Lecture 6 - Chemistry of Drugs to treat GIT Inflammation Flashcards

1
Q

what kind of drug is sulfasalazne

A

a prodrug

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2
Q

what is sulfasalazine broken down to?

A

Active 5-aminosalisilic acid (5-ASA) (mesalazine)

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3
Q

what is the site of action of sulfasalazine?

A

the colon

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4
Q

what does sulfasalazine possibly inhibit?

A

prostaglandin and leukotriene biosynthesis

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5
Q

what is the environment of the colon?

A

low in oxygen and pH between 6 and 7

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6
Q

What happens to sulfasalazine in the colon?

A

bacterial azo-reductases cleave the sulfasalazine azo bond

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7
Q

How is sulfasalazine administered?

A

as an oral coated tablet

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8
Q

what pH does sulfasalazine disintegrate at?

A

pH = 7

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9
Q

How else can sulfasalazine be administered?

A

by rectum in suppositories or enema

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10
Q

Why is sulfasalazine targeted to the colon?

A

there are very few microorganisms in the stomach that can break down the azo group to the active form in the stomach

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11
Q

How is 5-ASA absorbed?

A

via gaps in the epithelial cells

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12
Q

What is the benefit of olsalazine and balasalazide?

A

they are cleaved and there is no sulfa-pyridyl toxicity

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