Module 1.4: Medicinal Chemistry Flashcards

Oraganic Medicinal Chemistry

1
Q

SAR adrenergic Agonist: Substitution at R2

A

Increase in alpha 2 activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

SAR adrenergic Agonist: Substitution at R2

A

Increases B-activity
Increase CNS & Oral activity
Decrease degradation by MAO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

SAR adrenergic Agonist: Aromatic Substitution

A

3-OH is for Alpha activity
* 4-OH is for Beta activity
* 3&4-OH – both

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

SAR adrenergic Agonist: Aromatic Substitution
3-OH is for
* 4-OH is for
* 3&4-OH – both

A

3-OH is for Alpha activity
* 4-OH is for Beta activity
* 3&4-OH – both

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

SAR adrenergic Agonist: aromatic substitution at3 and 4
___, ____ oral activity

A

Polar, decreases oral activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

SAR adrenergic Agonist: aromatic sustitution: Metabolized by ___ leading to Shorter DOA

A

COMT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

SAR adrenergic Agonist: aromatic sustitution: Metabolized by COMT leading to _____

A

Shorter DOA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Adrenergic agonist means

A

Sympathomimetic activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

SAR of Adrenergoc Agonist:
Lack of 1 OH –__
▪ Absence of both OH – __

A

resistance to COMT
indirect activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Adrenergic agonist means

A

Fight or flight response: Sympathomimetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

SAR adrenergic Agonist: Aromatic Substitution
3-OH replacement by ___ 3-OH replacement by _________ will
→increase Beta activity
→ decrease degradation by COMT

A

Methanol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

SAR adrenergic Agonist: Aromatic Substitution Moving 4-OH to 5-OH will
___
____

A

→increase B2 activity
→ decrease degradation by COMT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

SAR adrenergic Agonist: Aromatic Substitution
Moving____ will
→increase B2 activity
→ decrease degradation by COMT

A

4-OH to 5-OH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

SAR of Adrenergoc Agonist:
____ – resistance to COMT
_____- indirect activity

A

Lack of 1 OH
Absence of both OH –

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

SAR of Adrenergoc ANTAGONIST: Alpha blocker
pharmacopore

A

Quinazoline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

SAR of Adrenergoc ANTAGONIST: ____

A

Sympatholitic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

SAR of Adrenergoc ANTAGONIST: Alpha blocker
Prototype

A

Prazosin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

SAvR of Adrenergoc ANTAGONIST: Alpha blocker
____ is essential for the activity

A

4-amino group

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

SAR of Adrenergoc ANTAGONIST: Alpha blocker
__ 2nd position of quinazoline

A

Piperazine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

SAR of Adrenergoc ANTAGONIST: Alpha blocker
Positions __, __, __, __ can be varied

