enantiomer of the racemic modafinil. Armodafinil is produced by the pharmaceutical company Cephalon Inc. and was approved by the U.S. Food and Drug Administration (FDA) in June 2007. In 2016, the FDA granted Mylan rights for the first generic version of Cephalon's Nuvigil to be marketed in the U.S.
Because armodafinil has a longer half-life than modafinil does, it may be more effective at improving wakefulness in patients with excessive daytime sleepiness. | 1 | Enantiopure drugs |
Generic versions of esomeprazole magnesium are available worldwide. It is available over-the-counter under the brand name Nexium in the United States and the UK. | 1 | Enantiopure drugs |
Gestonorone caproate was first described in 1960. It was developed by Schering and has been marketed since at least 1968. | 1 | Enantiopure drugs |
Whenever a water molecule leaves a surface and diffuses into a surrounding gas, it is said to have evaporated. Each individual water molecule which transitions between a more associated (liquid) and a less associated (vapor/gas) state does so through the absorption or release of kinetic energy. The aggregate measurement of this kinetic energy transfer is defined as thermal energy and occurs only when there is differential in the temperature of the water molecules. Liquid water that becomes water vapor takes a parcel of heat with it, in a process called evaporative cooling. The amount of water vapor in the air determines how frequently molecules will return to the surface. When a net evaporation occurs, the body of water will undergo a net cooling directly related to the loss of water.
In the US, the National Weather Service measures the actual rate of evaporation from a standardized "pan" open water surface outdoors, at various locations nationwide. Others do likewise around the world. The US data is collected and compiled into an annual evaporation map. The measurements range from under 30 to over 120 inches per year. Formulas can be used for calculating the rate of evaporation from a water surface such as a swimming pool. In some countries, the evaporation rate far exceeds the precipitation rate.
Evaporative cooling is restricted by atmospheric conditions. Humidity is the amount of water vapor in the air. The vapor content of air is measured with devices known as hygrometers. The measurements are usually expressed as specific humidity or percent relative humidity. The temperatures of the atmosphere and the water surface determine the equilibrium vapor pressure; 100% relative humidity occurs when the partial pressure of water vapor is equal to the equilibrium vapor pressure. This condition is often referred to as complete saturation. Humidity ranges from 0 grams per cubic metre in dry air to 30 grams per cubic metre (0.03 ounce per cubic foot) when the vapor is saturated at 30 °C. | 0 | Greenhouse Gases |
Prior to the discovery of rasagiline, a closely related analog called [https://pubchem.ncbi.nlm.nih.gov/compound/SU-11739 SU-11739] (AGN 1133) was patented. At first, the N-methyl was necessary for the agent to be considered a ring cyclized analog of pargyline with ca. twenty-times the potency. However, the N-methyl compound was a non-selective MAOI.
Racemic rasagiline was discovered and patented by Aspro Nicholas in the 1970s as a drug candidate for treatment of hypertension.
Moussa B. H. Youdim, a biochemist, had been involved in developing selegiline as a drug for Parkinsons, in collaboration with Peter Reiderer. He wanted to find a similar compound that would have fewer side effects, and around 1977, at about the same time he moved from London to Haifa to join the faculty of Technion, he noticed that rasagiline could potentially be such a compound. He called that compound, AGN 1135.
In 1996 Youdim, in collaboration with scientists from Technion and the US National Institutes of Health, and using compounds developed with Teva Pharmaceuticals, published a paper in which the authors wrote that they were inspired by the racemic nature of deprenyl and the greater activity of one of its stereoisomers, L-deprenyl, which became selegiline, to explore the qualities of the isomers of the Aspro compound, and they found that the R-isomer had almost all the activity; this is the compound that became rasagiline. They called the mesylate salt of the R-isomer TVP-1012 and the hydrochloride salt, TVP-101.
Teva and Technion filed patent applications for this racemically pure compound, methods to make it, and methods to use it to treat Parkinsons and other disorders, and Technion eventually assigned its rights to Teva.
Teva began development of rasagiline, and by 1999 was in Phase III trials, and entered into a partnership with Lundbeck in which Lundbeck agreed to share the costs and obtained the joint right to market the drug in Europe. In 2003 Teva partnered with Eisai, giving Eisai the right to jointly market the drug for Parkinson's in the US, and to co-develop and co-market the drug for Alzheimers and other neurological diseases.
