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Medicinal Chemistry
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Terms in this set (88)
Drug
Any substance that, when taken into a living organism, brings about change in biological function through its chemical action
Types of Drugs
1) Crude preparations derived from plant or animal materials
2) Pure compounds isolated from natural sources
3) Semi-synthetic compounds produced from the chemical modification of pure compounds
4) Synthetic compounds
Medicine
A drug that treats, prevents or alleviates the symptoms of the disease and has a therapeutic action
Medicine Components
1) Active drug
2) Non-active drug
Ex: Effective drug that needs to improve its taste
Drug or Medicine Effects on Body
1) Alters the psychological state
2) Alters incoming sensory sensations
3) Alters mood
Neural Communication
1) Electrical impulses (action potentials) travel from one neuron to another across the synapse (tiny junction)
2) When an action potential reaches an axon terminal it stimulates the release of neurotransmitter molecules from vesicles (sacs)
3) The molecules cross the synaptic gap and bind onto receptor sites
4) The sending neuron will reabsorb excess neurotransmitter molecules, this is called reuptake
Neurotransmitters
Chemical messengers released at the axon terminal through the synapse
Types of Neurotransmitters
1) Adrenaline
2) Noradrenaline
3) Dopamine
4) Serotonin
5) Gaba
6) Acetylcholine
7) Glutamate
8) Endorphines
Gaba
Calming neurotransmitter. It blocks the production of dopamine.
Target molecule
What a drug interacts with to produce an effect. When a drug binds to it, the drug will either stop it from functioning or stimulate it. This can be therapeutic or toxic. It is typically an enzyme or a receptor
Enzyme
A biochemical catalyst that catalyses nearly all of the chemical reactions that occur in the body
Receptor
Proteins found on the surface of cells or inside cells that bring about a response in the cell when molecules bind to them
Normal Population
A type of enzyme action, where the substrate and the enzyme react due to an induced fit model
Lactase
The enzyme that breaks down lactose to glucose and galactose
Lactaid
A medication that supplies the lactase enzyme
Opioids
A drug whose target receptors are dense in the limbic system (part of the brain that is involved in emotions)
Dopamine
A pleasure neurotransmitter.
Effect of Opiods on Dopamine Production
Upon activation of opioid receptors in certain neurons, dopamine is released in other neurons. The result is an intense high and sense of happiness, which may lead to dependence
Morphine's Process
1) Morphine activates the opioid (Mu) receptor in the neurons of the nucleus accumbens
2) As a result, it stops the release of the GABA neurotransmitter
3) The drop of GABA production causes an influx in the production of dopamine
4) In turn, this elicits the euphoria associated with opioids
Nucleus Accumbens
The area of the brain where neurons release the dopamine neurotransmitter
Competitive Inhibitor
A substance that reduces the activity of an enzyme by entering the active site in place of the substrate whose structure it mimics
Noncompetitive inhibitor
A substance that alters the conformation of an enzyme so that its active site is no longer fully functional
Methods of Administering Drugs
1) Orally
2)Rectally
3) Pulmonary (Inhalation)
4) Topical
5) Injection
Oral Administration
The effect will vary due to the absorption being affected by the stomach. It will be absorbed in the primary intestine. It is the most convenient method
Rectal Administration
Drugs are inserted through the anus into the rectum. Occurs when a drug cannot be taken orally or is pH sensitive
Pulmonary Administration
Rapid due to the blood vessels in the lungs (respiratory system)
Topical Administration
Applying drug to skin for local effects
Injection Administration
Can be: Subcutaneous (beneath the skin & slow absorption), Intra-muscular (skeletal muscle, large volumes & slow response), and Intravenous (instantaneous response & not affected by stomach)
Fat-soluble drugs
Drugs that are more easily absorbed
Blood-Brain Barrier
This brain structure prevents the diffusion of many substances into the brain
Kidneys and Liver
Organs that break down drugs
Half-time
The time it takes for half of the drug to be eliminated
Therapeutic Effect
A desirable and beneficial effect
Side Effect
An unintended secondary effect. It is usually undesirable. Ex: nausea
Placebo Effect
Experimental results caused by human expectation alone
Lethal Dose
The dose (in PPM) that is lethal to 50% of laboratory animals tested. The lower the lethal dose, the more toxic the drug.
Toxic Dose
The dose (in PPM) that is toxic to 50% of the laboratory animals tested and results in any toxic side effect. The lower the toxic dose, the more toxic the drug.
Effective Dose
The dose (in PPM) required to produce a therapeutic effect in 50% of the animals tested. The lower the dose, the better.