A

5,6,7,8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

SAR of Adrenergoc ANTAGONIST: Alpha blocker
Can be any heterocyclic ring

A

Piperazine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

SAR of Adrenergoc ANTAGONIST: Alpha blocker
examples

A

Piperazine and piperadine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

SAR of Adrenergoc ANTAGONIST: BETA blocker
Pharmacopore

A

Aryloxopropanol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

SAR of Adrenergoc ANTAGONIST: BETA blocker
Prototype

A

Propranolol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
SAR of Adrenergoc ANTAGONIST: BETA blocker ____ can be varied with other heteroaromatic ring
Aryl ring
26
SAR of Adrenergoc ANTAGONIST: BETA blocker __, and __ both beneficial to activity
Branching & extension
27
SAR of Cholinergic agonists: ___
parasympathomimetic
28
SAR of Cholinergic agonists: Direct Acting Pharmacopore
Acetylcholine
29
SAR of Cholinergic agonists: Direct Acting Prototype
Acetylcholine
30
SAR of Cholinergic agonists: Direct Acting Acetylcholine components Functional group
- Acetoxy/Ester Portion * Ethylene Bridge * Quaternary Nitrogen All are essential for the activity – overall size of the molecule should not be altered
31
SAR of Cholinergic agonists: Direct Acting Acetylcholine components Functional group All are essential for the activity – overall size of the molecule ___ be altered
should not
32
SAR of Cholinergic agonists: Direct Acting _____ * The methyl group cannot be extended but may be replaced with NH2 (Carbamate) * Not easily hydrolyzed * Longer DOA
Acetoxy/Ester Portion
33
SAR of Cholinergic agonists: Direct Acting Acetoxy/Ester Portion * ____ cannot be extended but may be replaced with NH2
The methyl group
34
SAR of Cholinergic agonists: Direct Acting _____ cannot be altered
Ammonium group
35
SAR of Cholinergic agonists: Direct Acting Acetoxy/Ester Portion Not easily ____ Longer ___
hydrolyzed DOA
36
SAR of Cholinergic agonists: Direct Acting ___: Addition of methyl increase muscarinic selectivity; longer duration of action
choline/ ethylene bridge
37
SAR of Cholinergic agonists: INDIRECT Acting - Prototype: Physostigmine * Equivalent to the ester of acetylcholine (recognize by AChE but not easily hydrolyzed by the enzyme
Carbamate
38
SAR of Cholinergic agonists: Direct Acting choline/ ethylene bridge : Addition of ___ increase muscarinic selectivity; longer duration of action
methyl
39
SAR of Cholinergic agonists: INDIRECT Acting Prototype of Carbamate
Physostigmine
40
SAR of Cholinergic agonists: INDIRECT Acting Carbamate: Equivalent to the ____ (recognize by AChE but not easily hydrolyzed by the enzyme)
ester of acetylcholine
41
SAR of Cholinergic agonists: INDIRECT Acting Carbamate: has a ___ group
amino group
42
SAR of Cholinergic agonists: INDIRECT Acting Carbamate: has an amine group to prevent ____
hydrolysis
43
SAR of Cholinergic ANTAGONIST: _____ Prototype drug: Atropine Contains Tropane ring system
Amino Alcohols Esters SAR
44
SAR of Cholinergic ANTAGONIST: Amino Alcohols Esters SAR Prototype drug: ___ Contains Tropane ring system
Atropine
45
SAR of Cholinergic ANTAGONIST: Amino Alcohols Esters SAR Prototype drug: Atropine Contains _____system
Tropane ring
46
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine MOA: Increase ______________ of opening of GABA-gated Chloride Channel
47
SAR of Anxiolytics, Sedative, and Hypnotic agents __ C=O – is essential for the activity * Fused triazole or Imidazole ring at positions 1 and 2 – increases activity * Fused ring – Imidazole = Midazolam
Benzodiazepine
48
SAR of Anxiolytics, Sedative, and Hypnotic agents ____ MOA: Increase frequency of opening of GABA-gated Chloride Channel
Benzodiazepine
49
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine MOA: Increase frequency of opening of ____
GABA-gated Chloride Channel
50
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine MOA: Increase ______________ of opening of GABA-gated Chloride Channel
Frequency
51
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine ___ – is essential for the activity * Fused triazole or Imidazole ring at positions 1 and 2 – increases activity * Fused ring – Imidazole = Midazolam
C=O Carboxyl
52
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine C=O – is essential for the activity _____ or Imidazole ring at positions 1 and 2 – increases activity * Fused ring – Imidazole = Midazolam
* Fused triazole
53
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine C=O – is essential for the activity * Fused triazole or ____ at positions 1 and 2 – increases activity * Fused ring – Imidazole = Midazolam
