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Chiral molecules have 4 different groups attached to a central atom. A chiral molecule and its nonsuperimposable mirror image are a special kind of isomer called enantiomers. Enantiomers have identical physical properties. The only way we can tell them apart is by seeing their effect on plane polarized light. 10.6 However, the body can tell them apart. These two enantiomers may have very different actions in the human body. One enantiomer fits into a receptor site, while the other does not. The molecule on the right will have (possibly) no affect on the human body. 10.6 Consider the two enantiomers above. Dextromethorphan is a safe cough suppressant. Levomethorphan is an addictive opiate. 10.6 Steroids perform many functions in the body: Function Regulation of secondary sexual characteristics Reproduction and control of the reproductive cycle Examples Estradiol (an estrogen); testosterone (an androgen) Progesterone and the gestagens Regulation of metabolism Digestion of fat Cell membrane component Cortisol; cortisone derivatives Cholic acid; bile salts Cholesterol C A D This is the basic carbon skeleton for all steroids. B 10.7 Functional groups in some common steroids alcohols carboxylic acid ketones Can you identify the functional groups in the other examples? 10.7 RU-486, The Abortion Pill Controversial: how about a class discussion on the topic? RU-486 acts as an antagonist – a drug that fits into a receptor site, but does not have the customary effect as does another drug; in this case the other drug is progesterone. Getting a New Drug to Market On average, the process takes about 12 years and over $500 million. 10.9 Animals and Drug Testing Is it morally ethical to test newly developed drugs on animals? What does the LD50 standard mean? Provide pros and cons for both sides of the issue of animal testing. 10.9 Prescription, Generic, and Over-the-Counter Medicines A generic drug is chemically equivalent to the pioneer drug, but cannot be marketed until the patent protection on the pioneer drug has run out after 20 years. The lower priced drug commonly marketed under its generic name, in this case alprazolam instead of Xanax. 10.10 Herbal Remedies 10.11 Ephedra – used safely for thousands of years as herbal remedy known as Ma Huang. In 2003, several deaths related to the ingredients led the FDA (in 2004) to ban ephedra products. At this time, there are ongoing discussions to make the product available again. 10.11 Ephedra The herb contains the amphetamine-like alkaloids – ephedrine and the less active pseudoephedrine. Pseudoephedrene is used as a decongestant Ephedrine is a bronchodilator (opens the airways), and a stimulant 10.14 Drugs of Abuse 10.12 OxyContin contains oxycodone Oxycodone has been used safely for many years. But this formulation includes a time-released mechanism for long-lasting treatment of chronic pain. Drug abusers quickly determined how to get around the time-release and were able to rapidly ingest large amounts of oxycodone. The effects were said to be similar to heroin. Over-prescribed in the Appalachian areas in late 1990s and early 2000s. Many became addicted. 10.12 Marijuana – Cannabis sativa THC, or delta-9-tetrahydrocannabinol is the active drug in marijuana. Medical uses continue to be argued, the Federal Government is opposed. 10.12 MDMA or Ecstasy 3,4-methylenedioxy-n-methylamphetamine Schedule I drug, yet clinical therapists are continuing to argue its potential benefits as a therapeutic agent. 10.12