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Sedatives & Hypnotics.pptx

2 Apr 2023
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Sedatives & Hypnotics.pptx

  1. A PRESENTATION ON SEDATIVES & HYPNOTICS Course Name: Medicinal Chemistry – I (Theory) [BP402T] YOGESH MATTA Assistant Professor, School of Pharmacy Suresh Gyan Vihar University, Jaipur
  2. LEARNING OBJECTIVES:  The main objective is to impart fundamental knowledge on the structure, chemistry & therapeutic values of drugs.  The course emphasizes on Structure Activity Relationship of drugs.  The course also include importance of structure & IUPAC name of various drugs.  One of the most important objective of this course is to understand synthesis of some important drugs under each category. COURSE LEARNING OUTCOME: Upon completion of the course, the student shall be able to  Understand the chemistry of drugs with respect to their pharmacological applications.  Understand the structure, IUPAC name & therapeutic values of various drugs.  Know the SAR of different class of drugs that provides relationship between parent drug & synthesized drug.  Write the chemical synthesis of some important drugs.
  3. CONTENTS 1. INTRODUCTION 2. CLASSIFICATION OF DRUGS 3. STRUCTURE 4. STRUCTURE ACTIVITY RELATIONSHIP OF DRUGS 5. SYNTHESIS 6. APPLICATIONS 7. QUIZ QUESTIONS 8. REFERENCES
  4. SEDATIVES HYPNOTICS  Drugs that reduce excitement, calms the patient without inducing sleep.  Drugs that reduce activity, decrease excitement by inducing sleep resembling to natural or normal sleep.  Sedatives in therapeutic doses are anxiolytic agents by producing mild depression of CNS.  Hypnotics are used for initiation and / or maintenance of sleep by depressing CNS.  Most sedatives in larger doses produce hypnosis.  Hypnotics in higher doses produce general anaesthesia.  Delayed onset of action (slow acting) and longer duration of action.  Quicker onset of action (faster acting) & have shorter duration of action.  Site of action is on the limbic system which regulates thought & mental function.  Site of action is on the midbrain and ascending RAS which maintain wakefulness.
  5. CHEMICAL CLASSIFICATION 1. BENZODIAZEPINES 2. BARBITURATES 3. MISCELLANEOUS COMPOUNDS  Chlordiazepoxide  Barbital  Glutethmide  Diazepam  Phenobarbital  Meprobomate  Oxazepam  Mephobarbital  Ethchlorvynol  Chlorazepate  Amobarbital  Triclofos sodium  Lorazepam  Butabarbital  Paraldehyde  Alprazolam  Pentobarbital  Zolpidem  Secobarbital
  6. N N NH N H O O O Barbituric acid N N + NH OH Cl Chlordiazepoxide N N Cl O Diazepam N N Cl O OH Oxazepam N N Cl O O OH Chlorazepate 1,4-Benzodiazepine
  7. N N Cl O OH Cl Lorazepam NH N H O O O Barbital NH N H O O O Phenobarbital NH N O O O Mephobarbital Amobarbital NH N H O O O Butabarbital NH N H O O O
  8. STRUCTURE ACTIVITY RELATIONSHIP (SAR) OF BENZODIAZEPINES N N R R 1 R 2 R 3 R 2 The presence of electron attracting substituents or groups at C-7 position i.e R is required for the optimal activity and more electron attracting substituents leads to effectiveness of drug. (fluoro, chloro, bromo, nitro etc.) For example: Diazepam, Chlordiazepoxide.  The positions C-6, C-8 & C-9 should remain unsubstituted for optimal activity.
  9.  Phenyl ring substitution at C-5 promotes activity. If the phenyl ring is substituted with electron attracting groups at C-2 i.e R2, the activity will increase more. For example: Lorazepam. On the other hand, the substitution at C-3, C-4 & C-5 position will decrease the activity greatly. N N Cl O OH Cl Saturation of the N-4 & C-5 double bond or shift of it between the C-3 & N-4 will decrease the activity. Alkyl substitution at C-3 i.e R3 will decrease the activity but the presence of hydroxyl group will enhance the activity. For example: Oxazepam. N N Cl O OH
  10. SYNTHESIS Barbital NH N H O O O 5,5-diethyl-1,3-diazinane-2,4,6-trione O O O O diethyl diethylpropanedioate N H2 N H2 O urea + NH N H O O O Barbital -2C2H5OH
  11. THERAPEUTIC USES Insomnia For example: Diazepam, Pentobarbital etc.  Anxiety disorders For example: Oxazepam, Amobarbital etc.  Surgical anaesthesia For example: Thiopental sodium, Methohexital sodium etc.  Epilepsy & seizure states For example: Phenobarbital, Mephobarbital, Secobarbital etc.  Neuromuscular disorders For example: Diazepam.
  12. Quiz -1 Which of the following drug is an example of benzodiazepines? (a) Barbital (b) Phenobarbital (c) Secobarbital (d) Diazepam Quiz -2 Which of the following drug is an example of barbiturates? (a) Oxazepam (b) Phenobarbital (c) Chlordiazepoxide (d) Diazepam Quiz -3 Which of the following drug is a derivative of barbituric acid? (a) Lorazepam (b) Mephobarbital (c) Chlordiazepoxide (d) Alprazolam Quiz -4 Diazepam is mainly used in the treatment of convulsions & seizure state. (a) True (b) False Quiz -5 Which of the following drug is classified under miscellaneous category? (a) Zolpidem (b) Pentobarbital (c) Chlorazepate (d) Meprobomate
  13. REFERENCES 1. Alagarsamy V; Textbook of Medicinal Chemistry, Vol-I, Page no-88. 2. Pandeya S.N; Textbook of Medicinal & Organic Chemistry, Page no-124. 3. Singh Harkishan, Kapoor V.K; A Textbook of Medicinal & Organic Chemistry, Page no-148.
  14. THANK YOU
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