D.3 - Opiates Flashcards

1
Q

What ability does a drug that crosses the blood-brain barrier depend on?

A

The chemical structure and solubility in water and lipids.

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2
Q

What are opiates?

A

They are natural narcotic analgesics (pain relief) which are derived from the opium poppy.

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3
Q

What are some examples of strong analgesics?

A

Morphine and codeine.

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4
Q

How do strong analgesics work?

A

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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5
Q

What are the medical use and addictive properties of opiate compounds related to?

A

The presence of opioid receptors in the brain.

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6
Q

What are the advantages and disadvantages of strong analgesics?

A

Advantages: relieve severe pain caused by injury e.g. heart attacks, cancer. There is also a faster distribution of the drug because it is administered intravenously.
Disadvantages: side-effects (feel euphoria, lack of self-control, indulge in dangerous behaviour), dependency and addiction (this is why they are only available when given a prescription), increased risks associated with intravenous drug administration.

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7
Q

How is diamorphine produced?

A

From morphine in an esterification reaction in which both OH groups are converted into ester (ethanoate) groups.

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8
Q

How is codeine produced?

A

From morphine in a methylation reaction. This is where and OH group is converted into a method (OCH3) group.

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