optional module d Flashcards
where is asprin first extracted
bark of willow trees
how is asprin made now
reacting acetic anhydride with saliculic acdid
what forms asprin or acetylsalicilic acid
salicylic acid and acetic anhydride
what is the goal of drug production
to minimise costs and maximise profits
the drug development proces
drug discovery
pre clinical trials
phase I, II and III of clinical trials
review
manufacturing
whats an issue with coutnergeit medicines
drug purity and the containing of the active drug ingredient
what is combinatorial chemistry
a laboratory method that involves using robotics to synthesise thousands of different compounds at a time, usually peptides or small molecules. The compounds can then be tested for effectiveness, and then kept for further testing or modification, or discarded. With this highly automated process, large volumes of molecules can be synthesised and tested in a short period of time, but it is more of a trial-and-error approach, resulting in a large amount of molecules made that have no activity. Although it is difficult for scientists to mimic natural processes, combinatorial chemistry is proving to be making new advancements in drug discovery.
double blind test
Part of the drug development process is to conduct a ‘double blind test’ where a placebo is offered to one group of patients, while the other group receives the drug. A placebo is a pill, lotion or injection that does not contain the active ingredient that the drug has, and is used to see if the drug does have a measurable effect compared to not using the drug. Many times, people taking the placebo report to have improvements in their health, even though they are not taking the actual drug. This “placebo effect” has been noted in numerous studies.
a placebo is
identical to the trial drug, except it is missing the active drug ingredient under study.
Drugs can be administered in a variety of ways including:
Ingestion by mouth (e.g. pills or syrups).
Injection with a syringe under the skin into fat or muscle tissue or bloodstream.
Inhalation by mouth or nose (e.g. as with an inhaler or nebuliser).
Absorption through the skin (e.g. medicated lotions or stick-on patches).
Absorption in the rectum or vagina (e.g. suppositories).
Applied into the ear or eye (e.g. drops of prepared solutions).
why can all drugs not be adminstered orally
Some medicines, however, may irritate the digestive tract or cannot be absorbed by this method and must therefore have another route into the body. Some drugs are best absorbed when applied to the part of the body that is being treated, for example, antibiotic drops for an ear or eye infection.
The speed and ability of the body to absorb and use the medicine, known as
metabolism
what is quicker injectin or oral adminsteration
injection. Some drugs are best employed with a quick absorption of the entire dose, such as with an insulin injection when treating diabetes, while others are more effective when absorbed slowly over time, such as the hormones used in birth control skin patches.
what determines form of administeration
dosage of drug
freq of adminsteration needed
tolerance of drug
potential for addiction
how can drug addiciton be deterred
A slower, time-released method, such as with oral ingestion or a skin patch, can help to keep the levels of medicine in the body lower and more consistent, and avoid dependency.
where is the drug aiming
the target site
how do drus that have an effect on specific types of cells do
The target cells are identified by three-dimensional receptors into which the drug fits like a key in a lock. If the drug passes by cells that do not contain the receptor, it will not bind to the cell and have a medicinal effect.
bioavailability
the fraction of the administered dosage that reaches the target site.
what is the only method of administeration that is 100% bioavailability
intravenous
risks of oral administeration
irritation of digestive tract
drug maybe destroyed by stomach acidity
absorbed by bacteria in small intestine
different types of injection
intramuscular
subcutaneous
intravenous
which layer does intravenous enter
dermis under epidermis`
how can polarity affect bioavailability
Since the drug must eventually reach the blood, which is polar as it has a water solvent, the drug must have some polarity, since “like dissolves like”. For the drug to enter the cell, it must also have some nonpolarity to pass through the cell membrane. Therefore, drugs must have both polar and nonpolar properties.
what functional groups must drugs have to be absorbed
Drugs must have both polar and nonpolar functional groups to be absorbed by the body and at the cellular level.