2023-11-28T04:46:10+03:00[Europe/Moscow] en true <p>a</p>, <p>d</p>, <p>c</p>, <p>a</p>, <p>b</p>, <p>b</p>, <p>5; 16</p>, <p>tertiary basic amine (N17), central carbon w/no hydrogens (C13), phenyl ring (C13), two carbons between C13 and N17 </p>, <p>methyl; alkyl </p>, <p>b</p>, <p>a</p>, <p>naltrexone, nalmefene </p>, <p>CYP3A4 N-demethylation </p>, <p>no CNS; PGP substrate </p>, <p>CYP3A4 N-dealkylation </p> flashcards
MedChem Opioids

MedChem Opioids

  • a

    Which drug is a MOR/KOR agonist and DOR antagonist?

    a) eluxadoline

    b) oliceridine

    c) tapentadol

    d) tramadol

  • d

    Which drug is metabolized via O-demethylation?

    a) eluxadoline

    b) oliceridine

    c) tapentadol

    d) tramadol

  • c

    Which drug is a MOR agonist and NE reuptake inhibitor?

    a) eluxadoline

    b) oliceridine

    c) tapentadol

    d) tramadol

  • a

    Which isomer is a weak MOR agonist?

    a) tramadol (+)

    b) tramadol (-)

  • b

    Which isomer inhibits NE reuptake?

    a) tramadol (+)

    b) tramadol (-)

  • b

    Which was designed to reduce respiratory depression?

    a) eluxadoline

    b) oliceridine

    c) tapentadol

    d) tramadol

  • 5; 16

    Morphine contains ______ stereogenic centers and ______ stereoisomers exist.

  • tertiary basic amine (N17), central carbon w/no hydrogens (C13), phenyl ring (C13), two carbons between C13 and N17

    Which structures MUST be in Morphine (4)

  • methyl; alkyl

    _______ are agonists and ______ groups are antagonist.

  • b

    Codeine undergoes ________ to become Morphine.

    a) n-demethylation

    b) o-demethylation

  • a

    Codeine undergoes ________ to become Norcodeine.

    a) n-demethylation

    b) o-demethylation

  • naltrexone, nalmefene

    Which MOR antagonists are orally active? (2)

  • CYP3A4 N-demethylation

    How is Meperidine metabolized?

  • no CNS; PGP substrate

    Loperamide has _________ effects. This is due to the addition of a _______.

  • CYP3A4 N-dealkylation

    Fentanyl & Fentanyl-derived drugs are metabolized via