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Use Drug Link Subheadings in EMBASE®?

TOPIC: Biomedical information professionals often get questions about drug administration and dosage. These questions have two aspects.

  • How can I find citations about the route of administration and/or drug dosage, including the relationship between dosage and its effects over time?
  • How can I find articles about a specific route of administration of a specific drug?

EMBASE® (File 72) indexing makes it easy to get timely and accurate answers. You can quickly find abstracts where the route of administration and dosage issues are significant parts of the article, and you can link particular routes of drug administration to a specific drug and make it a major descriptor term. For details and search aids on using EMTREE click here. For a list of EMTREE routes of administration subheading links click here.

In this application you will search for articles about drug administration and dosage of Lipitor® and link directly to records about oral administration of this drug. You will use EXPAND and SELECT to do this.

 

COMMAND SUMMARY

BEGIN 72
EXPAND (LIPITOR)
EXPAND ATORVASTATIN
SELECT E7 OR E13
SELECT S1/MAJ,HUMAN,ENG
TYPE S2/8/1-3
TYPE S2/7/1
EXPAND ATORVASTATIN
SELECT E21/MAJ
TYPE S3/8/1-3
TYPE S3/7/2


HOW TO...



1. BEGIN File 72 to search EMBASE.

2. EXPAND the drug brand name. Use parentheses to get directly to the preferred term. “U” means Use this term.

?b 72 

File  72:EMBASE 1993-2007/Mar 22
       (c) 2007 Elsevier B.V.


      Set  Items  Description
      ---  -----  -----------
?e (lipitor)

Ref   Items Type  RT  Index-term
R1      769        1 *LIPITOR
R2     8043   U   18  ATORVASTATIN

Enter P or PAGE for more



3. EXPAND the preferred drug term to see the list of allowable subheadings.

4. SELECT the desired E reference numbers.

Note: You can also SELECT the drug term linked directly to the desired subheading using the Link operator (L).
S ATORVASTATIN (L) (AD OR DO)

 

 

 

 

 

 

5. SELECT Set 1 (S1) and restrict retrieval to major focus about human subjects in English language.

?e atorvastatin

Ref   Items   RT  Index-term
E1        2       ATORVASTAFIN
E2        4       ATORVASTAIN
E3     8043   18 *ATORVASTATIN
E4     1346       ATORVASTATIN --ADVERSE DRUG REACTION --AE
E5        1       ATORVASTATIN --BUCCAL DRUG ADMINISTRATION --BD
E6     2437       ATORVASTATIN --CLINICAL TRIAL --CT
E7       26       ATORVASTATIN --DRUG ADMINISTRATION --AD
E8      137       ATORVASTATIN --DRUG ANALYSIS --AN
E9     1088       ATORVASTATIN --DRUG COMBINATION --CB
E10    1637       ATORVASTATIN --DRUG COMPARISON --CM
E11     124       ATORVASTATIN --DRUG CONCENTRATION --CR
E12      82       ATORVASTATIN --DRUG DEVELOPMENT --DV
E13    1662       ATORVASTATIN --DRUG DOSE --DO
E14     708       ATORVASTATIN --DRUG INTERACTION --IT
E15    5573       ATORVASTATIN --DRUG THERAPY --DT
....
?s e7 or e13
              26  ATORVASTATIN --DRUG ADMINISTRATION --AD
            1662  ATORVASTATIN --DRUG DOSE --DO
      S1    1668  'ATORVASTATIN --DRUG ADMINISTRATION --AD' OR
                  'ATORVASTATIN --DRUG DOSE --DO'

?s s1/maj,human,eng
      S2     608  S1/MAJ,HUMAN,ENG



6. TYPE a few records in Format 8 to view title, descriptors and publication year.

The asterisk (*) in front of the descriptor indicates that the term is a major focus of the article.

Note: Partial records shown.

?t s2/8/1-2 
          
  2/8/1 
  DIALOG(R)File 72: EMBASE
  (c) 2007 Elsevier B.V. All rights reserved.
  
