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Jonathan Sexton, Assistant Professor of Internal Medicine and Medicinal Chemistry, University of Michigan

Repurposing generic drugs can reduce time and cost to develop new treatments – but low profitability remains a barrier

From thalidomide to Viagra, drug repurposing salvaged failed treatments by giving them new targets. smartboy10/DigitalVision Vectors via Getty Images

Discovering new ways to use existing drugs can come about intentionally or by chance.

Sometimes physicians or patients notice an unanticipated beneficial effect from a drug. One example is sildenafil, a drug originally developed to treat severe chest pain from coronary artery disease. While sildenafil failed clinical trials, researchers noticed that one of its side effects was induced erections. This led to its successful rebranding as the erectile dysfunction drug Viagra.

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