Therapeutic Index
The ratio of toxic dose to a therapeutic dose. It relates to the dose of a drug required to produce a desired therapeutic effect to that required to produce a toxic effect
Therapeutic Window
The range of doses that gives safe, effective therapy
Drug Bioavailability
The fraction of an administered dose of a drug that reaches the systemic circulation. When a drug is administered intravenously, its bioavailability is 100%
Drug Development
It is very expensive and takes a long time since this process is controlled by the government
Stages of Drug Development
1) Identification of lead compounds
2) Toxicity animal testing
3) Clinical trials
Identification of Lead Compounds
AKA new chemical entity. Biological testing of compounds is obtained through many sources. They have a desired biological effect
Lead Optimization
Chemically modifying a lead compound to find more active and less toxic compounds to be further developed
Toxicity Testing in Animals
Using studies to looks for different types of toxicities over a period of time
Clinical Trials
This stage occurs after the drug has been proven safe for animals. Occurs in three phases
Clinical Trials Phase 1
It idendifies the dose range of the drug that gives a therapeutic effect and will identify side effects on healthy volunteers
Clinical Trials Phase 2
Trials continue on volunteers with the disease to establish effectiveness and side effects
Clinical Trials Phase 3
Trials continue on a larger group and compares its activity with other drugs
Thalidomide
1960s drug used for morning sickness but caused major birth defects. This was caused by an isomer. Optical isomer.
Tolerance
Due to repeated use the drug, the body will adapt by increasing its metabolism of the drug. Over time, an individual will need an increased amount to achieve the same effect.
Analgesics
Pain relievers that act by interfering pain receptors
Mild Analgesics
Block the production of prostaglandins by inhibiting the COX enzyme. Ex: aspirin
Prostaglandins
Synthesized in damaged cells which bind to receptors, thus stimulating sensory nerves at the site of the injury. The nerves send signals to the brain which are interpreted as pain. It allows for swelling by increasing the permeability of capillaries
Aspirin
An analgesic formed from salicylic acid and an acetyl group, which lowers acidity
Antipyretic
Prevents or reduces fever. Ex: salicylic acid
Disadvantages of aspirin
1) Can cause an upset stomach
2) Risk of gastrointestinal bleeding following alcohol consumption
3) Small risk of allergy
4) Accidental infant poisoning and correlation to Reye's syndrome in children
Addition-elimination
Type of reaction that characterizes the synthesis of aspirin
Increasing the Bioavailability of Aspirin
The drug must become more soluble. This is done by reacting the carboxyl group of the drug with a strong alkali (base) to form an ionized salt.
Prozac Synthesis
The amine group of this drug is basic, so it will react with a strong acid to form an ionized salt
Methadone
A competitive inhibitor for the opioid receptor. It is administered to reduce opioid dependence.
Antacids
Neutralize acidity in the stomach
Peptic Ulser
Erosion of a part of the gut lining that is caused by the penetration of the gut lining by the acid. Aspirin can sometimes cause this.
Neutralizing Reactions
1) Al(OH)3(s) + 3HCl(aq) -> AlCl3(aq) + H2O(l)
2) CaCO3(s) + 2HCl(aq) -> CaCl2(aq) + H2O(l)
3) NaHCO3(s) + HCl(aq) -> NaCl(aq) + H2O(l)
Alginates
Additional compounds added in drugs to prevent heartburn by producing a neutralizing layer on top of stomach contents. This prevents acid from rising into the esophagus.
Anti-Foaming Agents
Additional compound added in drugs to reduce bloating by reducing CO2 production. Ex: dimethicone
H2 Receptor Antagonists
Drugs that prevent histamine from binding onto the H2 receptor (that will produce HCl) therefore inhibiting acid production
Proton Pump Inhibitors
Prevent the acid from being secreted into the stomach by blocking the enzymes ATPase, which provides the energy necessary to transport H+ ions against the proton gradient into the stomach.
Active Metabolite
An active form of a drug that has been administered inactively. Ex: Aspirin
Strong Analgesics
1) Codine
2) Morphine
3) Diamorphine (Heroin)
Similarities between Strong Analgesics
Basic amine group and the benzene ring
Diamorphine
AKA heroin, this drug is synthesized from morphine via simple acetylation. It is able to cross the blood-brain barrier
Types of Dependance
1) Psychological
2) Physical
Psychological Dependance
When the drug taker craves the drug
Physical Dependance
When the drug taker's body cannot function without the drug
Antibacterials
Selective drugs that can attack infectious bacteria rather than human cells. They are ineffective against viruses
Types of Antibacterials
1. Bacteriostatic
2. Bacteriocidal
Bacteriostatic
Inhibition of bacterial cell division
Bacteriocidal
Directly killing bacteria
Penecillin
An antibacterial drug
Components of Penicillin
1) Amide
2) B-Lactam Ring
3) Carbolic Acid
4) R-Group
Beta Lactam Ring
The portion of the chemical structure of penicillin that is responsible for its antibacterial properties. They function by interfering with the cross-links that connect the separate layers of the bacterial cell wall, by inhibiting the enzyme tripeptase. As a result, the bacterial cell wall is weakened and the cell bursts, killing the bacteria.
The Reason Why Human Cells are Unaffected by Penicillins
The human cell does not have a cell wall
Overprescription of Penicillin
Results in the destruction of harmless bacteria in the body and my lead to genetic resistance over time.
Broad Spectrum Antibiotics
Effective against a wide variety of bacteria
Narrow Spectrum Antibiotics
Effective against only certain type of bacteria. Ex: penicillin
Penecillase
The enzyme produced by bacteria as a result of bacterial resistance against penicillin. This enzyme opens the beta lactase ring of penicillin, thus making it inactive
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