Barbiturates David Young Medicinal Chemistry April 10, 2007.
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Transcript of Barbiturates David Young Medicinal Chemistry April 10, 2007.
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Barbiturates
David Young
Medicinal Chemistry
April 10, 2007
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Barbiturates
• All derivatives of Barbituric acid
• Depressants of the central nervous system (CNS) that impair or reduce the activity of the brain by acting as a Gamma Amino Butyric Acid (GABA) potentiators
• Categorized as hypnotics and also called “downers”
• Produce alcohol like symptoms such as impaired motor control (ataxia), dizziness, and slower breathing and heart rate
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History
• Barbituric acid was first created in 1864 by a German scientist named Adolf von Baeyer. It was a combination of urea from animals and malonic acid from apples.
• Its first derivative utilized as medicine was used to put dogs to sleep but was soon produced by Bayer as a sleep aid in 1903 called Veronal
• Phenobarbital was soon discovered and marketed as well as many other barbituric acid derivatives
• Prescribed as sedatives, anesthetics, anxiolytics, and anti-convulsants
• Also popular and abused in pop culture because of their alcohol like effects
Interesting facts• Caused the death of many celebrities such as Jimi Hendrix and Marilyn Monroe
• Used by the Nazis during WWII for euthanasia
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Types
Barbituric Acid
Amobarbital Phenobarbital Pentobarbital
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Synthesis
Barbituric acid is synthesized by a condensation reaction that results in the release of H2O (dehydration) and the heterocyclic pyrimidine
Further substitution of side chains on the ring produce the pharmacologically active barbiturates
Malonic Acid Urea Barbituric Acid
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Mechanism of Action
GABA binding site
Barbiturate binding site
Barbiturates potentiate the effect of GABA at the GABA-A receptor. The GABA-A receptor is a ligand gated ion channel membrane receptor that allows for the flow of Cl through the membrane in neurons. GABA is the principle neurotransmitter for this receptor which upon binding causes the channel to open and creates a negative change in the transmembrane potential. This makes it an Inhibitory neurotransmitter
GABA
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Mechanism of Action
Barbiturates potentiate the effect of GABA by binding to the GABA-A receptor at a nearby site and increasing the chloride flow through the channel. Barbiturates also block the AMPA receptor which is sensitive to glutamate, the excitatory neurotransmitter. Glutamate performs the opposite effect from GABA restricting ion flow and increasing the transmembrane action potential of the neuron. By blocking this action Barbiturates serve to increase the duration of the receptor response to GABA and extend the depressed condition of the cell.
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Uses
Barbiturates have been use in the past to treat a variety of symptoms from insomnia and dementia to neonatal jaundice
They have largely been replaced with drugs such as benzodiazepine due to their propensity for addiction and reduced effect over extended use
Still widely used to treat most seizures including neonatal seizures
Used when benzo class drugs fail or in underdeveloped countries
Cannot be used for treatment of absence seizures
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Future Research
Research continues to develop for Barbiturates as anti-convulsants. More particularly research is being performed to test the prophylactic value of barbiturates in situations such as pre and perinatal asphyxia and epilepsy.