Imidazole ring
54
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine C=O – is essential for the activity * Fused triazole or Imidazole ring at positions ____ – increases activity * Fused ring – Imidazole = Midazolam
1 and 2
55
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine C=O – is essential for the activity * Fused triazole or Imidazole ring at positions 1 and 2– _____ * Fused ring – Imidazole = Midazolam
increases activity
56
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine C=O – is essential for the activity * Fused triazole or Imidazole ring at positions 1 and 2– increases activity *______ – Imidazole = Midazolam
Fused ring
57
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine
58
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine ______ substitution with EWG increases the activity= increases CNS Activity
X - Carbon7
59
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine X: substitution with EWG increases the activity= _______
increases CNS Activity
60
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine= _____ group – increases the activity * Prime numbering in the aromatic ring indicates the possible attachment of substituents * 2’ or 2’ and 6’ – substitution with EWG will increase the drug activity * 4’ substitution – will decrease the activity
5-phenyl
61
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine= 5-phenyl group – ___ * Prime numbering in the aromatic ring indicates the possible attachment of substituents * 2’ or 2’ and 6’ – substitution with EWG will increase the drug activity * 4’ substitution – will decrease the activity
increases the activity
62
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine= 5-phenyl group – increases the activity * ______ numbering in the aromatic ring indicates the possible attachment of substituents * 2’ or 2’ and 6’ – substitution with EWG will increase the drug activity * 4’ substitution – will decrease the activity
Prime
63
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine= 5-phenyl group – increases the activity * Prime numbering in the aromatic ring indicates the possible attachment of substituents *______ – substitution with EWG will increase the drug activity * 4’ substitution – will decrease the activity
2’ or 2’ and 6’
64
SAR of Anxiolytics, Sedative, and Hypnotic agents BenSAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine= 5-phenyl group – increases the activity * Prime numbering in the aromatic ring indicates the possible attachment of substituents * 2’ or 2’ and 6’ – substitution with EWG will increase the drug activity *______ – will decrease the activityzodiazepine= 5-phenyl group – increases the activity
4’ substitution
65
SAR of Anxiolytics, Sedative, and Hypnotic agents Benzodiazepine= 5-phenyl group – increases the activity * Prime numbering in the aromatic ring indicates the possible attachment of substituents * 2’ or 2’ and 6’ – substitution with EWG will increase the drug activity * 4’ substitution – will ____ the activity
decrease
66
SAR of Anxiolytics, Sedative, and Hypnotic agents Barbiturates MOA: Increase duration of ____
opening of GABA-gated Chloride Channel
67
SAR of Anxiolytics, Sedative, and Hypnotic agents Barbiturates MOA: Increase _____________ of opening of GABA-gated Chloride Channel
duration
68
SAR of Anxiolytics, Sedative, and Hypnotic agents Barbiturates _______ * Increase lipophilicity * Quick Onset and Short DOA
R1 Alkyl substitution
69
SAR of Anxiolytics, Sedative, and Hypnotic agents Barbiturates R1 Alkyl substitution *___ * Quick Onset and Short DOA
Increase lipophilicity
70
SAR of Anxiolytics, Sedative, and Hypnotic agents Barbiturates R1 Alkyl substitution * Increase lipophilicity * Quick Onset and ___
Short DOA
71
SAR of Anxiolytics, Sedative, and Hypnotic agents Barbiturates ______ * Increase lipophilicity * Ultra-short acting effect
Replacing oxygen w/ sulfur
72
SAR of Anxiolytics, Sedative, and Hypnotic agents Barbiturates R5 Alkyl or Aryl (Aromatic ring) substitution * Increase ____
lipophilicity
73
SAR of antipsychotic and antidepressant drug Antipsychotic : _______ * Increases the potency
R2 EWG substitution
74
SAR of antipsychotic and antidepressant drug Antipsychotic : R2 EWG substitution * _____
Increases the potency
75
SAR of antipsychotic and antidepressant drug Antipsychotic : 3 degree Amine * ____ must have a N-containing side chain on the ring N and must be separated by at least 3C! * Essential for the activity
R-group
76
SAR of antipsychotic and antidepressant drug Antipsychotic : 3 degree Amine * R-group must have a ___ side chain on the ring N and must be separated by at least 3C! * Essential for the activity
