Amifostine (ethiofos) is a cytoprotective adjuvant used in cancer chemotherapy and radiotherapy involving DNA-binding chemotherapeutic agents. It is marketed by Clinigen Group under the trade name Ethyol. Indications
Amifostine is used therapeutically to reduce the incidence of neutropenia-related fever and infection induced by DNA-binding chemotherapeutic agents including alkylating agents (e.g. cyclophosphamide) and platinum-containing agents (e.g. cisplatin). It is also used to decrease the cumulative nephrotoxicity associated with platinum-containing agents. Amifostine is also indicated to reduce the incidence of xerostomia in patients undergoing radiotherapy for head and neck cancer. Amifostine was originally indicated to reduce the cumulative renal toxicity from cisplatin in non-small cell lung cancer. However, while nephroprotection was observed, the probability that amifostine could protect tumors could not be excluded. Additional data have shown that amifostine-mediated tumor protection, in any clinical scenario, is unlikely. Pharmacokinetics
Amifostine is an organic thiophosphate prodrug which is hydrolysed in vivo by alkaline phosphatase to the active cytoprotective thiol metabolite, WR-1065. The selective protection of non-malignant tissues is believed to be due to higher alkaline phosphatase activity, higher pH, and vascular permeation of normal tissues. Amifostine can be administered intravenously or subcutaneously after reconstitution with normal saline. Infusions lasting less than 15 minutes decrease the risk of adverse effects. The patient should be well-hydrated prior to administration. Mechanism of action
Inside cells, amifostine detoxifies reactive metabolites of platinum and alkylating agents, as well as scavenges free radicals. Other possible effects include accelerated DNA repair, induction of cellular hypoxia, inhibition of apoptosis, alteration of gene expression and modification of enzyme activity.
Amethyst is a violet variety of quartz. The name comes from the Koine Greek αμέθυστος amethystos from α- a-, "not" and μεθύσκω (Ancient Greek) methysko / μεθώ metho (Modern Greek), "intoxicate", a reference to the belief that the stone protected its owner from  drunkenness. Ancient Greeks wore amethyst and carved drinking vessels from it in the belief that it would prevent intoxication. Amethyst, a semiprecious stone, is often used in jewelry and is the traditional birthstone for February. Structure
Amethyst is a purple variety of quartz (SiO2) and owes its violet color to irradiation, impurities of iron and in some cases other transition metals, and the presence of other trace elements, which result in complex crystal lattice substitutions. The hardness of the mineral is the same as quartz, thus making it suitable for use in jewelry. Hue and tone
Amethyst occurs in primary hues from a light lavender or pale violet, to a deep purple. Amethyst may exhibit one or both secondary hues, red and blue. High quality amethyst can be found in Siberia, Sri Lanka, Brazil, Uruguay, and the Far East. The ideal grade is called "Deep Siberian" and has a primary purple hue of around 75–80%, with 15–20% blue and (depending on the light source) red secondary hues. ‘Rose de France’ is defined by its markedly light shade of the purple, reminiscent of a lavender/lilac shade.