Exam 3 - Medical Chemistry Opioids Flashcards

1
Q

Levo (-)

A

active for pain properties

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2
Q

Dextro (+)

A

inactive for pain properties

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3
Q

Number of Chiral centers morphine

A

5

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4
Q

How to tell Chiral center?

A

Substituted by 4 different groups

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5
Q

Rings of Morphine structure

A

4 six member rings, 1 aromatic ring

1 five member ring

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6
Q

Important groups for pharmacological activities

A

2 OH at 3,6 carbon

1 N + CH3

14 position carbon

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7
Q

Codeine into morphine

A

converted by CYP2D6 enzyme

12% of US pop has version that doesn’t allow this conversion to occur

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8
Q

Which form is Morphine usually in?

A

95% found in body is in protonated form

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9
Q

Ring “A” modification

A

Removing 3rd position OH will cause decrease in analgesic potency

Turning into CH3-O- will reduce analgesic potency but not as much as removing OH

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10
Q

Esterification and Etherification of OH (3 position)

A

Analgesic activity decreases

6-Acetylmorphine will be active but 3-Acetylmorphine will not (shows importance of 3-OH group)

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11
Q

Ring “C” modification

A

removal, etherification and esterification of 6-OH will give consistent increase in analgesic potency compared to morphine

6-OH group not essential for analgesic effects

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12
Q

Ring “D” modification, tertiary to quaternary

A

turning Tertiary amine into quaternary salt

inactive when admin peripherally but equi-active to morphine when admin directly into CNS

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13
Q

Morphinans structure

A

A,B,C,D ring plus N-CH3….Missing E (5 member w/ O)

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14
Q

Benzomorphans structure

A

A,B,D ring plus N-CH3

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15
Q

Piperidine structure

A

A and D ring plus N-CH3

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16
Q

Phenylpropyamines

A

Just A ring plus long chain and NH-CH3

17
Q

Phenylpropyamines

A

Just A ring plus long chain and NH-CH3

18
Q

Oripavin derivatives

A

More potent than thebaine due to OH at 3, instead of CH3-O

Etorphine and buprenorphine

19
Q

Etorphine

A

Used for big animals, not humans

added bulk group with OH to 7 carbon

20
Q

Buprenorphine

A

Partial agonist at mu receptor

more potent than morphine

Also has an added bulky group with OH to 7 carbon,
has tert-butyl

21
Q

Morphine and codeine metabolism

A

Morphine-6-glucuronidide (M6G) is 2-4 times more potent than morphine

Morphine-3-glucuronidide (M3G) is not active

codeine can be turned into morphine and then M3G, or M6G

Morphine can also do OND to Normorphine which has decreased analgesic activity (Take CH3 off NH, turn into NH2+)

22
Q

Morphinans

A

removing E ring, along with 6-OH and double bond will give you Levorphanol (L) or Dextromethorphan (D)

23
Q

4-Anilidopiperidines

A

Amide bond is what gives it the “Anili” name.

24
Q

Levorphanol

A

L form

8 times more potent than morphine as analgesic

Lipophilic and better oral/parenteral potency ration 2:1

25
Q

4-Phenylpiperidines

A

only one marketed in USA is Meperidine

Its short acting analgesic, agonist at mu receptor

Undergoes N-demethylation to give Normeperidine which has little analgesic activity but significant toxicity

26
Q

Meperidine Analogs

A

Diphenoxylate

Difenoxin

Loperamide

27
Q

Dextromethorphan

A

D form

Inactive as analgesic but has antitussive potency

28
Q

Diphenoxylate

A

low mu opioid agonist activity

high doses (40-60mg) cause euphoria and addiction

Used in combo with atropine to make diarrhea treatment

29
Q

Difenoxin

A

used as antidiarrheal agent

made from Diphenoxylate via Easter hydrolysis.

5 times more potent after oral dosing, low CNS action and low abuse potential

Stays in CNS due to being Zwitterion

30
Q

Loperamide

A

highly lipophilic and undergoes slow dissolution limiting its bioavailability to 40% of the dose