If you want to extend the duration of action of a drug you can give it in a so called modified release formulation, from which it will slowly enter the blood and find its way to the site of action. The modern term modified release was first used, as a blanket term for all such formulations, in 1982, as far as I can discover. And before it came into currency in the 1990s (it was first used in the
... [Show full abstract] British National Formulary in the 22nd issue, September 1991), formulations of this kind were described as extended release (1982), delayed release (1970), prolonged release (1965), timed release (1964), controlled release (1963), long release (1962), slow release (1961), or sustained release (1956). The MESH heading “Delayed action preparations” did not enter Index Medicus until 1963. But the concept dates back at least to the 1940s, when the term menstruum was coined to describe a matrix on which such formulations could be based.
Because vaginal discharge of blood occurs monthly, the Romans called the discharge itself the menstrua (Latin mensis, a month, see BMJ 1997; 314:973). Menstrua was the plural of menstruum, which meant a monthly payment or term of office—nothing to do with your monthlies. Now medieval alchemists thought that the fetus was compounded of two parts, the spermatic and the menstrual, and they compared the base metal that they intended to transmute into gold to the spermatic part, and the solvent with which they would bring this miracle about to the menstrual. And so, forgetting their classical Latin, they called the solvent the menstruum. A menstruum thus became any liquid that would dissolve a solid, including drugs. The word was also used figuratively: “Death,” wrote Richard Whitlock in his Zootomia (1654), “is a preparing Deliquium, or melting us down into a Menstruum, fit for the Chymistry of the Resurrection to work on.”
Later the word was turned upside down, when in the 1940s Dr George P Pitkin created a solid formulation that would act as a vehicle for a solution of a water soluble drug. And, forgetting his alchemy, he called it a menstruum, Pitkin's menstruum to be exact. The idea was that after intramuscular or subcutaneous administration the menstruum would retard the rate of absorption of the drug and thus prolong its duration of action. It was used, for instance, for the subcutaneous administration of heparin (Am J Med Sci 1944; 208:54-63).
Pitkin's menstruum took about six days to make, from gelatin, dextrose, and acetic acid. The viscosity of the menstruum depended on the amounts of gelatin and dextrose it contained, and the more viscous it was the slower the rate of drug absorption. The effect of a single injection of heparin would last 24 to 72 hours or even longer. Unfortunately, not long enough for a monthly injection, which would perhaps have justified the use of the term menstruum.