Unit 3 - Pro drugs 2 Flashcards

1
Q

How can a drug be improved?

A

Synthesis of close structural analogues

  • solubility
  • lipophilicity
  • stability to metabolism
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2
Q

What are the disadvantages with analogue synthesis?

A

Very easy to lose potency by making the slightly changes to a structure of an active drug
Making analogues is often resources demanding
- many analogues are needed

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3
Q

What are the most common types of prodrugs?

A

Ester prodrugs

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4
Q

What are prodrugs derived from?

A

Carboxylic acids

  • the majority of pro-drugs fall into this category
  • several different structural types
  • esters
  • amides
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5
Q

Which part of a carboxylic acid derivative prodrug is the drug part?

A

Either the acid or the other component can be the drug part

  • alcohol
  • amine
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6
Q

What type of enzyme systems are capable of ester or amide hydrolysis?

A

Esterases

Amidises

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7
Q

Why is a prodrug needed for Tamiflu?

A

It has a CLogP of 1.2

It has a bioavailability of 5%

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8
Q

Why are simple aliphatic and aromatic ester prodrugs often used?

A

Easy to prepare
Relatively chemically stable
Pro-moiety (A functional group used to modify the structure of pharmacologically active agents to improve physicochemical, biopharmaceutical or pharmacokinetic properties.) often non-toxic

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9
Q

Why is enalapril used as a pro-drug?

A

50 - 75% absorption

- enalaprilat has a < 12% absorption

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10
Q

What is the pro drug of salicylic acid ?

A

Aspirin

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11
Q

Why are amides as prodrugs less popular than esters?

A

Very slow rate of in vivo hydrolysis of amides

- regeneration of drug from prodrug

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12
Q

What are the exceptions to using amides as popular prodrugs?

A

Use of amino acids/peptides or other substituted amides

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13
Q

Give an example of an amide prodrug

A

LDZ - pro drug to diazepam

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14
Q

Describe the process of LDZ changing to diazepam

A

2 Steps:
1st step: aminopeptidase
2nd step: Chemical cyclisation

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15
Q

Which inorganic acid derivatives can be used as prodrugs?

A

Sulphuric acid and phosphoric acid derivatives have been used as prodrugs
- increase water solubility rather than lipophilicity

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16
Q

What are the advantages of using clindamycin phosphate rather than clindamycin?

A

Much reduced pain at the injection site

In vivo half life 10 mins

17
Q

What is the prodrug of fludarabine?

A

Fludarabine monophosphate

18
Q

How can prodrugs be used to gain access across the blood brain barrier?

A

Redox dihydropyridine system coupled to estradiol

- can pass across the BBB but not back again after it has been oxidised to the nitronium ion

19
Q

How is AZT activated?

A

Three consecutive phosphorylations

- AZT triphosphate

20
Q

What do all nucleoside drugs need to be activated?

A

Three consecutive phosphorylations

21
Q

What is the prodrug of acyclovir?

A

Valtex

22
Q

Why is a prodrug for acyclovir needed?

A

Valtex bioavailability = 54%

Acyclovir bioavailability = 12 - 20%

23
Q

define log p

A

LogP is a measure of lipophylicity of a molecule

24
Q

what is a pro moiety ?

A

Promoiety A functional group used to modify the structure of pharmacologically active agents to improve physicochemical, biopharmaceutical or pharmacokinetic properties.