Health
How are prescription drugs named? A drug development expert shares the process
Some drugs may seem like they were named by throwing darts at the alphabet – but the process of drug naming is actually very intentional.
In an interview with Fox News Digital, Dr. Dave Latshaw, CEO of the AI health care company BioPhy, revealed how medicines are labeled.
The Philadelphia-based doctor, formerly the AI drug development lead at Johnson & Johnson, said that he, too, at first questioned, “How do they even come up with these [names]?”
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Naming drugs can be viewed as a “staged process,” based on drug advancement, which begins with the chemical name, Latshaw said.
“If you’re talking about a small molecule, which is the most prevalent type of drug in development, that’s usually a combination of chemical-type names that you’ve probably seen mashed into a single line,” he said.
Naming drugs can be viewed as a “staged process,” based on drug advancement, which begins with the chemical name, a doctor said. (iStock)
“If it’s a biologic molecule, its chemical name is typically whatever sequence it happens to be, so that’s the actual chemical composition of the drug itself.”
Once a drug program is picked up by a company, Latshaw said, it is given an “internal code name.”
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That code is generally “less complicated” than the chemical name.
“And it usually reflects something about the name of the company and potentially what number in the pipeline it is,” he said.
Once a drug program is picked up by a company, it is given an “internal code name,” the doctor said. (BSIP/Universal Images Group via Getty Images)
For example, the rheumatoid arthritis and psoriasis drug Humira, which is developed by AbbVie (formerly Abbott), is referred to by its drug code, “ABT-D2E7.”
As the drug progresses, it is given a more formal yet generic name for its introduction to the public, Latshaw said.
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These evolved names are chosen through collaboration among a few different organizations, including the United States Adopted Names Council (USAN), which is part of the American Medical Association (AMA).
Since the 1960s, the USAN program has assigned generic names to all active drug ingredients in the U.S., in partnership with the United States Pharmacopeial Convention (USP) and the American Pharmacists Association (APhA), according to the AMA Journal of Ethics.
Drugs names are chosen through a collaboration among a few different organizations, including the United States Adopted Names Council (USAN), which is part of the American Medical Association (AMA). (iStock)
“With few exceptions – [such as] prophylactic vaccines and mixtures not named by the USAN Council – a drug cannot be marketed in the United States without a USAN,” the publication wrote.
A drug’s generic name involves nomenclature that “tells you what the drug is,” Latshaw said, but in words rather than chemical structure.
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The doctor used the erectile dysfunction drug Viagra as an example, noting its formal name of Sildenafil.
The generic name uses a prefix and a suffix – the suffix, or “stem,” identifies the drug family, and the prefix serves as the drug’s “unique identifier.”
A drug’s generic name involves nomenclature that “tells you what the drug is,” an expert said, but in words rather than chemical structure. For the erectile dysfunction drug Viagra, its formal name is Sildenafil. (Alex Segre/UCG/Universal Images Group via Getty Images)
“You have the suffix that is supposed to tell you what type of drug it is, and then they try to make the prefix as different as possible, relative to the other drugs within that family, so there’s minimal confusion when it comes to prescriptions … to minimize error,” Latshaw told Fox News Digital.
The prefix is most likely one or two syllables, according to the AMA.
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Once the drug is fully developed and ready for consumers, its brand name is used for commercial marketing, such as Humira or Viagra.
Humira’s generic name is “adalimumab,” with the “-mab” suffix identifying that the type of molecule in the drug is a monoclonal antibody.
The AMA offered the cancer drug “imatinib” as another example on its website, noting how the stem “-tinib” refers to the drug’s function as a tyrosine kinase (TYK) inhibitor.
Humira, the injectable rheumatoid arthritis treatment, is pictured in a pharmacy in Cambridge, Massachusetts in 2006. (Jb Reed/Bloomberg via Getty Images)
Latshaw shared that involved parties “do an incredible amount of research” when coming up with brand names to best differentiate them.
The USAN Council is “aware of the importance of coining names that will not be confused with other drug names, compromise patient safety, or mislead health care professionals and patients about the action or use of a new drug substance,” as stated in the AMA Journal of Ethics.