N-containing
77
SAR of antipsychotic and antidepressant drug Antipsychotic : 3 degree Amine * R-group must have a N-containing side chain on the ring N and must be separated by at least ___ * Essential for the activity
3C!
78
SAR of antipsychotic and antidepressant drug Antipsychotic : 3 degree Amine * R-group must have a N-containing side chain on the ring N and must be separated by at least 3C! * ______
Essential for the activity
79
SAR of antipsychotic and antidepressant drug ______ SAR is somehow related to antipsychotic
Antidepressants:
80
SAR of antipsychotic and antidepressant drug Antipsychotic : Tertiary amine is essential for the activity of___, and ___
antihistamine and anticholinergic
81
SAR of antipsychotic and antidepressant drug _____ The ring side and side chain Nitrogen is separated by 3C
Antidepressants
82
SAR of antipsychotic and antidepressant drug ___ The Central Ring System makes the two aromatic rings “skewed” which is required for the activity
Antidepressants
83
Isolated from Papaver somniferum
SAR of Opiod Analgesic
84
What is the pharmacopore of SAR of Opiod Analgesic
aromatic ring Phenol tertiary amine
85
Opiod Analgesic SAR: It is the aromatic ring
Ring A
86
Opiod Analgesic SAR: ___ + 3-OH is the phenol
Ring A
87
Opiod Analgesic SAR: contains the tertiary amine
Ring D
88
Opiod Anlagesic: Addition of ___ to 3C will result to Codeine
Methyl
89
Opiod Anlagesic: Addition of methyl to 3C will result to _____
Codeine
90
Opiod Anlagesic: Addition of methyl to 3C will result to codeine Addition of either ___or ___ will decrease the activity
methyl
91
Opioid Analgesic SAR: ▪______ removal of a particular part of the molecule and observe its effect to the activity
Drug dissection:
92
Opioid Analgesic SAR: Drug dissection: removal of a 6-OH or Alkene at position 7 or 8= _____
Retained activity
93
Opioid Analgesic SAR: Drug dissection: removal of ring D= ____
Decreased activity
94
Opioid Analgesic SAR: Drug dissection: removal of ring E * retained activity * Will result to ___ such as Levorphanol which are more potent and longer acting than Morphine
morphinans
95
Opioid Analgesic SAR: Drug dissection: removal of ring E * _____ * Will result to morphinans such as Levorphanol which are more potent and longer acting than Morphine
Retained activity
96
Opioid Analgesic SAR: Drug dissection: ______ * Retained activity * Will result to morphinans such as Levorphanol which are more potent and longer acting than Morphine
removal of ring E
97
Opiod Analgesic: Drug dissection: removal of ring ___ * Retained activity * Will result to Benzomorphans such as Pentazocine
C and D also E
98
Opiod Analgesic: Drug dissection: removal of ring C and D * _____ * Will result to Benzomorphans such as Pentazocine
Retained activity
99
Opiod Analgesic: Drug dissection: removal of ring C and D * Retained activity * Will result to ___ such as Pentazocine
Benzomorphans
100
Opiod Analgesic: Drug dissection: removal of ring __, __, and __ * Retained activity * Will result to 4 phenylpiperidines such as Fentanyl (more flexible molecules)
B, C and E
101
Opiod Analgesic: Drug dissection: removal of ring C and D * Retained activity * Will result to Benzomorphans such as ___
Pentazocine
102
103
Opiod Analgesic: Drug dissection: removal of ring B, C and E * ___ * Will result to 4 phenylpiperidines such as Fentanyl (more flexible molecules)
Retained activity
104
Opiod Analgesic: Drug dissection: removal of ring B, C and E * Retained activity * Will result to 4 ___ such as Fentanyl (more flexible molecules)
phenylpiperidines
105
Opiod Analgesic: Drug dissection: removal of ring B, C and E * Retained activity * Will result to 4 phenylpiperidines such as __ (more flexible molecules)
Fentanyl
106
It is more potent than benzodiazepines
Barbiturates
107
it is 100x more potent than morphine
fentanyl
108
Pharmacopore of what Lipophilic ring that may be substituted * A linker (ester or amide) * Amine group that is usually tertiary amine
SAR of Local anesthetic:
109
SAR of Local anesthetic: What Functional group is the linker
A linker is an ester and amide
110
SAR of Local anesthetic: __ group that is usually tertiary amine
amine group
111
Contain a system of conjugated double bonds in macrocyclic lactone rings. They differ from erythromycin in that they are larger and contain the conjugated –ene system of double bonds
Polyenes
112
this MOA: Binds with ergosterol and acts as false membrane component causing membrane disruption belongs to
Antifungal agents: Polyenes
113
