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Analgesics: L. Scheffler
Analgesics: L. Scheffler
L. Scheffler
Analgesics
Analgesics are common pain relievers. Many analgesics also have antipyretic properties as well. They can be used to reduce fever Some analgesics are also antiinflammatory drugs as well
Classification of Analgesics
Analgesics
Mild Analgesics
Analgesics
Strong
Aspirin
Ibuprofen
Opium
Heroin
Codeine
Acetaminophen
Mild Analgesics
Mild Analgesics include over-the-counter pain relievers and fever depressants. Examples of mild analgesics include Aspirin, acetaminophen, and ibuprofen
Aspirin
Aspirin is a derivative of salicyclic acid Salicyclic acid was found in the bark of the willow tree and was used as a pain reliever and as a way to relieve fever symptoms of malaria
Aspirin
Salicyclic Acid
Aspirin
In 1899, Felix Hoffman, a chemist from the Bayer Company, developed a low-cost process to synthesize an ethanoate ester of salicyclic acid, called aspirin In the synthesis of Aspirin, the ethanoic acid forms an ester with the alcohol group on the second carbon
Aspirin
Aspirin is believed to inhibit the enzyme, Prostaglandin synthase which is formed at the site of an injury. This inhibits the production of prostaglandins which produce fever and swelling as well as transmitting pain signals to the brain.
Aspirin
Aspirin is able to reduce pain and fevers and dilate blood vessels Aspirin enlarges blood vessels which helps prevent blood clots. This vasodilation of the surface blood vessels also allows an increase of heat released which lowers the temperature of a fever Aspirin is also taken to prevent recurring heart attacks It may also be effective in preventing prostrate cancer
Acetaminophen
Acetaminophen is a pain reducer, such as Tylenol but does not reduce inflammation When taken at recommended doses, it has negligible side effects Its low level side effects make it favorable to arthritis patients and children Overuse and overdoses can lead to acute liver failure and kidney damage
Ibuprofen
Ibuprofen is a more powerful pain reliever than aspirin in high doses, but is inferior for anti-inflammation Side effects include gastrointestinal bleeding and irritation Can aggravate kidney problems
Strong Analgesics
Only Available by prescription Used to relieve severe pain associated with injuries, heart attacks, or chronic diseases such as cancer Most strong analgesics are derived from the opium poppy or synthetically produced Basically three types: Natural, semi-synthetic, and synthetic
Morphine
Naturally occurring in the poppy- Only needs to be isolated Very strong pain reliever but also very addictive (2nd to Heroin) Usually injected but can be smoked, sniffed or swallowed Commonly used in hospitals Large illegal street culture
Codeine
Most commonly used strong analgesic Similar to Morphine except for the replacement of a (OH) group for (OCH3) group Commonly used with Tylenol as a more mild analgesic 1/6 as strong as Morphine and less addictive
Heroin
Originally sold as cough suppressant and pain killer10 times stronger than Morphine Incredibly addictive (many times, other strong analgesics are needed for withdrawal)
Heroin
Synthesized from morphine in a esterification reaction with acetyl chloride It is absorbed by the brain very quickly resulting in a potent high Many other problems are associated with heroin addiction including as prostitution and AIDS.
Demerol
Demerol (Meperidine) Used for moderate to severe pain and to stop muscle spasms. Usually injected or taken orally.
Methadone
Compared to most strong analgesics it is weaker. Has been synthesized to not have euphoric properties and mild withdrawal effects but is still addictive. Used as an analgesic but most commonly to help in the withdrawal for Heroin addicts.
History of Cocaine
Coca leaves have been chewed by South American Indians for thousands of years. There were used to induce feelings of euphoria Was banned by Spanish settlers in the 1500s but the ban was repealed when it became apparent that slaves worked harder while on it United States cocaine was used in soft drinks until it was classified as narcotic in 1914 Clinically used as a local anaesthetic for eye operations and in modified synthetic forms for dental treatment (novocaine) and sore throats (benzocaine)
Cocaine
The leaves of the coca plant contain 0.6% - 1.8% alkaloidal cocaine To extract, cocaine leaves are soaked in kerosene and sulfuric acid HCl is added creating cocaine hydrochloride, which can be extracted as powdery flakes or rocks
Clinical Action
Acts as a reuptake blocker for the monoamines dopamine, norepinephrine and serotonin interacts with serotonin and muscarinic acetylcholine receptors and the sodium channels influence on the axonal voltage-gated sodium channels that provides cocaine's local anaesthetic properties
Effects of Cocaine
Subjective Euphoria Increased sociability Increased energy Hyper vigilance Physiological Increased heart rate Increased respiration rate Increased body temperature Increased blood pressure Pupil dilation
Derivatives of Cocaine
Cocaine is too addictive and in appropriate for medicinal use Two derivatives of cocaine are widely used as local anesthetics
Procaine or Novacaine Lidocaine
Procaine (Novacaine)
Novacaine
Principal use in dentistry for temporary numbing of mouth area First synthesized in 1905 and was the first injectable man-made local anesthetic Restricts blood vessels, reducing bleeding
Lidocaine
Lidocaine
First modern local anesthetic agent Sodium channel blocker Administered parenterally for ventricular arrhythmias, subcutaneously for minor surgical procedures, and topically to mucosal surfaces prior to invasive procedures