Medicinal Chemistry

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what do medicine and drugs do

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what do medicine and drugs do

  • alter incoming sensory sensations

  • alter a person’s moods or emotions

  • alter the physiological state of the body including consciousness and coordination

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Pharmaceutical Drugs

drugs that are used for the treatment or prevention of disease

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Recreational Drugs

chemical substances taken for enjoyment, or leisure purposes, rather than for medicinal reasons

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Oral Medicine

taken by the mouth

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Inhalation

Vapor breathed in, smoking

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Skin Patches

Absorbed through skin and then goes into blood

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suppositories

inserted through rectum

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Eye or ear drops

Liquid administered into eyes and ears

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Injection

Inject —> muscle, blood, or under the skin

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Parental methods of drug administration

  • Intramuscular

  • Subcutaneous

  • Intravenous

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Intramuscular

drug is injected directly into the muscle

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Subcutaneous

under the skin

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intravenous

directly to bloodstream: most rapid effect

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14

Bioavailability

fraction of the administered dosage of a drug that enters the blood stream thereby accessing the site of action

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factors affecting bioavailability

  • how drug is administered

  • polarity of drug

  • type of functional group present in drug

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16

Are hydrophilic or hydrophobic substances soluble in aqueous bodies?

Hydrophobic

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17

Why are hydrophilic drugs poorly absorbed?

they are unable to cross the cell membrane (made out of lipids)

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18

Why are hydrophobic drugs poorly absorbed?

they are insoluble in aqueous body fluids

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19

What’s the bioavailability of a drug that is administered intravenously?

100%

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20

What are the characteristics of a drug that is readily absorbed?

must be largely hydrophobic but have some solubility

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21

two major properties that contribute to the water solubility of a functional group and examples

ability to ionize and form hydrogen bonds

  • Examples: carboxyl, hydroxyl, and amines

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are functional groups that enhance the lipid solubility of a drug polar or non-polar?

non-polar

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two functional groups that lack the ability to ionize or form hydrogen bonds

Phenyl groups and Hydrocarbon chain (alkyl group)

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Therapeutic window: what it means, how is it quantified, and what wide and narrow TWs mean

Therapeutic window is the measure of the safety of a drug.

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25

What is aspirin also called?

acetylsalicyclic acid

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26

Chemical formula to make aspirin

salicyclic acid + ethanoic anhydride —> aspirin + ethanoic acid

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Possible catalysts for aspirin

H2SO4 and H3PO4

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Does aspirin have high or low solubility?

low solubility

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29

purification of aspirin

re-crystallization: dissolving the impure crystals in a small volume of hot ethanol

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30

how is purity of aspirin determined?

by its melting point or infrared spectrum

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31

how do impurities in aspirin affect melting point?

lowers it

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32

since aspirin is only slightly soluble in water, how can the solubility of aspirin be increased?

by reacting with aqueous NaOH forming an ionic salt

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33

product of slightly soluble aspirin and NaOH

soluble aspirin

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34

What happens when water is added to soluble aspirin?

soluble aspirin dissociates to form sodium ions and acetylsalicyclate ions

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why are ionic salts of aspirin more soluble in water?

they form stronger dipole dipole interactions with H2O

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36

does converting aspirin to an ionic salt increase bioavailability?

no

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37

Aspirin

a mild analgesic (pain killer)

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Job of an analgesic

blocks pain at the source of where aspirin was administered

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How does aspirin work?

by blocking the action of enzymes that produce prostaglandins (enzymes involved in the transmission of pain impulses to the brain, as well as causing fever and swelling)

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Anticoagulant

class of drugs that work to prevent the blood from clotting

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41

What is aspirin mainly taken for?

arthritis and rheumatism

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42

most common side effect of aspirin

bleeding of the lining of the stomach

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43

how could the side effect of aspirin be increased?

drinking alcohol (ethanol) at the same time as taking aspirin

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synergistic effect

two drugs can have this effect if they increase each other’s effectiveness when taken together

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45

What is penicillin

group of antibiotics used to treat a range of bacterial infections

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what is penicillin derived from?

penicillin fungi

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Ways penicillin can be administered

orally or through injection

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When was penicillin discovered and by whom?

