MedChem Flashcards

1
Q

Most drugs are

A

weak acids or weak bases

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2
Q

The acid-base properties of drugs influence their

A

ADME, compatibility with other drugs in solution.

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3
Q

An acidic drug like aspirin donates a

A

proton on ionization to generate a conjugate base

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4
Q

A basic drug like acetaminophen accepts a

A

proton to generate a conjugate acid

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5
Q

Resonance stabilization of the conjugate base of an acidic drug ________ acidity

A

enhances

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6
Q

Delocalization of electrons from the nitrogen atom of a basic drug ________ basicity

A

decreases

Example- arylamines (acid pka 4-5; less basic than alkylamines (pka 9-11)

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7
Q

Amphoteric drug

A

Contain both acidic and basic functional groups

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8
Q

Drugs with nitrogen-containing heterocycles are

A

basic because the lone pair of electrons on the nitrogen is readily available to serve as a proton acceptor.

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9
Q

The nitrogen atom in pyrrole does not contribute to basicity of drug molecules because

A

the lone pair of electrons on the nitrogen contributes to the aromatic sextet and thus is not available to accept a proton.

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10
Q

Six membered nitrogen containing heteroaromatics (such as pyridine) are

A

weak bases because only one of the nitrogen lone pairs of electrons contributes to the aromatic sextet. Thus, an unshared pair of electrons is available to serve as a proton acceptor

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11
Q

PKa

A

relative acid strength
Indicates the relative acid-base strength of organic functional groups. Cannot be used to determine whether a given drug molecule is acidic or basic. It can be used to calculate the percent of ionized and unionized forms of drugs at a given PH using the henderson-hasselbalch eqn.

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12
Q

The PKa contributes to the

A

relative water solubility which is important in abs and excretion

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13
Q

Highly polar drugs with low lipophilicity (heparin) is a candidate for IV because

A

it poorly penetrates biological membranes through passive diffusion

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14
Q

Log P

A

Partition coefficient
The ratio between the fraction of the drug unionized that dissolves in an organic phase (octanol) and the fraction that distributes in an aqueous phase (water)
Used to estimate the ability of a drug to cross biological membranes (distribution)

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15
Q

Drugs with _____ Log P values cross biological membranes more easily and are rapidly absorbed in the GI tract.

A

High

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16
Q

pH-partition theory

A

Relates the effect of a biological compartments pH and a drugs pKa to the extent the drug is ionized or unionized and its resulting ADME.
If the pKa of a weakly acidic drug is > than the pH of the environment, the drug exists primarily in an unionized state, which facilitates absorption.
If the pKa of a weakly acidic drug is < the pH of the environment, the drug exists in the ionized state, limiting abs
If the pKa of a basic drug is > the pH of the environment, the drug will exist in the ionized state, which limits abs
If the pKa of a basic drug is < the pH of the environment, the drug will exist in the unionized state, promoting abs

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17
Q

Covalent bond

A

Strongest drug-receptor interaction. Sharing of electrons between an atom from the drug and an atom from the receptor. Covalent bonding is irreversible and leads to destruction of the receptor.

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18
Q

Ionic bond

A

Salt bridge

Type of electrostatic interaction that occurs between oppositely charged functional groups on the drug and receptor

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18
Q

Ionic bond

A

Salt bridge

Type of electrostatic interaction that occurs between oppositely charged functional groups on the drug and receptor

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19
Q

Hydrogen bond

A

Electrostatic interaction in which a hydrogen atom serves as a bridge between two electronegative atoms, one from drug and the other from receptor

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20
Q

Hydrophobic interaction

A

Van der Waals forces or London forces

Occurs between nonpolar regions of the drug and the receptor. The drug must be close to the receptor for this to occur.

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21
Q

Occupancy theory

A

The binding of a drug (agonist) to its receptor results in a conformational change in the receptor that initiates a response

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22
Q

Rate theory

A

Number of drug-receptor interactions per unit time determines the magnitude of response

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23
Q

Induced fit theory

A

A receptor undergoes conformational change near a drug molecule to allow effective binding of the drug to the receptor.

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24
Q

Macromolecular perturbation theory

A

Combines the rate and induced fit theory. 2 confirmational changes occur

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25
Q

Activation-aggregation theory

A

Receptors are always in a state of dynamic equilibrium between active and inactive states. Explains the activity of inverse agonists.