It was approved by the European Medicines Agency for Parkinson's in 2005 and in the US in 2006. | 1 | Enantiopure drugs |
Amoxicillin is an antibiotic medication belonging to the aminopenicillin class of the penicillin family. The drug is used to treat bacterial infections such as middle ear infection, strep throat, pneumonia, skin infections, odontogenic infections, and urinary tract infections. It is taken by mouth, or less commonly by injection.
Common adverse effects include nausea and rash. It may also increase the risk of yeast infections and, when used in combination with clavulanic acid, diarrhea. It should not be used in those who are allergic to penicillin. While usable in those with kidney problems, the dose may need to be decreased. Its use in pregnancy and breastfeeding does not appear to be harmful. Amoxicillin is in the β-lactam family of antibiotics.
Amoxicillin was discovered in 1958 and came into medical use in 1972. Amoxil was approved for medical use in the United States in 1974, and in the United Kingdom in 1977. It is on the (WHO) World Health Organization's List of Essential Medicines. It is one of the most commonly prescribed antibiotics in children. Amoxicillin is available as a generic medication. In 2021, it was the 38th most commonly prescribed medication in the United States, with more than 16million prescriptions. | 1 | Enantiopure drugs |
The compound has two commercial uses.
It is used as an ingredient in Fluosol, artificial blood. This application exploits the high solubility of oxygen and carbon dioxide in the solvent, as well as the low viscosity and toxicity. It is also a component of Fluorinert coolant liquids. CPUs of some computers are immersed in this liquid to facilitate cooling. | 0 | Greenhouse Gases |
Water is relatively transparent to visible light, near ultraviolet light, and far-red light, but it absorbs most ultraviolet light, infrared light, and microwaves. Most photoreceptors and photosynthetic pigments utilize the portion of the light spectrum that is transmitted well through water. Microwave ovens take advantage of waters opacity to microwave radiation to heat the water inside of foods. Waters light blue color is caused by weak absorption in the red part of the visible spectrum. | 0 | Greenhouse Gases |
The contribution of each gas to the enhanced greenhouse effect is determined by the characteristics of that gas, its abundance, and any indirect effects it may cause. For example, the direct radiative effect of a mass of methane is about 84 times stronger than the same mass of carbon dioxide over a 20-year time frame. Since the 1980s, greenhouse gas forcing contributions (relative to year 1750) are also estimated with high accuracy using IPCC-recommended expressions derived from radiative transfer models.
The concentration of a greenhouse gas is typically measured in parts per million (ppm) or parts per billion (ppb) by volume. A concentration of 420 ppm means that 420 out of every million air molecules is a molecule. The first 30 ppm increase in concentrations took place in about 200 years, from the start of the Industrial Revolution to 1958; however the next 90 ppm increase took place within 56 years, from 1958 to 2014. Similarly, the average annual increase in the 1960s was only 37% of what it was in 2000 through 2007.
Many observations are available online in a variety of Atmospheric Chemistry Observational Databases. The table below shows the most influential long-lived, well-mixed greenhouse gases, along with their tropospheric concentrations and direct radiative forcings, as identified by the Intergovernmental Panel on Climate Change (IPCC). Abundances of these trace gases are regularly measured by atmospheric scientists from samples collected throughout the world. It excludes water vapor because changes in its concentrations are calculated as a climate change feedback indirectly caused by changes in other greenhouse gases, as well as ozone, whose concentrations are only modified indirectly by various refrigerants that cause ozone depletion. Some short-lived gases (e.g. carbon monoxide, NOx) and aerosols (e.g. mineral dust or black carbon) are also excluded because of limited role and strong variation, alongwith minor refrigerants and other halogenated gases, which have been mass-produced in smaller quantities than those in the table. and Annex III of the 2021 IPCC WG1 Report
Mole fractions: μmol/mol = ppm = parts per million (10); nmol/mol = ppb = parts per billion (10); pmol/mol = ppt = parts per trillion (10).
The IPCC states that "no single atmospheric lifetime can be given" for CO. This is mostly due to the rapid growth and cumulative magnitude of the disturbances to Earth's carbon cycle by the geologic extraction and burning of fossil carbon. As of year 2014, fossil CO emitted as a theoretical 10 to 100 GtC pulse on top of the existing atmospheric concentration was expected to be 50% removed by land vegetation and ocean sinks in less than about a century, as based on the projections of coupled models referenced in the AR5 assessment. A substantial fraction (20–35%) was also projected to remain in the atmosphere for centuries to millennia, where fractional persistence increases with pulse size.
Values are relative to year 1750. AR6 reports the effective radiative forcing which includes effects of rapid adjustments in the atmosphere and at the surface. | 0 | Greenhouse Gases |
Chiral inversion is the process of conversion of one enantiomer of a chiral molecule to its mirror-image version with no other change in the molecule.
