MP1 The pharmaceutical industry Flashcards

(29 cards)

1
Q

what plant is digoxin isolated from and what does it treat?

A

foxglove
heart failure

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2
Q

what plant is morphine isolated from and what does it treat?

A

opium poppy
painkiller

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3
Q

what plant is quinine isolated from and what does it treat?

A

cinchona bark
anti-malaria

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4
Q

describe and explain an example of when a drug has been chemically modified to obtain a ‘better drug’

A
  • morphine is transformed into diacetylmorphine which is better known as heroin
  • in the past, heroin has been recommended as a cough medicine for children before we were aware of addictive properties
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5
Q

who was the first ‘antibiotic’ discovered by and what was it?

A
  • Ehrlich, 1909
  • Salvarsan (arsenic compound derived from dyes)
  • only used for a few years as it had lots of side effects
  • first effective drug against syphilis
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6
Q

when was penicillin discovered, who by and when was it first used in clinic?

A
  • discovered 1928
  • by Alexander Fleming
  • first used in the clinic in 1938 due to tricky synthesis
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7
Q

when was the discovery of the first sulphonamide and who made the discovery?

A

Bayer in 1932

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8
Q

describe Prontosil in terms of what happens to it in the body and when this was discovered

A
  • cleaved (split) in the body
  • it is a pro-drug
  • discovered in 1937
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9
Q

what is meant by a pro-drug?

A

a compound with no physiological activity as itself but it is then converted into a drug in the body

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10
Q

different classes of sulphonamides have been developed for various conditions. name some

A

high blood pressure
diabetes
glaucoma

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11
Q

what is meant by the ‘Golden Age’?

A
  • emergence of the modern pharmaceutical industry post WW2 (advances in chemical synthesis, microbiology, pharmacology)
  • development of new drugs at an astonishing rate (1940s-60s)
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12
Q

describe the Thalidomide disaster

A
  • drug was licensed for OTC sales in 1956 after only being tested on rats (if tested in rabbits, the effects would have been obvious)
  • marketed to pregnant women
  • reduced morning sickness
  • caused birth defects (small limbs)
  • more than 10 000 babies affected and half of these died within 1 year of life
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13
Q

what is a word to describe thalidomide?

A

teratogenic
(harmful to foetuses)

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14
Q

describe the aftermath of the thalidomide disaster

A
  • removed from market in 1961
  • long criminal trial (conclusion and punishment decided 40 years later)
  • tougher testing and approval procedures for new drugs in many countries
  • pharmaceutical industry gained a bad reputation
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15
Q

describe the pharmaceutical industry today

A
  • dominated by huge companies with different sites in several countries (BIG PHARMAs)
  • mergers and takeovers to create conglomerates
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16
Q

state an example of a pharmaceutical company made from merging

17
Q

what is a blockbuster in the pharmaceutical industry and state an example of one

A
  • pharmaceutical companies usually make large sales from 1-3 ‘blockbusters’
  • eg. Pfizer has Viagra and the covid vaccine which were their blockbusters
18
Q

state some challenges faced by the pharmaceutical industry

A
  • tight regulatory controls on development, testing, approval, marketing
  • huge research and development costs
  • very long and high-risk development process
  • short patent life
  • ‘generic drugs’
  • success depends on constant innovation
19
Q

tight regulatory controls on development, testing, approval and marketing is a challenge faced by the pharmaceutical industry. explain this.

A
  • requirement for strong evidence of efficacy, safety and quality
  • extensive documents must be submitted to government regulatory agencies before first tests in humans and before market authorisation
20
Q

huge research and development costs are a challenge faced by the pharmaceutical industry. explain this.

A
  • $100s of millions needed to bring a new drug to the market
  • mergers to share costs, resources, facilities etc.
  • automation to decrease costs (used to screen and test drugs)
  • outsourcing specialist testing to smaller specialised companies (called CRO / Contract Research Organisations)
21
Q

being very long and high-risk development process is a challenge faced by the pharmaceutical industry. explain this.

A
  • takes 10-15 years
  • 1 successful drug out of 10 000 compounds screened
22
Q

short patent life is a challenge faced by the pharmaceutical industry. explain this.

A
  • intellectual property (gives exclusive rights of commercialisation in ONE country)
  • typically lasts 20 years - only 5-10 years to make profits
  • need to apply for a patent early to avoid other companies copying them but the drug may not even end up getting commercialised
  • once patent has expired, other companies can copy the drug
23
Q

generic drugs are a challenge faced by the pharmaceutical industry. explain this.

A
  • copies of the drug by other companies after patent has expired
  • less expensive, preferred by governments, less profit for the innovator company
24
Q

success depending on constant innovation is a challenge faced by the pharmaceutical industry. explain this.

A
  • ‘blockbusters’ are wanted BUT
  • competition from other companies
  • more and more difficult to discover new innovative drugs
25
'they make huge profits' is a bad reputation that the pharmaceutical industry has. is this justified?
- industry does exist to make profits, they are not charities - they need to reinvest their profit to find new drugs - profits are not actually that high
26
'they profit from sick people' is a bad reputation that the pharmaceutical industry has. is this justified?
- moral conflict between profit maker and health benefactor - improved life expectancy / quality of life - business model relies on people being sick but they then make these people better
27
'they are only interested in very common diseases' is a bad reputation that the pharmaceutical industry has. is this justified?
- to some extent but the trend if changing (more true in the past, very common disease are now well-controlled) - 'orphan drugs' to treat very rare diseases - what's wrong in finding cures for which there is a strong need?
28
'they ask inflated prices for their new drugs' is a bad reputation that the pharmaceutical industry has. is this justified?
- sometimes - but governments will only pay a fair price
29
'they make people sick so they can sell more drugs' is a bad reputation that the pharmaceutical industry has. is this justified?
- no pharmaceutical company is allowed to sell a drug that will harm patients or have no effect - all drugs have some adverse effects (risk to benefit ratio must be considered) - withdrawals post-commercialisation often unpredictable