1928 and by Alexander Fleming - a Scottish microbiologist

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49

Type of ring present in penicillin

beta-lactam ring

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50

two carbon atoms and nitrogen atom in a beta-lactam ring exhibit what type of hybridization?

sp3 - bond angle of 109.5 degrees

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51

one carbon atom in a beta-lactam ring exhibit what type of hybridization?

sp2 - bond angle of 120 degrees

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52

Effect of beta-lactam ring because its strained

breaks easily

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How do beta-lactam rings interfere with cell wall formation in bacteria?

by inhibiting the enzymes responsible for creating cross-links in the cell wall

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What happens when a beta-lactam ring comes into contact with bacteria?

the ring opens and binds irreversibly to the enzymes responsible for catalyzing cross-linking in the cell wall of the bacteria

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what happens when water comes into contact with a beta-lactam ring

osmotic pressure builds up causing the cell to burst

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antibiotic resistance

the ability of bacteria to resist the effect of antibiotics

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cause of bacterial resistance

caused by the misuse or overuse of antibiotics

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examples of misuse of antibiotics

  • over prescription of penicillin for minor illness

  • failure of patients to complete the course of antibiotics as prescribed by the doctor

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<p></p>

Penicillin G

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Penicillin V

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Amoxcillin

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Methicillin

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Job of specfic side chains for penicillin

reduces the occurrence of penicillin resistant bacteria

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what are modified penicillins able to withstand?

the action of penicillinase enzyme

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65

how to make an antibiotic for different types of diseases

a cocktail of different antibiotics are required

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66

modifying the side chain will increase what?

resistance to breakdown by stomach acid, therefore making the drug able to be administered orally

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what is the only way Pencillin G can be administered?

by injection

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ampicillin

modified penicillin that can be taken orally

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opiates

strong analgesics or painkillers. Examples: morphine and codeine

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how do opiates work?

they temporarily bond to receptor sites in the brain, preventing the transmission of pain impulses without depressing the central nervous system

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what are strong analgesics used for?

injury, heart attacks, and cancer

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advantages of opiates

  • provide relief of pain

  • wide therapeutic window

  • relive anxiety and improve quality of life

  • administered intravenously —> faster distribution of drugs

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disadvantages of opiates

  • euphoria, lack of self-control, indulge in dangerous behavior

  • regular usage leads to addiction

  • user build tolerance requiring higher dosage upon prolonged use

  • increased risks associated with intravenous drug administration

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74

blood-brain barrier

layer of tightly packed cells that protect the brain

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what is the blood-barrier’s job?

restricts passage of substances from bloodstream into the brain

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what do blood-barriers mainly consist of?

lipids:non-polar, hydrophilic molecules

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in order for a drug to go through the blood-barrier, what should be the characteristics of the drug?

non-polar and lipid soluble

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78
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codeine

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diamorphine

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morphine

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81

job of antacids

reduce stomach acid

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what does stomach acid do?

Hydrochloric acid: kills bacteria present in food and provides optimum pH for digestive enzymes

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causes of excess stomach acid

indigestion, heartburn, and stomach ulcers

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are antacids weak or strong bases

weak bases: CaOH2 and MgCH2

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85

why aren’t strong bases used as antacids?

they are harmful to the body

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86

alginates

group of medicines are found in some brands of antacid medication

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what do alginates produce?

they produce a neutralizing layer which prevents acid in the stomach from rising into the esophagus (heartburn)

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dimethicone

substance added to some antacids as an anti-foaming agent to prevent bloating and flatulence

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stomach acid inhibitors

inhibit the production of stomach acid

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example of stomach acid inhibitors

proton pump (PPIs) and H2 receptor blockers (antagonists)

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Job of PPIs

inhibit the proton pumps in stomach

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job of H2 blockers

block histomine receptors in acid-producing cells in the stomach

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Do PPIs have a long-lasting effect?

yes

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what are PPIs used to treat?

stomach ulcers and provide relief from symptoms of acid reflux

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95

Histamine

stimulates the secretion of stomach acid by interacting with the H2 receptors in the stomach lining

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ozemprazole, PPI

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ranitidine

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98

viruses

sub-microscopic organisms that replicate inside the living cells of other organisms

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99

main components of viruses

protein coat and nucleic data (RNA or DNA)

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100
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virus

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