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26
Q

Decomposition of drugs through oxidation may be prevented by the following:

A

Packing the drug under an inert gas atmosphere to exclude oxygen
Packaging the drug in amber-colored containers to exclude light
Adding chelating agents to remove metal ions
Adding antioxidants

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27
Q

Pharmacophore

A

A set of structural features in a molecule that is recognized at a receptor site and is responsible for the molecules biological activity.
Can include ionizable groups, H bond donors or acceptors, lipophilic features, aromatic ring systems

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28
Q

Structure-activity relationship (SAR) studies

A

May include homologation ( increasing/decreasing length of alkyl chains), chain branching, ring-chain transformations, functional group modifications, and bioisosteric replacement

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29
Q

Drugs that act without specific molecular targets

A

Buffers (antacids)
Gaseous and volatile general anesthetics
Osmotic diuretics or laxatives

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30
Q

Groups of approved biologics

A

Monoclonal antibodies and antibody constructs
Hormones and growth factors
Enzymes

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31
Q

Major classes of receptor superfamilies

A

Receptor-operated channels (nicotinic ACh channel)
Receptor-operated enzymes (epidermal growth factor receptor)
G-protein coupled receptor (a1-adrenergic receptor)
DNA-linked receptors

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32
Q

G-protein coupled receptors

A

Have a transmembrane protein with extracellular and intracellular domains. The intracellular domain is coupled with G-proteins, which facilitate signal transduction after stimulation of the receptor by second-messenger pathways. The drug binding domain lies within one of the transmembrane domains.

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33
Q

Full agonists

A

Bind to receptors and produce a molecular response (conformational change ) that results in maximum tissue response

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34
Q

Competitive agonist

A

Bind to receptors without initiating a molecular response. Their effect is produced by denying endogenous agonists access to the receptor.

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35
Q

Partial agonist

A

Bind to receptors and produce a molecular response, but even at high concentrations, the max response is not achieved. Thus, the maximum tissue response of a partial agonist is less than that of a full agonist. Partial agonists can compete with full agonists and can thus act as antagonists to full agonists.

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36
Q

Inverse agonists

A

Bind to receptor molecules that are in an activated state in absence of a ligand (basal activation). Thus, inverse agonists decrease the basal activation level of a receptor by stabilizing its inactive form

37
Q

Dose requirements for partial vs full agonists

A

If there are spare receptors (usually there are), the partial agonist needs to interact with more receptors to achieve the maximum cellular response. Thus, the partial agonists requires a higher dose than the full agonist.

38
Q

Competitive antagonists

A

Bind to the site normally occupied by the agonist, thereby reducing the number of receptors available for agonist binding.

39
Q

Noncompetitive antagonists

A

Bind to a different ligand-binding site on the receptor (allosteric site) resulting in a conformational change of the receptor that leads to reduced or no agonist binding.

40
Q

Pharmacodynamics vs pharmacokinetics

A

PD- what drug does to body

PK- ADME

41
Q

Type A ADR

A

Side effect

Dose, related, predictable reaction to a drug

42
Q

Type B ADR

A

Non-dose related, unexpected ADR (idiosyncratic reaction)

Allergic reactions, carcinogenic and teratogenic effects

43
Q

PK vs PD DDI

A

PK- ADME of drug

PD-agonist/antagonist interactions

44
Q

Kefauver-Harris amendments of 1962

A

Drugs must be safe and effective

45
Q

To have the desired composition, herbal products must

A

be grown under appropriate conditions, must be the appropriate age before harvest, and must contain the appropriate plant part.

46
Q

Persons with hormone-sensitive cancers should not use

A

DHEA

47
Q

The FDA regulates dietary substances as

A

food

48
Q

Do dietary supplements have to undergo premarket safety and efficacy testing?

A

No

49
Q

Black cohosh

A

Has been described as having antiosteoporosis, antiviral, antitumor, antioxidant, and antiangiogenic activities. May relieve menstrual cramps, hot flashes, sweating
AE- liver toxicity, skin reactions
Little evidence

50
Q

Cranberry (vaccinium macrocarpon)

A

Believed to enhance the urines ability to prevent bacteria from adhering to urinary tract cells.
Some clinical evidence

51
Q

Echinacea

A

Anti-inflammatory, antibacterial activity
May assist in wond healing by stabilizing hyaluronic acid
Prevention and treatment of the common cold

AE- rare, mild

No efficacy in cold treatment

52
Q

Flax

A

Bowel stimulation, Omega-3 supplementation, hyperlipidemia, atherosclerosis, GI disturbances, SLE, RA, local inflammation
No AE
Positive effect of flaxseed on CV health, breast cancer, prostate cancer, lupus, and arthritis
Decreases LDL, decreases BP

53
Q

Garcinia gummi-gutta

A

Weight loss, appetite stimulation, bowel complaints, intestinal parasites, rheumatism
Serotonin syndrome if on other serotonergic agenets
No efficacy

54
Q

Ginger

A

N/V, fever, GI, diarrhea, dysmenorrhea, arthritis, diabetes, anticoagulant
No AE
Ginger is effective in treating nausea and reduced pain in dysmenorrhea

55
Q

Green Tea

A

educe CV risk, Reduce risk of cancers, diuresis, dysuria, mild diarrhea, reduced risk of osteoporosis, HA, CNS stimulant, weight loss
Toxicities are caffeine related (flatulence, abdominal bloating, insomnia, restlessness, tremor, HA)
Significantly reduces systolic BP, total cholesterol, and LDL
Produces modest, but significant reductions in BMI