  14321524     EMBASE No: 2007080061 
  Effect of individualizing starting doses of a statin 
according to baseline  LDL-cholesterol levels on achieving 
cholesterol targets: The Achieve  Cholesterol Targets Fast 
with Atorvastatin Stratified Titration (ACTFAST) study 
  
  Publication Date: 2007 
  DRUG DESCRIPTORS: 
  * atorvastatin--clinical trial--ct; *atorvastatin--drug 
dose--do; * atorvastatin--drug therapy--dt;  *low density 
lipoprotein cholesterol --endogenous compound--ec; *statine
derivative--clinical trial--ct; * statine derivative--drug 
dose--do; *statine  derivative--drug therapy--dt 
acetylsalicylic acid; angiotensin 2 receptor  antagonist; 
anticoagulant agent--oral drug administration--po; 
antithrombocytic  agent; dipeptidyl carboxypeptidase 
inhibitor 
  
      
  2/8/2 
DIALOG(R)File 72: EMBASE
(c) 2007 Elsevier B.V. All rights reserved.

14312934     EMBASE No: 2007092359 
Adherence to evidence-based statin guidelines reduces the 
risk of  hospitalizations for acute myocardial infarction 
by 40%: A cohort study 

Publication Date: 2007 
DRUG DESCRIPTORS: 
* atorvastatin--drug comparison--cm; *atorvastatin--drug 
dose--do; * atorvastatin--drug therapy--dt;  
*cerivastatin--drug comparison--cm; * cerivastatin--drug 
dose--do;  *cerivastatin--drug therapy--dt; * 
fluindostatin--drug comparison--cm;  *fluindostatin--drug 
dose--do; * fluindostatin--drug therapy--dt;  
*pravastatin--drug comparison--cm; * pravastatin--drug 
dose--do;  *pravastatin--drug therapy--dt; 
*rosuvastatin --drug comparison--cm; ....



7. TYPE a record in Format 7 to see the Bibliographic Citation and Abstract.

Note: Partial record shown.

?t s9/7/1

      9/7/1 
      DIALOG(R)File 72: EMBASE
      (c) 2007 Elsevier B.V. All rights reserved.

      14321524     EMBASE No: 2007080061 
  Effect of individualizing starting doses of a statin 
according to baseline  LDL-cholesterol levels on achieving 
cholesterol targets: The Achieve  Cholesterol Targets Fast 
with Atorvastatin Stratified Titration (ACTFAST) study 
  
      Martineau P.; Gaw A.; de Teresa E.; Farsang C.; 
Gensini G.F.; Leiter L.A.;  Langer A. 
      A. Langer, St. Michael's Hospital, University of 
Toronto, Toronto, Ont.    Canada 
  Author Email: Langera@chrc.net 
      Atherosclerosis ( ATHEROSCLEROSIS ) ( Ireland )   
2007 , 191/1 (135-146) 
  CODEN: ATHSB   ISSN: 0021-9150 
  Publisher Item Identifier: S0021915006001274 
  Document Type: Journal ; Article 
  Language: ENGLISH   Summary Language: ENGLISH 
  Number Of References: 48 
  
      Aims: To investigate whether selecting the starting 
dose of atorvastatin  according to baseline and target 
(<2.6 mmol/L) LDL-cholesterol (LDL-C)  values would allow 
high-risk subjects to achieve target LDL-C concentration
within 12 weeks, with the initial dose or a single 
uptitration. Methods and  results: Twelve-week, prospective, 
open-label trial that enrolled 2117  high-risk subjects 
(statin-free [SF] or statin-treated [ST]). Subjects with
LDL-C >2.6 mmol/L (100 mg/dL) but <=5.7 mmol/L (220 mg/dL) 
were assigned  a starting dose of atorvastatin (10, 20, 40 
or 80 mg/day) based on LDL-C and  status of statin use at 
baseline, with a single uptitration at 6 weeks, if  
required. There was no washout for ST subjects. At study 
end, 80% of SF (82%,  82%, 83% and 72% with 10, 20, 40 and 
80 mg, respectively) and 59% of ST (60%,  61% and 51% with 
20, 40 and 80 mg, respectively) subjects reached LDL-C 
target.  In the ST group, an additional 21-41% reduction 
in LDL-C was observed over the  statin used at baseline. 
Atorvastatin was well tolerated. Conclusion: This  study 
confirms that individualizing the starting dose of 
atorvastatin according  to baseline and .... (c) 2006 
Elsevier Ireland Ltd. All rights reserved. 



8. EXPAND the preferred drug term. In this section you want to find citations about a specific route of administration of the drug.

