Med design Flashcards

1
Q

what is the rule of 5 for CNS active drugs

A
  • MW< 450
  • log P= 0-5 or log D= 1-3 (log D is log P at a certain pH e.g. 7) ‘high’ but within limit
  • H-bond= 0-5 (donor H<2)
  • PSA= 40-90
  • PKa= 8-10 (no acid)
  • NO CARBOXYLIC ACID
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2
Q

what are the common features for all CNS active compounds?

A

an aromatic ring system + basic N (normally 2 units apart)

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3
Q

why does marijuana increase your appetite?

A

marijuana contains active constituent of Δ9-THC (dronabinol), a non-selective cannabinoid agonist, bind CB1 rec on pre-syn, inhibitory resp: decrease Ca, 5HT, NA, glu, gaba, appetite stimulant

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4
Q

how can you reduce logp (from rimonabant to NIDA-41020)

what prob can it cause?

A

Reduce the log p by adding O(Me group), then that affects no. of H bond

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5
Q

MOR knockout mice display reduced motivation to eat and are resistant to diet-induced obesity, why?

A

miu opioid rec antagonist reduces the reward feeling you get from eating palatable food, this reduces food intake

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6
Q

how does naltrexone work?

A

naltrexone is an opioid rec inverse agonist, it indirectly modulate activation of reward center e.g. mesolimbic pathway by reducing DA bind to D2 rec. this decreases pleasure you get with food (which high in fat, sugar) consumption
Mor on Gaba to da to nacc

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7
Q

What is the stereochemistry of the two chiral centres present in the structure of delta-9-THC and CBD cannabidiol?

A

both R

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8
Q

What is the structure of CB receptors?

A

7TM GPCR

transmembrane

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9
Q

Where are CB1 rec found in neurones?

A

Pre-synaptic neurones

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10
Q

What is the function of CB1?

A

Retrograde control of release of inhibitory and stimulatory NTs

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11
Q

Where is CB2 rec found?

A

In immune cells

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12
Q

What’s the function of CB2

A

Control the activity and migration of immune cells

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13
Q

What is the precursor of endogenous Cannabinoids?

A

Arachidonic acid in lipid membrane

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14
Q

Bupronorphine is

A

A miu opioid partial agonist
Kappa antagonist
Analgesic
Trt for opioid dependence

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15
Q

Salvia is a kappa opioid agonist meaning …

A
Analgesic but not used due to 
Psychoto mimic effect. 
Loss of body or identity 
Hysteric laughter 
Overlapping realities
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16
Q

Similarity of buprenophine and methadone

A

Mu opioid receptor agonist (bu-partial)
Highly lipophilic
Long duration of action
Minimise withdrawal symptoms