56
Q

Horehound

A

Expectorant, dyspepsia symptoms
No AE
No evidence

57
Q

Ivy leaf

A

Inflammatory bronchial diseases
Expectorant, antitussive

AE- GI, cannot use with opiate antitussives
Clinical trials- safe and effective adjunct in treating inflammatory lung diseases

58
Q

Turmeric

A

Dry, flaky skin, skin sores and wounds, indigestion, dyspepsia, digestive aid
AE- abdominal pain, constipation, nausea, vertigo, itching
Clinical trials- Lowers LDL and TG, pain reduction in arthritis, improves ulcerative colitis

59
Q

Dietary fish

A

Should be increased to 2 servings/week to decrease risk of CV disease.
This should be lifelong

60
Q

Omega 3 in diet

A

Fish, flaxseed, nuts such as walnuts

61
Q

Glucosamine/ Chondroitin

A

G- Available as HCL salt or sulfate (obtained from shellfish)
C- made from bovine or shark cartilage

Vegetarians need to be made aware of vegetarian formulations

62
Q

Coenzyme Q10

A

Used to treat HF, HTN, angina, diabetes, cancer
AE- GI, mild
Patients on warfarin may have increased INR or PT

63
Q

Dehydroepiandrosterone

A

Used in depression, arthritis, cancer, and as a performance enhancer.
AE- acne, oily skin, voice deepening, weight gain, menstrual changes, gynecomastia, insomnia

64
Q

Vitamin E and Vitamin A

A

May provide protection against CV disease in dietary food. Increased risk at pharmacologic doses.

65
Q

Factors limiting the vitamin D conversion process

A

Dark skin, distance from equator, atmospheric pollution, sunscreen, increased hours spent indoors, obesity

66
Q

Active Vitamin D

A

1,25-hydroxyD3

67
Q

Excipient

A

An inert substance that is used to constitute the final dosage form to ensure adequate delivery of the drug

68
Q

Enthalpy

A

Heat content
As a temp increases, the enthalpy increases proportionally
Substances can undergo a phase change or change of state

69
Q

Solubility

A

The # of mL of solvent needed to dissolve 1 g of solute

70
Q

Liquids tend to assume a _____shape

A

spherical

A volume with the minimum surface area and least free energy

71
Q

Surface free energy

A

The work required to increase the surface area A of the liquid by 1 unit area

72
Q

Newtonian substances

A

Liquids that behave according to viscosity eqn

73
Q

Crystalline solids

A

Ice or NaCl

Are arranged in fixed geometric patterns and exhibit definitive shape

74
Q

Amorphous solids

A

Show a lower degree of order and have randomly arranged units. Wider range of nondistinct melting points. Isotropic

75
Q

Colloid

A

Type of chemical mixture in which one substance is dispersed evenly throughout another

76
Q

Suspension

A

2-phase coarse dispersion system that is composed of insoluble solid material dispersed in an oily or aqueous liquid medium.

77
Q

Emulsion

A

Thermodynamically unstable heterogenous system that consists of at least one immiscible liquid that is intimately dispersed in another to form droplets.

78
Q

Shelf life

A

Time lapsed to maintain 90% of the drug at a specific temperature or pH

79
Q

Suspensions follow ______ kinetics

A

zero-order

80
Q

Sublingual/buccal absorption

A

thin mucus membranes cause a low barrier to systemic entry.

High vascularity allows a high-concentration gradient.

81
Q

Paracellular absorption

A

Only low molecular weight and highly hydrophilic compounds are absorbed paracellularly (between cells). This is due to tight junctions between the cells that limit abs

82
Q

Transcellular abs

A

Across the epithelial cells

Occurs as either passive diffusion, carrier-mediated transport, or pinocytosis

83
Q

Passive diffusion

A

Most common mech of abs

Diffuse from a region of high concentration (gastric fluids) to low (blood circulation)

84
Q

Pinocytosis

A

plays a very small role in drug transport. In pinocytosis, molecules or carrier packets are engulfed by a cell. The cell membrane encloses the molecule. It then fuses again, forming a vesicle that detaches and moves to the cell interior, where it releases its contents. Liposomes are examples of drugs that enter cells by pinocytosis.

85
Q

Enteric coated

A

Designed to minimize exposure to the acidic pH of the stomach

86
Q

Diluents

A

Provide bulk in tablet and accurate dosing of drug

87
Q

Binders

A

Bind powders together to aid in granulation and compression

88
Q

Lubricants

A

Prevent adherence of granules and powders to tablet punches and dies; aid smooth ejection of tablets

89
Q

Polymers

A

Modulates drug dissolution from tablet

90
Q

Vd

A

The theoretical volume that would occur if the drug were allowed to completely distribute throughout the body w/o elimination

91
Q

First order elimination

A

A constant percentage of drug eliminated per unit time