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
Pharmaceutical Drugs
drugs that are used for the treatment or prevention of disease
Recreational Drugs
chemical substances taken for enjoyment, or leisure purposes, rather than for medicinal reasons
Oral Medicine
taken by the mouth
Inhalation
Vapor breathed in, smoking
Skin Patches
Absorbed through skin and then goes into blood
suppositories
inserted through rectum
Eye or ear drops
Liquid administered into eyes and ears
Injection
Inject —> muscle, blood, or under the skin
Parental methods of drug administration
Intramuscular
Subcutaneous
Intravenous
Intramuscular
drug is injected directly into the muscle
Subcutaneous
under the skin
intravenous
directly to bloodstream: most rapid effect
Bioavailability
fraction of the administered dosage of a drug that enters the blood stream thereby accessing the site of action
factors affecting bioavailability
how drug is administered
polarity of drug
type of functional group present in drug
Are hydrophilic or hydrophobic substances soluble in aqueous bodies?
Hydrophobic
Why are hydrophilic drugs poorly absorbed?
they are unable to cross the cell membrane (made out of lipids)
Why are hydrophobic drugs poorly absorbed?
they are insoluble in aqueous body fluids
What’s the bioavailability of a drug that is administered intravenously?
100%
What are the characteristics of a drug that is readily absorbed?
must be largely hydrophobic but have some solubility
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
are functional groups that enhance the lipid solubility of a drug polar or non-polar?
non-polar
two functional groups that lack the ability to ionize or form hydrogen bonds
Phenyl groups and Hydrocarbon chain (alkyl group)
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.
What is aspirin also called?
acetylsalicyclic acid
Chemical formula to make aspirin
salicyclic acid + ethanoic anhydride —> aspirin + ethanoic acid
Possible catalysts for aspirin
H2SO4 and H3PO4
Does aspirin have high or low solubility?
low solubility
purification of aspirin
re-crystallization: dissolving the impure crystals in a small volume of hot ethanol
how is purity of aspirin determined?
by its melting point or infrared spectrum
how do impurities in aspirin affect melting point?
lowers it
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
product of slightly soluble aspirin and NaOH
soluble aspirin
What happens when water is added to soluble aspirin?
soluble aspirin dissociates to form sodium ions and acetylsalicyclate ions
why are ionic salts of aspirin more soluble in water?
they form stronger dipole dipole interactions with H2O
does converting aspirin to an ionic salt increase bioavailability?
no
Aspirin
a mild analgesic (pain killer)
Job of an analgesic
blocks pain at the source of where aspirin was administered
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)
Anticoagulant
class of drugs that work to prevent the blood from clotting
What is aspirin mainly taken for?
arthritis and rheumatism
most common side effect of aspirin
bleeding of the lining of the stomach
how could the side effect of aspirin be increased?
drinking alcohol (ethanol) at the same time as taking aspirin
synergistic effect
two drugs can have this effect if they increase each other’s effectiveness when taken together
What is penicillin
group of antibiotics used to treat a range of bacterial infections
what is penicillin derived from?
penicillin fungi
Ways penicillin can be administered
orally or through injection
When was penicillin discovered and by whom?
1928 and by Alexander Fleming - a Scottish microbiologist
Type of ring present in penicillin
beta-lactam ring
two carbon atoms and nitrogen atom in a beta-lactam ring exhibit what type of hybridization?
sp3 - bond angle of 109.5 degrees
one carbon atom in a beta-lactam ring exhibit what type of hybridization?
sp2 - bond angle of 120 degrees
Effect of beta-lactam ring because its strained
breaks easily
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
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
what happens when water comes into contact with a beta-lactam ring
osmotic pressure builds up causing the cell to burst
antibiotic resistance
the ability of bacteria to resist the effect of antibiotics
cause of bacterial resistance
caused by the misuse or overuse of antibiotics
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
Penicillin G
Penicillin V
Amoxcillin
Methicillin
Job of specfic side chains for penicillin
reduces the occurrence of penicillin resistant bacteria
what are modified penicillins able to withstand?
the action of penicillinase enzyme
how to make an antibiotic for different types of diseases
a cocktail of different antibiotics are required
modifying the side chain will increase what?
resistance to breakdown by stomach acid, therefore making the drug able to be administered orally
what is the only way Pencillin G can be administered?
by injection
ampicillin
modified penicillin that can be taken orally
opiates
strong analgesics or painkillers. Examples: morphine and codeine
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
what are strong analgesics used for?
injury, heart attacks, and cancer
advantages of opiates
provide relief of pain
wide therapeutic window
relive anxiety and improve quality of life
administered intravenously —> faster distribution of drugs
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
blood-brain barrier
layer of tightly packed cells that protect the brain
what is the blood-barrier’s job?
restricts passage of substances from bloodstream into the brain
what do blood-barriers mainly consist of?
lipids:non-polar, hydrophilic molecules
in order for a drug to go through the blood-barrier, what should be the characteristics of the drug?
non-polar and lipid soluble
codeine
diamorphine
morphine
job of antacids
reduce stomach acid
what does stomach acid do?
Hydrochloric acid: kills bacteria present in food and provides optimum pH for digestive enzymes
causes of excess stomach acid
indigestion, heartburn, and stomach ulcers
are antacids weak or strong bases
weak bases: CaOH2 and MgCH2
why aren’t strong bases used as antacids?
they are harmful to the body
alginates
group of medicines are found in some brands of antacid medication
what do alginates produce?
they produce a neutralizing layer which prevents acid in the stomach from rising into the esophagus (heartburn)
dimethicone
substance added to some antacids as an anti-foaming agent to prevent bloating and flatulence
stomach acid inhibitors
inhibit the production of stomach acid
example of stomach acid inhibitors
proton pump (PPIs) and H2 receptor blockers (antagonists)
Job of PPIs
inhibit the proton pumps in stomach
job of H2 blockers
block histomine receptors in acid-producing cells in the stomach
Do PPIs have a long-lasting effect?
yes
what are PPIs used to treat?
stomach ulcers and provide relief from symptoms of acid reflux
Histamine
stimulates the secretion of stomach acid by interacting with the H2 receptors in the stomach lining
ozemprazole, PPI
ranitidine
viruses
sub-microscopic organisms that replicate inside the living cells of other organisms
main components of viruses
protein coat and nucleic data (RNA or DNA)
virus