Medicinal Chemistry: Anaesthesia and Analgesia lecture Flashcards
How is Cocaine isolated
Cocaine is isolated from natural sources
Procaine
Local anaesthetic
Which Local Anaesthetics has longer duration of action
Lidocaine (Amino amide)
Henderson-Hasselbalch Equation
what % of drug is ionised in a particular point of the body
pH of skin
5.5
pH of blood plasma
7.4
local anaesthetics are
weak bases
How do local anaesthetics work
- local anaesthetics work by blocking sodium channels
- for a local anaesthetic to work some must be de-protonated
Tetracaine has
2 ionisable centres
Local Anaesthetics: SAR
Need to have an aromatic group, lipophilic group and at least one ionisable group
Zwitterionic
ion which has a positive and negative charge
Codeine activity
codeine has no activity as an opioid
Opioid Analgesics
weak bases
4-Phenylpiperidines
- used widely as analgesia in child birth for anaesthetic of lower back
- lower activity than morphine and shorter duration of action