Computer aided drug design (CADD) involves 5 steps: new lead discovery, lead optimization, preclinical lead development, clinical development, and post marketing surveillance. New lead discovery involves finding relevant enzymes/receptors through assays, purifying and characterizing them, determining structures, and screening known and designed compounds. Lead optimization develops secondary assays, tests related structures, and analyzes structure-activity relationships and properties. Preclinical development focuses on large scale synthesis, animal safety studies, and formulation experiments. Clinical development includes human safety studies and clinical trials. Post marketing surveillance collects usage and side effect reports. Strategies for new leads include isolating from nature, modifying natural products, screening known substances, and structure-based design.