“Once you know this information, if you start seeing the names of drugs referenced, at least you can sort of understand it … and know there’s a relationship there,” Latshaw said.
“If somebody’s talking about a particular drug that might be beneficial to them, that might help them understand, at least at face value, that there are other alternatives … within the same drug family that they might consider or at least bring up with their doctor.”
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Research continues to uncover new details on how fasting may help extend life.
A new study published in the journal Nature Communications investigated how intermittent fasting can boost longevity in small worms often used in aging research.
Researchers from the University of Texas Southwestern Medical Center in Dallas compared worms that were fed normally to those that underwent a 24-hour fast in early adulthood and were then fed again, according to a press release.
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The scientists measured a variety of factors, including stored fat, gene activity related to fat metabolism and lifespan.
The results showed that the life-boosting benefit did not depend on the fasting itself but on the body’s behavior after eating again.
Experts say sustainability is key when choosing a long-term weight-loss strategy. (iStock)
Study lead Peter Douglas, associate professor of molecular biology and a member of the Hamon Center for Regenerative Science and Medicine at UT Southwestern, suggested that these discoveries “shift the focus toward a neglected side of the metabolic coin – the re-feeding phase.”
“Our data suggest that the health-promoting effects of intermittent fasting are not merely a product of the fast itself, but are dependent on how the metabolic machinery recalibrates during the subsequent transition back to a fed state,” he said.
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“Our findings bridge a gap between lipid metabolism and aging research,” he added. “By targeting aging, the single greatest risk factor for human disease, we move beyond treating isolated conditions toward a preventive model of medicine that enhances quality of life for all individuals.”
Lauri Wright, director of nutrition programs at the University of South Florida’s College of Public Health, called this a “high-quality” study that adds an “important nuance to how we think about fasting and longevity.”
Intermittent fasting typically involves limiting meals to an eight-hour daily window or fasting every other day. (iStock)
The benefits of the refeeding phase after fasting were “especially interesting,” Wright, who was not involved in the study, told Fox News Digital.
“The researchers showed that longevity was linked to the body’s ability to turn off fat breakdown after fasting, allowing cells to restore energy balance,” she reiterated.
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“From a scientific standpoint, that’s a meaningful shift because it suggests fasting is not just about burning fat, but about metabolic flexibility.”
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Fasting may support longevity through triggering metabolic switching, enhancing cellular repair and stress resistance and improving markers like insulin sensitivity, research shows.
Limitations and cautions
Although this study provides “important insight” on the power of refeeding, Wright noted that the findings should be approached with caution, as the study was done on worms and cannot always be translated to humans.
“Additionally, it explains how a process might work in a controlled lab condition rather than real-world eating behaviors,” she added as a limitation. “Finally, the study is short-term and doesn’t give us the long-term translation on lifespan outcomes.”
The review found intermittent fasting was barely more effective than doing nothing, according to the study authors. (iStock)
Wright cautioned that fasting is “not a magic solution for longevity, and how you eat overall matters more than when you eat.”
“I advise, first and foremost, to focus on diet quality, including a variety of fruits and vegetables, healthy fats and minimally processed foods,” she said.
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For those who are considering fasting, it’s better to stick with a moderate plan — like a 12- to 14-hour overnight fast — rather than going to extremes, Wright said. After fasting, she recommends focusing on well-balanced meals.
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Several groups of people should be cautioned against fasting, according to Wright, including those with diabetes who are on insulin or hypoglycemic medications, those who are pregnant or breastfeeding, anyone with a history of eating disorders and older adults at risk of malnutrition.
Anyone considering intermittent fasting should consult with a doctor before starting.
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More than three million people travel to undergo cosmetic surgery each year, statistics show — but the potential savings come at a cost.
Most people opting to pursue this so-called “medical tourism” are chasing budget-friendly price tags.
International surgeries, such as hair transplants in Turkey, can cost as little as $4,000 to $5,000 compared to $20,000 to $30,000 in the U.S., but often come with extreme risks, according to board-certified plastic surgeon Dr. Sheila Nazarian of California.