Chiral inversion happens depending on various factors (viz. biological-, solvent-, light-, temperature- induced, etc.) and the energy barrier associated with the stereogenic element present in the chiral molecule. 2-Arylpropionic acid nonsteroidal anti-inflammatory drugs (NSAIDs) provide one of the best pharmaceutical examples of chiral inversion. Chirality is attributed to a molecule due to the presence of a stereogenic element (viz. center, planar, helical, or axis). Many pharmaceutical drugs are chiral and have a labile (configurationally unstable) stereogenic element. Chiral compounds with stereogenic center are found to have high energy barriers for inversion and generally undergo biologically mediated chiral inversion. While compounds with helical or planar chirality have low energy barriers and chiral inversions are often caused by solvent, light, temperature. When this happens, the configuration of the chiral molecule may rapidly change reversibly or irreversibly depending on the conditions. The chiral inversion has been intensively studied in the context of the pharmacological and toxicological consequences. Other than NSAIDs, chiral drugs with different chemical structures can also show this effect.
Chiral drugs have different effects on the body depending on whether one enantiomer or both enantiomers act on different biological targets. As a result, chiral inversion can change how a pharmaceutical drug works in the body. From a pharmacological and toxicological point of view, it is very important to learn more about chiral inversion, the things that make it happen, and the tools used to figure out chiral inversion. | 1 | Enantiopure drugs |
Atmospheric concentrations are determined by the balance between sources (emissions of the gas from human activities and natural systems) and sinks (the removal of the gas from the atmosphere by conversion to a different chemical compound or absorption by bodies of water). | 0 | Greenhouse Gases |
Amoxicillin is used to treat odontogenic infections, infections of the tongue, lips, and other oral tissues. It may be prescribed following a tooth extraction, particularly in those with compromised immune systems. | 1 | Enantiopure drugs |
Dextroamphetamine is available as a transdermal patch containing dextroamphetamine base under the brand name Xelstrym. | 1 | Enantiopure drugs |
Dextroamphetamine (INN:dexamfetamine) is a potent central nervous system (CNS) stimulant and enantiomer of amphetamine that is prescribed for the treatment of attention deficit hyperactivity disorder (ADHD) and narcolepsy. It is also used as an athletic performance and cognitive enhancer, and recreationally as an aphrodisiac and euphoriant.
The amphetamine molecule exists as two enantiomers, levoamphetamine and dextroamphetamine. Dextroamphetamine is the dextrorotatory, or right-handed, enantiomer and exhibits more pronounced effects on the central nervous system than levoamphetamine. Pharmaceutical dextroamphetamine sulfate is available as both a brand name and generic drug in a variety of dosage forms. Dextroamphetamine is sometimes prescribed as the inactive prodrug lisdexamfetamine dimesylate, which is converted into dextroamphetamine after absorption.
Dextroamphetamine, like other amphetamines, elicits its stimulating effects via several distinct actions: it inhibits or reverses the transporter proteins for the monoamine neurotransmitters (namely the serotonin, norepinephrine and dopamine transporters) either via trace amine-associated receptor 1 (TAAR1) or in a TAAR1 independent fashion when there are high cytosolic concentrations of the monoamine neurotransmitters and it releases these neurotransmitters from synaptic vesicles via vesicular monoamine transporter 2. It also shares many chemical and pharmacological properties with human trace amines, particularly phenethylamine and , the latter being an isomer of amphetamine produced within the human body. It is available as a generic medication. In 2021, it was the 17th most commonly prescribed medication in the United States, with more than 30.3million prescriptions. | 1 | Enantiopure drugs |
Volcanic gases were collected and analysed as long ago as 1790 by Scipione Breislak in Italy. The composition of volcanic gases is dependent on the movement of magma within the volcano. Therefore, sudden changes in gas composition often presage a change in volcanic activity. Accordingly, a large part of hazard monitoring of volcanoes involves regular measurement of gaseous emissions. For example, an increase in the CO content of gases at Stromboli has been ascribed to injection of fresh volatile-rich magma at depth within the system.
Volcanic gases can be sensed (measured in-situ) or sampled for further analysis. Volcanic gas sensing can be:
* within the gas by means of electrochemical sensors and flow-through infrared-spectroscopic gas cells
* outside the gas by ground-based or airborne remote spectroscopy e.g., Correlation spectroscopy (COSPEC), Differential Optical Absorption Spectroscopy (DOAS), or Fourier Transform Infrared Spectroscopy (FTIR).
