What makes a good drug? Exceptions Flashcards

1
Q

What is the go-to solubility measurement for drugs and what is its shortcoming?

A

Shake-flask method (preparing a solution and removing/analyzing solid)
Usefulness is questionable: does not take crystallinity into account

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2
Q

Why is solubility an important factor for a drug (what happens if your drug is not soluble?)

A

Determines how well your body absorbs drug

At 0 solubility it doesn’t leave your GI and it passes right out

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3
Q

How does crystallinity affect solubility?

A

Lowers solubility

Ratio of non-crystalline:crystalline solubility can be up to 1000

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4
Q

What are the 3 essential steps that are required for a solute drug molecule to enter a solution?

A
  1. a single solute molecule is removed from crystal lattice
  2. a void is created in the solvent
  3. the solute molecule inserts itself into the void created by the solvent
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5
Q

How can you decrease the energy required for a solute to dissolve?

A
Add ionizable groups
Reduce logP
Add hydrogen bonding
Reduce molecular weight
Out-of-plane substitution to replace crystal packing
Construct a prodrug
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6
Q

What are the 5 types of polymorphs seen in class?

A
Amorphous
Polymorphs
Hydrate/solvate
Co-crystal
Salt
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7
Q

What is the solubility trade-off when it comes to polymorphs as drugs?

A

The most thermodynamically stable polymorph has the better half-life for a drug, but it’s always the least soluble

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8
Q

What is an example of when solubility is not important for a drug?

A

A drug that does not need to be absorbed, eg acts on the GI

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9
Q

What is a potential solution for insoluble drugs? What is a potential downside to this?

A

Micelle/liposome formation

Surfactant-induced hypersensitivity

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10
Q

Why are prodrugs useful?

A

Can be transported to target location and be converted to a less-soluble active drug

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11
Q

What is the typical concept for prodrug structure?

A

Active drug with an inactivating promoiety that gets removed once in the target location

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12
Q

What is the most common prodrug modification for making drugs more lipophilic?

A

Making an ester of the drug (esterases are highly prevalent in the body, increases bioavailability)

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13
Q

What happens when a drug is too lipophilic?

A

Make a salt, increases water solubility

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14
Q

How can solubility be circumvented by the addition of special groups?

A

Special groups can be targeted by peptide transporters and shuttle the prodrug inside the body regardless of solubility

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15
Q

What is a soft drug and when is it useful?

A

An active drug that is predictively/consistently metabolised into an inactive drug
Useful when controlled administration is useful (eg anesthesia or analgesia)

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16
Q

True/False? Soft Drugs rely on cytochrome activity for their inactivation

A

False. Humans have such a varied distribution of Cytochromes

Most soft drugs use esterases (highly conserved and more likely to inactivate drug)

17
Q

Nucleic acid drugs have lots of potential but 3 large downsides. What are they?

A

Large
Negatively charged
Sensitive to degradation enzymes

18
Q

What are the 3 types of biomolecule drugs?

A

siRNA, Protein, heparin?

19
Q

How can protein drug half life be increased?

A

PEGylation
Fc fusion
Albumin (+linker) conjugation