Introduction To Morphine Flashcards

1
Q

Side-effects of Morphine: 5

A
Nausea
Constipation
Tolerance
Dependence
Pupil constriction
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2
Q

Name 4 binding sites (groups) of morphine:

A

Phenol
Ether
Alcohol
Amine

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3
Q

When the R group is a H then the drug is called…

When the R group is a CH3 then the drug is called…

A

Morphine

Codeine

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4
Q

Codeine is an example of a — and has –% the activity of morphine.

A

prodrug

20

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5
Q

Codeine is metabolised in the – to produce –
Codeine is used for –/– and –.
It is a weaker —, but also has weaker –/–.

A
Liver
Morphine
Mild pain
Coughs
analgesic
side-effects
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6
Q

When the OH on the – group is masked and replaced with a – group to make codeine, this – activity.

A

phenol
methyl
reduces

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7
Q

When R=Ac, the name of the drug is…
This has a – affinity for the – receptor, which – activity.
It is a – potent metabolite of –
The Acetyl group masks the — phenol group.
This compound crosses the blood/brain barrier slower/quicker?
The acetyl group is – in the brain to form –

A
3-Acetylmorphine
low
u-opioid
decreases
less
heroin
polar
quicker
hydrolysed
morphine
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8
Q

The drug heterocodeine is made when a – group replaces the – group.
It is a direct – of the – receptor.

A

Methyl
6-Alcohol
Agonist
u-opioid

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9
Q

The 6-OH group is not important for –
When the 6-OH is removed, the – increases, due to the decreased –
The compound crosses the –/– barrier more –

A
binding
activity
polarity
blood brain
easilt
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10
Q

The drug 6-acetylmorphine is made when the – group is replaced with an – group.
This groups masks the – alcohol group making it – to cross the blood/brain barrier.
The – group is free so binding can happen –
dependance is high/low?

A
6-alcohol
acetyl
polar
easier
phenol
immediately
high
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11
Q

Heroin:
This is where which (2) reactive groups of morphine are replaced with which (1) group?
Heroin has increased/decreased lipid solubility?
Crosses BBB more slowly/quickly?
The — groups are hydrolysed in the — to generate –
The euphoric effects have – onset

A
Phenol
6-alcohol
Acetyl
increased
quickly
acetyl
brain
morphine
rapid
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12
Q

Dihydromorphine:
This is when the – group is removed
This leads to a –% increase/decrease in activity

A

Alkene
20
increase

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13
Q

When the – group is removed there is – activity.

This means the – is essential for –

A

Nitrogen
zero
nitrogen
binding

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14
Q

Normorphine:
When NR=N(?)
Reduces activity by –%
Normorphine is more/less polar and therefore crosses the BBB slower/quicker?
Ionised molecules cant cross the –/–/– and are –
Ionised structures are only active if – directly into the –

A
H
25
more
slower
BBB
inactive
injected
brain
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15
Q

What is a pharmacophore?

A

An abstract description of molecular features which are necessary for molecular recognition of a ligand by a biological macromolecule.

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16
Q

In morphine, the pharmacophore can be defined as triangle linking the (3).

A

Oxygen
Basic N
Centroid of aromatic ring

17
Q

Summary:
Phenol group crucial for – activity
The 6-OH appears to promote –/–/– transfer.
The — cation is vital for activity.

A

agonist
BBB
N