Sulphur dioxide (SO) absorbs strongly in the ultraviolet wavelengths and has low background concentrations in the atmosphere. These characteristics make sulphur dioxide a good target for volcanic gas monitoring. It can be detected by satellite-based instruments, which allow for global monitoring, and by ground-based instruments such as DOAS. DOAS arrays are placed near some well-monitored volcanoes and used to estimate the flux of SO emitted. The Multi-Component Gas Analyzer System (Multi-GAS) is also used to remotely measure CO, SO and HS. The fluxes of other gases are usually estimated by measuring the ratios of different gases within the volcanic plume, e.g. by FTIR, electrochemical sensors at the volcano crater rim, or direct sampling, and multiplying the ratio of the gas of interest to SO by the SO flux.
Direct sampling of volcanic gas sampling is often done by a method involving an evacuated flask with caustic solution, first used by Robert W. Bunsen (1811-1899) and later refined by the German chemist Werner F. Giggenbach (1937-1997), dubbed Giggenbach-bottle. Other methods include collection in evacuated empty containers, in flow-through glass tubes, in gas wash bottles (cryogenic scrubbers), on impregnated filter packs and on solid adsorbent tubes.
Analytical techniques for gas samples comprise gas chromatography with thermal conductivity detection (TCD), flame ionization detection (FID) and mass spectrometry (GC-MS) for gases, and various wet chemical techniques for dissolved species (e.g., acidimetric titration for dissolved CO, and ion chromatography for sulfate, chloride, fluoride). The trace metal, trace organic and isotopic composition is usually determined by different mass spectrometric methods. | 0 | Greenhouse Gases |
Both the oral and patch forms come with strong warnings against combining selegiline with drugs that could produce serotonin syndrome, such as SSRIs and the cough medicine dextromethorphan. Selegiline in combination with the opioid analgesic pethidine is not recommended, as it can lead to severe adverse effects. Several other synthetic opioids such as tramadol and methadone, as well as various triptans, are contraindicated due to potential for serotonin syndrome.
Birth control pills containing ethinylestradiol and a progestin increase the bioavailability of selegiline by 10- to 20-fold. High levels can lead to loss of MAO-B selectivity, and selegiline may begin inhibiting MAO-A as well. This increases susceptibility to side effects of non-selective MAOIs, such as tyramine-induced hypertensive crisis and serotonin toxicity when combined with serotonergic medications.
Both forms of the drug carry warnings about food restrictions to avoid hypertensive crisis that are associated with MAO inhibitors. The patch form was created in part to overcome food restrictions; clinical trials showed that it was successful. Additionally, in post-marketing surveillance from April 2006 to October 2010, only 13 self-reports of possible hypertensive events or hypertension were made out of 29,141 exposures to the drug, and none were accompanied by objective clinical data. The lowest dose of the patch method of delivery, 6 mg/24 hours, does not require any dietary restrictions. Higher doses of the patch and oral formulations, whether in combination with the older non-selective MAOIs or in combination with the reversible MAO-A inhibitor moclobemide, require a low-tyramine diet. | 1 | Enantiopure drugs |
Dexmedetomidine can also be used for procedural sedation such as during colonoscopy. It can be used as an adjunct with other sedatives like benzodiazepines, opioids, and propofol to enhance sedation and help maintain hemodynamic stability by decreasing the requirement of other sedatives. Dexmedetomidine is also used for procedural sedation in children.
It can be used for sedation required for awake fibreoptic nasal intubation in patients with a difficult airway. | 1 | Enantiopure drugs |
For all human uses and all forms, selegiline is pregnancy category C: studies in pregnant lab animals have shown adverse effects on the fetus but there are no adequate studies in humans. | 1 | Enantiopure drugs |
A number of chemical reactions have water as a product. If the reactions take place at temperatures higher than the dew point of the surrounding air the water will be formed as vapor and increase the local humidity, if below the dew point local condensation will occur. Typical reactions that result in water formation are the burning of hydrogen or hydrocarbons in air or other oxygen containing gas mixtures, or as a result of reactions with oxidizers.
In a similar fashion other chemical or physical reactions can take place in the presence of water vapor resulting in new chemicals forming such as rust on iron or steel, polymerization occurring (certain polyurethane foams and cyanoacrylate glues cure with exposure to atmospheric humidity) or forms changing such as where anhydrous chemicals may absorb enough vapor to form a crystalline structure or alter an existing one, sometimes resulting in characteristic color changes that can be used for measurement. | 0 | Greenhouse Gases |