 

9. SELECT the desired E reference number and restrict retrieval to Major Descriptor /MAJ.

?e atorvastatin

Ref   Items   RT  Index-term
E1        2       ATORVASTAFIN
E2        4       ATORVASTAIN
E3     8043   18 *ATORVASTATIN
E4     1346       ATORVASTATIN --ADVERSE DRUG REACTION --AE
E5        1       ATORVASTATIN --BUCCAL DRUG ADMINISTRATION --BD
E6     2437       ATORVASTATIN --CLINICAL TRIAL --CT
E7       26       ATORVASTATIN --DRUG ADMINISTRATION --AD
E8      137       ATORVASTATIN --DRUG ANALYSIS --AN
E9     1088       ATORVASTATIN --DRUG COMBINATION --CB
E10    1637       ATORVASTATIN --DRUG COMPARISON --CM
E11     124       ATORVASTATIN --DRUG CONCENTRATION --CR
E12      82       ATORVASTATIN --DRUG DEVELOPMENT --DV
E13    1662       ATORVASTATIN --DRUG DOSE --DO
E14     708       ATORVASTATIN --DRUG INTERACTION --IT
E15    5573       ATORVASTATIN --DRUG THERAPY --DT
E16      47       ATORVASTATIN --DRUG TOXICITY --TO
E17       1       ATORVASTATIN --ENDOGENOUS COMPOUND --EC
E18       3       ATORVASTATIN --INTRAGASTRIC DRUG ADMINISTRATIO
E19      11       ATORVASTATIN --INTRAPERITONEAL DRUG ADMINISTRA
E20       3       ATORVASTATIN --INTRAVENOUS DRUG ADMINISTRATION
E21     281       ATORVASTATIN --ORAL DRUG ADMINISTRATION --PO
E22     115       ATORVASTATIN --PHARMACEUTICS --PR


?s e21/maj
      S3     170   'ATORVASTATIN --ORAL DRUG ADMINISTRATION 
                   --PO'/MAJ



10. TYPE a few records in Format 8.

Note: Partial records shown.

To select the appropriate record number, look at the numbers above each record, e.g. 3/8/2.

?t s3/8/1-3 
          
  3/8/1 
DIALOG(R)File 72: EMBASE
(c) 2007 Elsevier B.V. All rights reserved.
      
14307443     EMBASE No: 2007069116 
3-Hydroxy-3-methylglutaryl coenzyme A reductase inhibitor 
Atorvastatin  mediated effects depend on the activation 
status of target cells in PLP-EAE 
      
Publication Date: 2006 
Manufacturer Names: American Peptide/United States; 
Pfizer/Germany;  Sortis/Germany 
Molecular Sequence Number: ; GENBANK, AI385532; GENBANK, 
AK003671;  GENBANK, B1499717; GENBANK, BB353211; GENBANK, 
BE686578; GENBANK, D00208;  GENBANK, NM 007707; GENBANK, 
NM 008339; GENBANK, NM 008969; GENBANK, NM 008987;  
GENBANK, NM 010288; GENBANK, NM 020008; GENBANK, X16834 
DRUG DESCRIPTORS: 
* atorvastatin--drug therapy--dt; *atorvastatin--oral drug 
administration--po ;  *atorvastatin--pharmacology--pd; 
*hydroxymethylglutaryl coenzyme A reductase  inhibitor--drug 
therapy--dt; *hydroxymethylglutaryl coenzyme A reductase 
inhibitor--pharmacology--pd; *proteolipid protein--
subcutaneous drug  administration--sc CD86 antigen--
endogenous compound--ec; Freund adjuvant;  cyclooxygenase 
1 --endogenous compound--ec; intercellular adhesion molecule
1--endogenous compound--ec 
. . . 
Drug Terms (Uncontrolled): heat shock protein 105--endogenous
compound--ec 
CAS Registry Number: 9007-81-2 (Freund adjuvant); 134523-00-5,
134523-03-8 (atorvastatin); 126547-89-5 (intercellular 
adhesion molecule 1) 

  3/8/2 
DIALOG(R)File 72: EMBASE
(c) 2007 Elsevier B.V. All rights reserved.

