Dr. Proteau AChE Inhibitors Flashcards

1
Q

T/F most AChE inhibitors are non-selective towards AChE and BuChE

A

True

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2
Q

what structural feature allows AChE inhibitors to enter CNS?

A

having a tertiary amine

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3
Q

what structural feature determines if the AChE inhibitor is a covalent modifier?

A

carbamate group

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4
Q

which enantiomer of Rivastigmine is the only one used?

A

S-enantiomer

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5
Q

Galantamine is more or less potent compared to Donepezil? why?

A

less potent

less aromatic groups

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6
Q

what is Sarin?

A

nerve gas

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7
Q

why does Sarin have slower regeneration compared to Echothiophate?

A

The O-C(CH3)2 group of Sarin is bulkier than the OE+ group of Echothiophate

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8
Q

what is malathion therapeutically used for?

A

lice

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9
Q

what are the two factors needed for an AChE reactivator?

A
  1. high selectivity/binding affinity for AChE (aromatic ring and a (+)-charge)
  2. need a hydroxylamine-like nucleophile that can be close to the modified serine of AChE
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10
Q

T/F reactivators have the ability to reactivate “aged” enzymes

A

false, unable to

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11
Q

would you expect dorzolamide and brinzolamide to potentially cause hypersensitivity in patients with sulfa allergies?

A

no because they’re structures do not contain sulfanilamides

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12
Q

which two structures are identical in dorzolamide and brinzolamide?

A

aryl sulfonamide and thiophene

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13
Q

what are the limitations of prostaglandin F2a?

A

poor penetration into the eye

rapid metabolism via oxidation at C15, B-oxidation, and w(omega)-oxidation

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14
Q

what structural feature of latanoprost helped it have better penetration into the eye?

A

isopropyl ester

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15
Q

what type of drug is latanoprost?

A

ester prodrug

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16
Q

what type of drug is latanoprostene bunod?

A

dual action prodrug

17
Q

what type of drug is travoprost?

A

ester prodrug

18
Q

what makes travoprost different from the other prostaglandins?

A

it has a trifloromethyl

19
Q

what type of drug is bimatoprost?

A

amide prodrug

20
Q

what metabolism does bimatoprost undergo?

A

amide hydrolysis

21
Q

what makes bimatoprost different from the other prostaglandins?

A

it has an amide group

22
Q

T/F all prostaglandin analogs are used bid

A

false, qd

23
Q

what type of drug is tafluprost?

A

ester prodrug

24
Q

what makes tafluprost different from the other prostaglandins?

A

has two fluorines in place of C-15 OH