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According to the World Health Organization, half of all drugs available on the global pharmaceutical market are sometimes used for indications that are not included in the instruction for use. This method of therapy has the term “off-label use” which means the use “out of instruction”. Today, off-label drugs are also prescribed for cancer treatment. For example, a drug developed to treat one type of tumor can sometimes be used to treat other types of cancer. The treatment of certain types of pain with tricyclic antidepressants is also an example of the off-label drugs used in oncology. An example of an off-label prescription is anxiolytic medicine lorazepam, which can be used off-label as an antiemetic in cancer patients. Low doses of naltrexone are applied to treat cancer and autoimmune diseases. A retrospective analysis of modern oncotherapy indicates that oncologists often use off-label drugs in combination therapy, especially in the treatment of patients with concomitant diseases, in case of progressive development of the tumor, or to reduce the toxicity and cost of treatment components. American oncologists are of the opinion that if all the drugs prescribed by the International Recommendations failed in the treatment of cancer, doctors can prescribe off-label medications, but only if their effectiveness and safety are clearly established. The problem of the off-label use of drugs in oncology has not yet been studied in detail, however, this direction has certain promising prospects.

CO2 due to the optimal mechanism of maintaining of its reserve is a universal condition for the existence of thebody. A physiological concentration of CO2 in the cells is an absolutely necessary condition for normal course ofbiochemical processes. CO2 is a natural regulator of respiration, blood circulation, metabolism, electrolyte balance,acid-base balance, the excitability of nerve cells, smooth muscle tone. Physiological properties provide CO2 diverselocal and resorptive effects, due to this carboxytherapy has become an effective and safe method of treatment inmany areas of medicine.

The analysis of pathogenetic mechanisms of development of urgent conditions (anesthesia, asphyxia, hypoxia, shock, collapse, bacterial intoxication, poisoning by chemical compounds or drugs suppressing the function of the central nervous system) suggests that among urgent therapies analeptic drugs (AD) are of a paramount importance. At the same time, their assortment has not only been updated in the last 50 years, but reduced to 6 drugs. This situation is conditioned by the absence of the standard for selecting AD. Aim. To create a standard for selecting AD which can quantitatively (statistically reliable) evaluate both the level of the awakening effect in general and its mechanism (namely its analeptic action); compare and determine the priorities of further study of substances; create theoretical foundations for the purposeful search of AD and optimize the scientific research. Materials and methods. During the research the procedure of AD selection was developed experimentally. It consists in intraperitoneal introduction of the narcotic agent (ethanol) in the optimal dose; introduction of a classical analeptic sulfocamphocaine (SCC) in the standard dose at the peak of anesthesia to one group of mice, while the second group received the substance studied (Heterocide-31) with the subsequent recording of the anesthesia duration, dynamics of the frequency of respiratory movements, assessment of the psychomotor state and physiological functions of animals during anesthesia and after awakening assuming that in the course of the experiment the specific dose-time conditions for introduction of substances are observed. Results. The results of the study show that the maximum efficacy (18.2 %) was achieved by Heteroсide-31 in the dose of 1 mg / kg, while the optimal dose of SCC (20 mg / kg) accelerated awakening of animals by 19.5 %. Thus, Heterocide-31 showed almost identical activity in the concentration of 20 times lower than SCC. The fact that after introduction of Heterocide-31 the respiratory rate (RR4) significantly increases (p <0.05) by 1.6 times already within the first minute compared to the control group, and the maximum (125) respiratory movements / min in the reference drug group is achieved only in 6 min (RR5) indicates the 6-fold advantage of Heterocide-31 by the rate of the respiratory center stimulation and allows referring the latter to a number of promising analeptics. Conclusions. The model of pharmacological screening proposed accelerates the purposeful search of original AD, has a complete novelty, originality, easy in repeatability, economic, environmental and humanistic advantages, namely it reduces time and the number of laboratory animals, the cost of experiments, increases the information value of the experiments. The method has been tested on heterosides and suggests that derivatives of sulfur and nitrogen-containing heterocycles are promising for the search of original AD having a significant advantage over classical analeptics. Key words: alcohol; anesthesia; heterocide; analeptic; awakenin...

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