Structure – Activity Relationship of Paracetamol – PST05106 Pharmaceutical Organic Chemistry
NTA Level 5 • Semester 1 • PST05106 Structure – Activity Relationship of Paracetamol Pharmaceutical Organic Chemistry • Source Session/Topic 31 Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability. Session 31: Structure – Activity Relationship of Paracetamol. Total Session Time: 120 minutes Prerequisites None Learning Tasks By the end of this session students are expected to be able to: • Define Paracetamol • Explain Chemical structure of paracetamol • Explain the structure – activity relationship of paracetamol Resources Needed: • Flip charts, marker pens, and masking tape. • Black/white board and chalk/whiteboard markers. SESSION OVERVIEW |Step |Time |Activity/ |Content | | | |Method | | |1 |05 minutes |Presentation |Introduction, Learning Tasks | |2 |10 minutes |Brainstorming |Definition of Paracetamol | | | |Presentation | | |3 |40 minutes |Presentation |Chemical Structure of Paracetamol | |4 |45 minutes |Group |Structure – Activity Relationship of| | | |discussion |Paracetamol | | | |Presentation | | |5 |10 minutes |Presentation |Key Points | | 6 |10 minutes |Presentation |Evaluation | SESSION CONTENTS STEP 1: Presentation of Session Title and Learning Tasks (5 minutes). READ or ASK students to read the learning tasks and clarify ASK students if they have any questions before continuing. STEP 2: Definition of Paracetamol (10 minutes). |Activity: Brainstorming (5 minutes) | | | |Ask students to brainstorm on the following question: | | | |What is paracetamol? | | | |ALLOW few students to respond. | | | |WRITE their responses on the flip chart/ board. | | | |CLARIFY and SUMMARISE by using the table below | • Paracetamol also known as acetaminophen is an analgesic antipyretic derivative of acetanilide. • Acetaminophen has weak anti-inflammatory properties and is used as a common analgesic, but may cause liver, blood cell, and kidney damage. • Acetaminophen is a p-aminophenol derivative with analgesic and antipyretic activities. • Although the exact mechanism through which acetaminophen exert its effects has yet to be fully determined, acetaminophen may inhibit the nitric oxide (NO) pathway mediated by a variety of neurotransmitter receptors including N-methyl-D-aspartate (NMDA) and substance P, resulting in elevation of the pain threshold. • The antipyretic activity may result from inhibition of prostaglandin synthesis and release in the central nervous system (CNS) and prostaglandin-mediated effects on the heat-regulating center in the anterior hypothalamus. • Acetaminophen is a widely used nonprescription analgesic and antipyretic medication for mild-to-moderate pain and fever. • Harmless at low doses, acetaminophen has direct hepatotoxic potential when taken as an overdose and can cause acute liver injury and death from acute liver failure. • Even in therapeutic doses, acetaminophen can cause transient serum aminotransferase elevations. Summary • Paracetamol (acetaminophen) is a pain reliever and a fever reducer. • Paracetamol is used to treat many conditions such as headache, muscle aches, arthritis, backache, toothaches, colds, and fevers. It relieves pain in mild arthritis but has no effect on the underlying inflammation and swelling of the joint. STEP 3: Chemical Structure of Paracetamol (40 minutes). • The acetaminophen has the IUPAC name N-(4-hydroxyphenyl) acetamide and its chemical formula us C8H9NO2 and its extended formula is HOC6H4NHCOCH3. • Its molar mass is 151.165 g mol-1. • The molecule is formed by an aromatic phenyl ring, which has two substituents in position -para (1,4). • The first substituent is an amide group (acetamide) and the second is a hydroxy group (-OH). • The molecule is planar with 7 carbon atoms with sp2 hybridization. • Its chemical structure can be written as below, in the common representations used for organic molecules. [pic] STEP 4: Structure – Activity relationship of Paracetamol (45 minutes) |Activity: Small Group Discussion (20 minutes) | | | |DIVIDE students into small manageable groups | | | |ASK students to discuss on the following question. | |What is the importance of SAR of paracetamol? | | | | | |ALLOW students to discuss for 15 minutes. | | | |ALLOW few groups to present for 5 minutes and the rest to add points | |not mentioned. | | | |CLARIFY and SUMMARIZE by using the contents below | • Paracetamol consists of a benzene ring core, substituted by one hydroxyl group and the nitrogen atom of an amide group in the para (1,4) pattern. • The amide group is acetamide (ethanamide). • It is an extensively conjugated system, as the lone pair on the hydroxyl oxygen, the benzene pi cloud, the nitrogen lone pair, the p orbital on the carbonyl carbon, and the lone pair on the carbonyl oxygen is all conjugated. • The presence of two activating groups also makes the benzene ring highly reactive toward electrophilic aromatic substitution. • As the substituents are ortho,para-directing and para with respect to each other, all positions on the ring are more or less equally activated. • The conjugation also greatly reduces the basicity of the oxygens and the nitrogen, while making the hydroxyl acidic through delocalisation of charge developed on the phenoxide anion. • Structure and reactivity of acetaminophen accounts for its chemical properties • Based on the comparative toxicity of acetanilide and acetaminophen, aminophenols are less toxic than the corresponding aniline derivatives, although p-aminophenol itself is too toxic for therapeutic purposes. • Etherification of the phenolic function with methyl or propyl groups produces derivatives with greater side effects than with ethyl groups. Substituent • The nitrogen atoms that reduce basicity reduce activity unless that substituent is metabolically labile (e.g., acetyl). • Amides derived from aromatic acids (e.g., N-phenylbenzamide) are less active or inactive. • As indicated, both acetanilide and phenacetin are metabolized to acetaminophen. Additionally, both undergo hydrolysis to yield Aniline derivatives that produce directly, or through their conversion to hydroxylamine derivatives, significant methemoglobinemia and hemolytic anemia, which resulted in their removal from the U.S. market. STEP 5: Key Points (10 minutes) • Paracetamol also known as acetaminophen is an analgesic antipyretic derivative of acetanilide • The SAR of paracetamol may