Polyenes Contain a system of ___ in macrocyclic lactone rings. They differ from erythromycin in that they are larger and contain the conjugated –ene system of double bonds
conjugated double bonds
114
Polyenes Contain a system of conjugated double bonds in ___. They differ from erythromycin in that they are larger and contain the conjugated –ene system of double bonds
macrocyclic lactone rings
115
Polyenes Contain a system of conjugated double bonds in macrocyclic lactone rings. They differ from _____ in that they are larger and contain the conjugated –ene system of double bonds
erythromycin
116
Polyenes Contain a system of conjugated double bonds in macrocyclic lactone rings. They differ from erythromycin in that they are larger and contain the ___ of double bonds
conjugated –ene system
117
Polyenes: 26-membered ring-polyenes: ___
natamycin
118
Polyenes: 38-membered ring-polyenes: ____, ____
nystatin, and amphotericin B
119
Polyenes: MOA: Binds with ___ and acts as false membrane component causing membrane disruption
ergosterol
120
Source of Amphotericin B
Streptomyces nodosus
121
Antifungal agents that is Indicated for the treatment of severe life-threatening infections; systemic mycoses
Amphotericin
122
amphotericin B is indicated for the txt of severe life-threatening infections; systemic mycoses
Amphotericin B
123
It is a antifungal agents that is Not absorbed systemically when given orally and is too toxic to be given parenterally. Hence, is administered topically
Nystatin
124
Source of nystatin is ___
Streptomyces noursei
125
Antifungal agents: Azole: Synthetic antifungal agents that can achieve ____ for the infecting fungus over host
selectivity
126
Polyenes is similar to ____ (Macrolides)
Erythromycin
127
Antifungal agents thatmust not br given IM
Amphotericin B
128
In griseofulvin, when there is increase in fats = ____ in absorption
increase
129
Antifungal agents MOA ofAllylamine and related compounds
MOA: Inhibits ergosterol synthesis via inhibiting squalene epoxidase.
130
aNTIFUNGAL AGENT that is not absorbed systematically weh given orally and is toxic ____
not absorbedsystematically - orally toxic - parenterally
131
Antifungal agents: Azole: ___ functionality confers high lipophilicity except Fluconazole
Non-polar
132
Antifungal agents: ___ Isolated from Penicillum griseofulvum
griseofulvin
133
Griseofulvin oral bioavailability is ____
poor
134
Antifungal agents: Used for ringworm infections
Griseofulvin
135
Antifungal agents: ______ MOA : Inhibits ergosterol synthesis via inhibiting squalene epoxidase
Allylamine and related compounds
136
wha is the MOA of griseofulvin
Mitotic spindle poison
137
Antifungal agents MOA: Mitotic spindle poison
Griseovulfin
138
Antifungal agents Example of Allylamine and related compounds
Examples: Naftiline, Terbinafine, Tolnaftate (not an allylamine)
139
Antifungal agents: ____ ▪ MOA: Inhibits lanosterol 14-a-demethylase * High Conc: Fungicidal * Low Conc: Fungistatic
Azole
140
Antifungal agents: Azole ▪ MOA: _____ * High Conc: Fungicidal * Low Conc: Fungistatic
Inhibits lanosterol 14-alpha demethylase
141
Antifungal agents: Azole ▪ MOA: Inhibits lanosterol 14-a-demethylase * High Conc: _____ * Low Conc: ____
Fungicidal Fungistatic
142
Antifungal agents: ______ ▪ MOA: Inhibits lanosterol 14-a-demethylase
Azole
143
Antifungal agents: ____Synthetic antifungal agents that can achieve selectivity for the infecting fungus over host
Azole
144
Antifungal agents: _____: Must contain weakly basic imidazole or triazole ring bonded by a nitrogen-carbon linkage to the rest of the structure
Azole
145
Antifungal agents: Azole: Must contain _______ or triazole ring bonded by a nitrogen-carbon linkage to the rest of the structure
weakly basic imidazole
146
Antifungal agents: Azole: The most potent antifungal azoles possess ____ with at least one of which is halogen substitute
two or three aromatic rings
147
Antifungal agents: Azole: Halogen atom that yields most potency is ____
fluorine
148
Antifungal agents: Azole: Non-polar functionality confers ___ except Fluconazole
high lipophilicity
149
Antifungal agents: Azole: Presumably, the large non polar portion of these molecules mimics the non-polar steroidal part of ___
lanosterol 14-a-demethylase
150
Antifungal agents: Azole: ▪ Substitution at other positions of the ring yields ____
inactive compounds.
151
Antifungal agents: Azole: Non-polar functionality confers high lipophilicity except ___
Fluconazole
152
Antifungal agents: Azole: Presumably, the large non polar portion of these molecules mimics the ___part of lanosterol 14-a-demethylase
non-polar steroidal
