Drug

A drug is any chemical substance other than a nutrient or an essential dietary ingredient, which, when administered to a living organism, produces a biological effect. Consumption of drugs can be via inhalation, injection, smoking, ingestion, absorption via a patch on the skin, suppository, or dissolution under the tongue.

A pharmaceutical drug, also called a medication or medicine, is a chemical substance used to treat, cure, prevent, or diagnose a disease or to promote well-being. Traditionally drugs were obtained through extraction from medicinal plants, but more recently also by organic synthesis. Pharmaceutical drugs may be used for a limited duration, or on a regular basis for chronic disorders.

Pharmaceutical drugs are often classified into drug classes—groups of related drugs that have similar chemical structures, the same mechanism of action (binding to the same biological target), a related mode of action, and that are used to treat the same disease. The Anatomical Therapeutic Chemical Classification System (ATC), the most widely used drug classification system, assigns drugs a unique ATC code, which is an alphanumeric code that assigns it to specific drug classes within the ATC system. Another major classification system is the Biopharmaceutics Classification System. This classifies drugs according to their solubility and permeability or absorption properties.

Psychoactive drugs are substances that affect the function of the central nervous system, altering perception, mood or consciousness. These drugs are divided into different groups such as: stimulants, depressants, antidepressants, anxiolytics, antipsychotics, and hallucinogens. These psychoactive drugs have been proven useful in treating a wide range of medical conditions including mental disorders around the world. The most widely used drugs in the world include caffeine, nicotine and alcohol, which are also considered recreational drugs, since they are used for pleasure rather than medicinal purposes. All drugs can have potential side effects. Abuse of several psychoactive drugs can cause addiction or physical dependence. Excessive use of stimulants can promote stimulant psychosis. Many recreational drugs are illicit; international treaties such as the Single Convention on Narcotic Drugs exist for the purpose of their prohibition.

In English, the noun "drug" is thought to originate from Old French "drogue", possibly deriving from "droge (vate)" from Middle Dutch meaning "dry (barrels)", referring to medicinal plants preserved as dry matter in barrels.

In the 1990s however, Spanish lexicographer Federico Corriente Córdoba documented the possible origin of the word in {ḥṭr} an early romanized form of the Al-Andalus language from the northwestern part of the Iberian peninsula. The term could approximately be transcribed as حطروكة or hatruka.

The term "drug" has become a skunked term with negative connotation, being used as a synonym for illegal substances like cocaine or heroin or for drugs used recreationally. In other contexts the terms "drug" and "medicine" are used interchangeably.

Drug action is highly specific and their effects may only be detected in certain individuals. For instance, the 10 highest-grossing drugs in the US may help only 4-25% of people. Often, the activity of a drug depends on the genotype of a patient. For example, Erbitux (cetuximab) increases the survival rate of colorectal cancer patients if they carry a particular mutation in the EGFR gene. Some drugs are specifically approved for certain genotypes. Vemurafenib is such a case which is used for melanoma patients who carry a mutation in the BRAF gene. The number of people who benefit from a drug determines if drug trials are worth carrying out, given that phase III trials may cost between $100 million and $700 million per drug. This is the motivation behind personalized medicine, that is, to develop drugs that are adapted to individual patients.