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The doctor recently joined Lisa Brady on the “The FOX News Rundown” podcast to discuss the rising trend of medical tourism. One of the biggest risks, she said, is the lack of safety regulations in popular destinations like Mexico and Turkey.
As demand spikes in these medical tourism “mills,” there have been reports of non-medically trained staff performing procedures like hair transplants.
Most people opting to pursue “medical tourism” are chasing budget-friendly price tags. (iStock)
“I’ve heard that they [international clinics] are even recruiting people who maybe were taxi drivers and then putting them through their own training program … to become hair transplant technicians,” Nazarian said. “That’s how high the demand has become.”
In the U.S., medical school graduates are granted a “physician and surgeon” license, which means doctors — including pediatricians or OB-GYNs — can legally perform cosmetic surgeries, even if they didn’t receive specialized training for those procedures during residency, Nazarian noted.
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Instead of pinching pennies, the doctor recommended paying whatever amount is necessary to ensure quality treatment.
“People think of it as, you know, going to the mall. … It’s surgery, and surgery has risks,” she said. “You need to be with someone who not only can perform a beautiful surgery, but who can handle possible complications well.”
“You need to ask them: ‘What was your residency training in? And if you wanted to, would you be allowed to do this procedure in a hospital?’”
Aftercare is another critical factor in the success and safety of a cosmetic procedure, as the doctor emphasized that 20% of a surgical result depends on post-operative care.
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This can be difficult or even impossible to manage when a doctor is in a different time zone, she cautioned, or if the clinic disappears shortly after the procedure.
Nazarian also noted the importance of addressing the psychological component of plastic surgery, noting that no procedure will fix underlying unhappiness. The doctor said she uses screening questionnaires to ensure that patients are truly seeking self-improvement rather than a “cure” for deeper issues.
International surgeries, such as hair transplants in Turkey, can cost as little as $4,000 to $5,000 compared to $20,000 to $30,000 in the U.S., but often come with extreme risks. (iStock)
“If you’re not already generally very content with your life, a knife in my hand is not going to bring you there,” Nazarian said.
“The analogy I always give is you don’t want a paisley couch — you want a neutral couch and you can put paisley pillows on it,” she said, noting that a procedure should “make you look normal, God-given, athletic. And then you can change your clothes when the trends come and go.”
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Samuel Golpanian, M.D., a double board-certified plastic surgeon in Beverly Hills, said he has also seen an increasing number of patients undergoing cosmetic procedures abroad, sometimes with “devastating consequences.”
“The key is being extremely careful before embarking on this journey.”
“I’ve seen a wide range of complications, including infections, poor wound healing, significant scarring and tissue necrosis (skin death),” he told Fox News Digital. “These complications often lead to prolonged pain, ongoing medical problems, and significant additional costs to repair the damage.”
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Golpanian said he’s treated patients who received unsafe or non-medical-grade injectable materials, which can lead to serious long-term health issues.
One surgeon said he’s treated patients who received unsafe or non-medical-grade injectable materials, which can lead to serious long-term health issues. (iStock)
“I’ve also seen damage to underlying structures, asymmetry and results that are extremely difficult — sometimes impossible — to correct.”
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“That said, I’ve also seen some good outcomes, so it’s not all bad,” he noted. “The key is being extremely careful before embarking on this journey.”
Quick tips for safe ‘medical tourism’
Fully vet the surgeon. “Most surgeons will provide information about their education and training, but it’s important not to accept these claims at face value,” Golpanian said. “Verify them directly by contacting the institutions where they trained.”
Ask for references from prior patients. Ideally, it’s best to get references from U.S.-based patients who can speak candidly about both their experience and their results, the surgeonsaid.
Think beyond the cost. Golpanian emphasized the adage “you get what you pay for.” “Cost should take a back seat to experience, training, judgment and proven results,” he advised.
Be cautious about relying on before-and-after photos. These can be selective or even enhanced, Golpanian warned.
Keep aftercare in focus. “Make sure the practice emphasizes comprehensive follow-up care and has a clear, realistic post-operative plan in place.”
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