Page 125 - Medicinal Chemistry Self Assessment
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114    Medicinal Chemistry Self Assessment


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            2.  Tolterodine (Detrol ), fesoterodine (Toviaz ), and oxybutynin (Ditropan ) are anticholinergic agents
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                used in the treatment of overactive bladder.  Based on the structure evaluation process described in
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              2. Tolterodine (Detrol ), fesoterodine (Toviaz ), and oxybutynin (Ditropan ) are anticholinergic agents
                Chapter 6* and previous chapters,* “read” each of these drug molecules and determine how each
                of these drug molecules interact via hydrogen bonding with the muscarinic receptor. Fill in the grid
                 provided with your answers.

















                                   Tolterodine                          Fesoterodine














                                                         Oxybutynin


                Answer

                                                            Function      Function
                                                            H-bond donor,   One amino acid that interacts (via side

                Name of                                     H-bond        chain) with the functional group via a

                Functional   Name of ALL Anticholinergics That  acceptor, both   complementary H-bonding interaction;
                 Group       Contain Functional Group       or neither    NONE is a possible answer
                Alkane (i.e.,   Tolterodine, fesoterodine, oxybutynin  Neither  None
                alkyl chain)
                Cycloalkane  Oxybutynin                     Neither       None

                Aromatic hydro-  Tolterodine, fesoterodine, oxybutynin  Neither  None
                 carbon
                Alkyne       Oxybutynin                     Neither       None

                Tertiary alcohol  Oxybutynin                Both          Serine, threonine, cysteine, tyrosine, glutamic
                                                                          acid, aspartic acid, lysine, arginine, asparagine,
                                                                          glutamine, histidine, tryptophan
                Primary alcohol  Fesoterodine               Both          Serine, threonine, cysteine, tyrosine, glutamic
                                                                          acid, aspartic acid, lysine, arginine, asparagine,
                                                                          glutamine, histidine, tryptophan
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