14305105     EMBASE No: 2007052812 
Aspirin augments 15-epi-lipoxin ASUB4 production by 
lipopolysaccharide, but  blocks the pioglitazone and 
atorvastatin induction of 15-epi-lipoxin ASUB4 in  the 
rat heart 

Publication Date: 2007 
Manufacturer Names: Pfizer/United States; Takeda/United 
States 
DRUG DESCRIPTORS: 
* acetylsalicylic acid--drug interaction--it; 
*acetylsalicylic acid--oral drug  administration--po; 
*acetylsalicylic acid--pharmacology--pd; *  
atorvastatin--drug interaction--it; *atorvastatin--oral 
drug administration --po;  *atorvastatin--pharmacology--pd; 
*lipopolysaccharide; *lipoxin A --endogenous  compound--ec; 
*pioglitazone--drug interaction--it; * pioglitazone--oral 
drug  administration--po; *pioglitazone--pharmacology--pd 
2,4 thiazolidinedione  derivative--drug interaction--it; 
6 oxoprostaglandin F1 alpha--endogenous  compound--ec; 
arachidonate 15 lipoxygenase--endogenous compound--ec; ....
. . . 

Drug Terms (Uncontrolled): 15 epilipoxin A4--endogenous 
compound--ec 
CAS Registry Number: 493-53-8, 50-78-2, 53663-74-4, 
53664-49-6,  63781-77-1 (acetylsalicylic acid ); 
82249-77-2 (arachidonate 15 lipoxygenase);  134523-00-5, 
134523-03-8 ( atorvastatin); 4371-52-2, 52-89-1, 52-90-4  
(cysteine); 89663-86-5, 94292-80-5 (lipoxin A); 105355-27-9, 
111025-46-8  (pioglitazone); 745-62-0 ( prostaglandin F1 
alpha); 42935-17-1 (prostaglandin  H2); 56-45-1, 6898-95-9 
(serine) 



11. TYPE a desired record(s) in Format 7, which provides the Bibliographic Citation and Abstract.

Note: A partial record is shown.

?t 3/7/2 

3/7/2 DIALOG(R)File 72: EMBASE (c) 2007 Elsevier B.V. All rights reserved. 14305105 EMBASE No: 2007052812 Aspirin augments 15-epi-lipoxin ASUB4 production by lipopolysaccharide, but blocks the pioglitazone and atorvastatin induction of 15-epi-lipoxin ASUB4 in the rat heart Birnbaum Y.; Ye Y.; Lin Y.; Freeberg S.Y.; Huang M.-H.; Perez-Polo J.R.; Uretsky B.F. Y. Birnbaum, The Division of Cardiology, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555-0553 United States Author Email: yobirnba@utmb.edu Prostaglandins and Other Lipid Mediators ( PROSTAGLANDINS OTHER LIPID MEDIATORS ) ( United States ) 2007 , 83/1-2 (89-98) CODEN: POLMF ISSN: 1098-8823 Publisher Item Identifier: S1098882306001468 Document Type: Journal ; Article Language: ENGLISH Summary Language: ENGLISH Number Of References: 22 Aspirin (ASA) inhibits cycloxygenase-1 and modifies cycloxygenase-2 (COX2) by acetylation at SerSUP530, leading to a shift from production of PGHSUB2, the precursor of prostaglandin, to 15-R-HETE which is converted by 5-lipoxygenase to 15-epi-lipoxin ASUB4 (15-epi-LXA4), a potent anti-inflammatory mediator. Both atorvastatin (ATV) and pioglitazone (PIO) increase COX2 expression. ATV activates COX2 by S-nitrosylation at CysSUP526 to produce 15-epi-LXA4 and 6-keto-PGFSUB1alpha (the stable metabolite of PGISUB2). We assessed the effect of ASA on the myocardial production of 15-epi-LXA4 and PGISUB2 after induction by lipopolysaccharide (LPS) or PIO + ATV. Sprague-Dawley rats were pretreated with: control; ASA 10 mg/kg; ASA 50 mg/kg; LPS alone; LPS + ASA 10 mg/kg; LPS + ASA 50 mg/kg; LPS + ASA 200 mg/kg; PIO (10 mg/kg/d) + ATV (10 mg/kg/d); PIO + ATV + ASA 10 mg/kg; PIO + ATV + ASA 50 mg/kg; PIO + ATV + ASA 50 mg/kg + 1400 W, a specific iNOS inhibitor; or PIO + ATV + 1400 W. ASA alone had no effect on myocardial 15-epi-LXA4. LPS increased 15-epi-LXA4 and 6-keto-PGFSUB1alpha levels. ASA (50 mg/kg and 200 mg/kg, but not 10 mg/kg) augmented the LPS effect on 15-epi-LXA4 but attenuated the effect on 6-keto-PGFSUB1alpha. PIO + ATV increased 15-epi-LXA4 and 6-keto-PGFSUB1alpha levels. ASA and 1400 W attenuated the effects of PIO + ….

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