153
Azole SAR: Imidazole Examples
COMET-K Clotrimazole Oxiconazole Miconazole Econazole Tioconazole - Ketoconazole
154
Azole SAR: TRIAZOLE, Examples
FITVIP Fluconazole Itraconazole Terconazole Voriconazole Isavuconazole Posaconazole
155
Nucleoside Flucytosine MOA: Taken up by ___ and is converted to 5-fluorouracil which inhibits thymidylate synthase.
fungi
156
Nucleoside ____ MOA: Taken up by fungi and is converted to 5-fluorouracil which inhibits thymidylate synthase.
Flucytosine
157
It is an antifungal agent that is Taken with_____ to decrease its resistance.
It is an antifungal agent that is Taken with_____ to decrease its resistance.
158
Nucleoside Flucytosine MOA: Taken up by fungi and is converted to ____ which inhibits thymidylate synthase.
5-fluorouracil
159
Nucleoside ____ MOA: Taken up by fungi and is converted to 5-fluorouracil which inhibits ____
thymidylate synthase.
160
It is an antifungal agent that is Taken with_____ to decrease its resistance.
Amphotericin B
161
__ Generalities: Have one common structural features – a quinoline ring or a quinoline with an additional benzene added (an acridine ring)
Antimalarial agents
162
Antimalarial agents Generalities: Have one common structural features – a _____ring or a ____ with an additional benzene added (an acridine ring)
quinoline
163
Antimalarial agents Generalities: Have one common structural features – a quinoline ring or a quinoline with an additional ____ added (an acridine ring)
benzene
165
Used against the Plasmodium species
Antimalarial agents
166
Antimalarial agents: is used as____ species
Plasmodium species
167
Antimalarial agents Cinchona Alkaloid ______ Quinine’s spectrum of activity is considered to narrow for prophylactic use relative to the synthetic agents.
Quinine and Quinidine
168
Quinine and Quinidine of activity is considered to narrow for prophylactic use relative to the synthetic agents.
Quinine’s spectrum
169
Antimalarial agents Quinine and Quinidine Quinine’s spectrum of activity is considered to narrow for ____ relative to the synthetic agents.
prophylactic use
170
Antimalarial agents Cinchona Alkaloid: Is still indicated for malaria caused by ___ to other agents like chloroquine
P.falciparum resistant
171
Antimalarial agents Side effects of Cinchona Alkaloid
Cinchonism (nausea, vomiting, tinnitus, and vertigo)
172
Antimalarial agents Cinchona Alkaloid: Is still indicated for malaria caused by P.falciparum resistant to other agents lwhat is the ike____
chloroquine
173
What is the manifestation of Cinchonism
nausea, vomiting, tinnitus, and vertigo
174
antimalarial agents Are the closest of the anti-malarial that are based on the quinine structure.
4-aminoquinolines
175
Antimalarial agents This group is substituted at the same position 4 as quinine and have an asymmetric carbon equivalent to quinine’s C-9 position
4-aminoquinolines
176
Just as with quinine, both isomers are active and the 4-aminoquinoline racemic mixtures are used
4-aminoquinolines
177
considered the prototype of anti-malaria
Chloroquine & Chloroquine PO4
178
Antimalarial agents Chloroquine & Chloroquine PO4 considered the prototype of anti-malarial HCl- ____ PO4- ____
HCl – parenteral PO4 – oral
179
DOC for erythrocytic malaria; also used in SLE and RA
4-aminoquinolines
180
4-aminoquinolines is a DOC for ___, ___, and ____.
DOC for erythrocytic malaria; also used in SLE and RA
181
____ – the only drug effective against the exoerythrocytic stages of malaria
Primaquine: antimalarial agents
182
Primaquine: the only drug effective against the ____ stages of malaria
exoerythrocytic
183
What should be watch out for (WOF) 8-aminoquinolines
WOF: hemolytic anemia – G6PD px
184
G6PD stands for
Glucose 6 phosphate deficiency
185
what should be watch out for (WOF) 4-aminoquinolines
▪ WOF: QT Prolongation- affects the heart
186
Antimalarial agents: Polycyclic Drugs ___ – newest of the anti-malarial drug from the natural source of Artemisia annua
Artemisinin
187
Antimalarial agents: Polycyclic Drugs Artemisinin – newest of the anti-malarial drug from the natural source of ____
Artemisia annua
188
Used in DMARD (Demodifying anti-rheumatic drug) and also anti-malarial drug
Hydroxychloroquine
189
BEQ: What drug has Gemtocidal activity (Vs Vivax, Ovale, Malariae)
Quinine Choloquine
190
BEQ: drugs that have an activity to Gametocidal (vs. all plasmodium spp.)
Primaquine, Artremisinin
191
BEQ: drugs that have an activity to tissues schizonticide
Primaquine
192
BEQ: drugs that have an activity as radical cure
Primaquine
193
BEQ: drugs that have an activity as prevention of relapse
Primaquine