Page 28 - Pharmacology Mnemonics and Short Notes
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                            Amine oxidation  catecholamine (as catecholamine
                              have amine group)

                            Dehydrogenation  ethanol

              Reduction
                   o   Easters  aspirin
                   o  Amides  Lidocaine

           Phase II (Synthetic) reactions Functional group or metabolite
              formed by phase I is conjugated with natural endogenous
              constituent as glucuronic acid, glutathione, sulphate, acetic acid,

              glycine or methyl group.
              Glucouronidation  DAM Gluco

                   o  D Diazepam and digoxin
                   o  A  Acetaminophen

                   o  M  Morphine
              Glycine conjugation  GlyciNe  Nicotine

              Sulphation  methyldopa
              Methylation    Dopamine,  epinephrine,  norepinephrine  and

               histamine
              Acetylation  isoniazid
        Most of drugs pass through phase I only or phase II only or phase I then
        pphase II.


        Results of drug metabolism
               1. Conversion of active drug into an inactive metabolite.
               2. Conversion of active to another active substance.
               3. Conversion of pro-drug (drug given is inactive) to an active

               metabolite.
               4. Conversion to a toxic compound.
        Liver is the main organ for drug metabolism using liver microsomal P 450

        enzymes.
        Hepatic Metabolism depends on
               1. Hepatic function: diseased liver is unable to metabolize drugs as
               healthy one.
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   Pharmacology Mnemonics and Short Notes                                              By Muhammad Ramzan Ul Rehman
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