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CHEMISTRY OF SYNTHETIC DRUGS
POOJA CHAUHAN
B.SC CHEMISTRY
2015017009
EPILEPSY AND ITS
TREATEMENT
 SEIZURE- Seizure is a sudden discharge, sudden attack or sudden
symptoms which could be due to outburst of abnormal synchronous
discharging caused by a network of neurons.
 Electrical discharge of neurons which may results into the type of
attacks or fits.
EPILEPSY
Two or more seizures occurring at intervals of 24 hours apart is termed to be
epilepsy.
It can result into lack or awareness or unconsciousness, major convulsions.
Types of epilepsy: there are two types of epilepsy
a) Grand mal epilepsy – it is the type of epilepsy in which a patient leads to
complete unconsciousness stage.
b) Petit mal epilepsy- it is the type of epilepsy in which only a part of body or
organ is affected.
CURE:
DRUGS used to cure epilepsy are called as anticonvulsants.
Anticonvulsants are basically the drugs that are used for controlling and
managing CNS disorders characterised by transient attacks of disturbed brain
function.
These drug basically having ureide structure (UREA like structure)
TYPES OF CONVULSANTS:
BARBITURATES
having cyclic ureides structure.
 MODE OF ACTION: They impair the synaptic transmission and cause a
distinct enhancement of GABA ergic inhibitory response.
Barbiturates acts on the picrotoxin unit of GABA.(Y- amino butyric acid)
eg. Barbital , phenobarbital.
a) Barbital b) phenobarbital
Powerful hypnotic drug > it is used for both sedative and
hypnosis.
Therapeutic index is low >On metabolism it changes into
para hydroxyl phenLy derivative
(65%) and rest (35%) exerted as
such.
SAR OF BARBITEURATES
 The number of carbon atoms in the side change should be between 4 to 10 for optimal therapeutic results.
 One of the substituents at the side chain may be a close chain.
 Inclusion of halogen atom in the side alkyl chain enhances the activity.
 Inclusion of polar groups like hydroxyl, carbonyl, carboxylic ,amino and sulphonic in the side chain reduces
potency considerably.
 Replacement of c=o group by c=s shows rapid action of drug but for short duration. Inclusion for more
sulphur atom decreases the activity.
 Stereoisomers have more and same potencies.
 Aromatic and alicyclic moieties exerts greater potency than corresponding aliphatic moiety having same
number of carbon atoms.
HYDANTOINS
Phenytoin sodium >mephenytoin
Dosage: 50 to 100 mg can give per
day.
it exerts its action on motor cortex
where it stabilises neuronal membrane
and thereby inhibits the spread of
seizure discharge.
OXAZOLIDINEDIONES
A) trimethadione. B) paramethadione
It is used in grand mal epilepsy and petit mal epilepsy.
It is useful when given in conjunction with phenytoin sodium or
phenobarbital.
It is metabolised by conversion to N-dimethylated compound which is more
soluble and in excreted as such without further degration.
SUCCINIMIDES
A) phensuximide b) methsuximide
• Used in petit mal epilepsy >used for curing petit mal epilepsy.
>more effective than phensuxinimide.
BENZODIAZEPINES
A) NITRAZEPAM B)CHLONOZEPAM
CHEMOTHERAPY OF EPILEPSY
 it is very old disease and 1850s inorganic bromides were used for treating epilepsy.
In 1920s phenobarbital gave a meaningful treatment to epilepsy and again after 20
years 5 substituted hydantoins was found to substituted.
Salient structural features of anticonvulsants include the following:
a) Uriede type moiety structural variants.
b) Hydantoins having imidazole. 2-4 moieties moiety
c) Bezodiazepams having epoxide ring at c10-c11 position gives rise to active
metabolite.

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Pooja drugs ppt

  • 1. CHEMISTRY OF SYNTHETIC DRUGS POOJA CHAUHAN B.SC CHEMISTRY 2015017009
  • 2. EPILEPSY AND ITS TREATEMENT  SEIZURE- Seizure is a sudden discharge, sudden attack or sudden symptoms which could be due to outburst of abnormal synchronous discharging caused by a network of neurons.  Electrical discharge of neurons which may results into the type of attacks or fits.
  • 3. EPILEPSY Two or more seizures occurring at intervals of 24 hours apart is termed to be epilepsy. It can result into lack or awareness or unconsciousness, major convulsions. Types of epilepsy: there are two types of epilepsy a) Grand mal epilepsy – it is the type of epilepsy in which a patient leads to complete unconsciousness stage. b) Petit mal epilepsy- it is the type of epilepsy in which only a part of body or organ is affected.
  • 4. CURE: DRUGS used to cure epilepsy are called as anticonvulsants. Anticonvulsants are basically the drugs that are used for controlling and managing CNS disorders characterised by transient attacks of disturbed brain function. These drug basically having ureide structure (UREA like structure)
  • 5. TYPES OF CONVULSANTS: BARBITURATES having cyclic ureides structure.  MODE OF ACTION: They impair the synaptic transmission and cause a distinct enhancement of GABA ergic inhibitory response. Barbiturates acts on the picrotoxin unit of GABA.(Y- amino butyric acid) eg. Barbital , phenobarbital.
  • 6. a) Barbital b) phenobarbital Powerful hypnotic drug > it is used for both sedative and hypnosis. Therapeutic index is low >On metabolism it changes into para hydroxyl phenLy derivative (65%) and rest (35%) exerted as such.
  • 7. SAR OF BARBITEURATES  The number of carbon atoms in the side change should be between 4 to 10 for optimal therapeutic results.  One of the substituents at the side chain may be a close chain.  Inclusion of halogen atom in the side alkyl chain enhances the activity.  Inclusion of polar groups like hydroxyl, carbonyl, carboxylic ,amino and sulphonic in the side chain reduces potency considerably.  Replacement of c=o group by c=s shows rapid action of drug but for short duration. Inclusion for more sulphur atom decreases the activity.  Stereoisomers have more and same potencies.  Aromatic and alicyclic moieties exerts greater potency than corresponding aliphatic moiety having same number of carbon atoms.
  • 8. HYDANTOINS Phenytoin sodium >mephenytoin Dosage: 50 to 100 mg can give per day. it exerts its action on motor cortex where it stabilises neuronal membrane and thereby inhibits the spread of seizure discharge.
  • 9. OXAZOLIDINEDIONES A) trimethadione. B) paramethadione It is used in grand mal epilepsy and petit mal epilepsy. It is useful when given in conjunction with phenytoin sodium or phenobarbital. It is metabolised by conversion to N-dimethylated compound which is more soluble and in excreted as such without further degration.
  • 10. SUCCINIMIDES A) phensuximide b) methsuximide • Used in petit mal epilepsy >used for curing petit mal epilepsy. >more effective than phensuxinimide.
  • 12. CHEMOTHERAPY OF EPILEPSY  it is very old disease and 1850s inorganic bromides were used for treating epilepsy. In 1920s phenobarbital gave a meaningful treatment to epilepsy and again after 20 years 5 substituted hydantoins was found to substituted. Salient structural features of anticonvulsants include the following: a) Uriede type moiety structural variants. b) Hydantoins having imidazole. 2-4 moieties moiety c) Bezodiazepams having epoxide ring at c10-c11 position gives rise to active metabolite.