17 drug elimination Flashcards

(33 cards)

1
Q

what does metabolism refer to

A

enzyme mediated bio transformations that alter the pharmacological activity of compounds

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2
Q

what do biotransformations do

A

they increase the hydrophilic character to render metabolites water soluble which aids urinary excretion

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3
Q

do hydrophilic molecules dissolve in water

A

yes and they don’t cross lipid membranes

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4
Q

do hydrophobic molecules tend do be lipophillic

A

yes so they will cross lipid membranes

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5
Q

what functional groups do many polar drugs contain

A

water soluble ones
-OH, NH2, COOH

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6
Q

what functional groups do non polar molecule contain

A

non water soluble ones
- CH2, CH3 and or C5H6

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7
Q

what does H bonding between polar functional groups and water favour

A

aqueous solubility

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8
Q

how can water solubility of a drug be increased

A
  • by introducing polar functional groups
  • by removing non polar functional groups
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9
Q

what groups does metabolism work on

A
  • removal groups with positive log P fragment values to reduce log P of parent drug
  • adding groups with negative log P fragment values to reduce log P of drug
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10
Q

what is deamination metabolism

A

when NH2 is removed from an amino acid or other compound

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11
Q

what is O-dealkylation

A

when an alkyl group is removed from oxygen

commonly catalysed by CYP450

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12
Q

what is N-dealkylation

A

alkyl group is removed from Nitrogen

usually carried out by CYP450

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13
Q

what is racemisation

A

the process by which a chiral compound converts from one enantiomer to its mirror image

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14
Q

what do phase 1 reactions do overall

A

covert parent compounds into a more hydrophilic metabolite by adding or unmasking polar groups

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15
Q

what do phase 2 reactions do overall

A

conjugate with endogenous substrates to further increase water solubility

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16
Q

what are the two types of oxidation reactions

A
  • oxygen is incorporated into the drug molecule
  • oxidation causes the loss of part of the drug molecule
17
Q

what is aromatic hydroxylation

A

hydroxyl group (OH) is added to aromatic ring

usually carried it by CYP450

18
Q

what is aliphatic hydroxylation

A

a hydroxyl group (OH) is added to an aliphatic carbon chain

19
Q

what type of molecule does N-dealkylation of amines usually generate

A

ones referred to as nor- metabolites

eg morphine to N- morphine

20
Q

what type of molecules does dealkylation generation

A

des- metabolites

eg metoprolol to desmetoprolol

21
Q

what does the flavin monoxygenase system do

A

OXIDISE nitrogen, sulfur and phosphorus

22
Q

what do alcohol dehydrogenases do

A

oxidise alcohols to produce aldehydes or ketones

23
Q

what do esterases do

A

catalyse hydrolysis of esters

24
Q

what do amidases do

A

break down amides

25
what are the conjugation reactions s
- glucoronidation - sulfation - glutathione conjugation
26
what is glucuronidation
- addition of glucuronic acid backbone (6 members sugar with a COOH and OH) looks like an aromatic ring with lots of OHs coming off it
27
what is sulfation
addition of sulfate SO3
28
what catalyses transfer of sulfur
SULTS
29
how to tell glutathione and acetyl cystine conjugation
has SH Group
30
how to calculate logP
log(V of compound in oil/V of compound in water)
31
formula for logD
logP + log(F unionised)
32
formula for F unionised acids and bases
ACID — 1 / 1+10^PH-PKA BASES — 1 / 1+10^PKA-PH
33
how to calculate F ionised
F unionised - 1