Short Article One Hundred Years of Aspirin
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30. Synthesis of an Analgesic: Aspirin
30. Synthesis of an Analgesic: Aspirin A. Background Aspirin (acetylsalicylic acid) belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs), which work by blocking the synthesis of prostaglandins in the body. Before exploring the chemistry of aspirin, one should understand the biological process of inflammation. Inflammation in the body occurs in response to the presence of harmful stimuli including: the presence of a foreign organism, nerve damage, and tissue irritation. Symptoms of inflammation include: redness, swelling, pain, and loss of mobility at the affected site. The experience of pain in the body begins with some stimulus that invokes an immune response. To combat the stimulus, the brain signals the body to begin a number of biological cascade reactions that include the synthesis of histamine, bradykinin, and prostaglandins, all of which contribute to the experience of inflammation and pain. During an inflammation response, prostaglandins are synthesized from the ω-6 fatty acid, arachidonic acid, which O comes from our diet and can be OH synthesized in the body from linoleic acid. An important enzyme arachidonic acid in the conversion of arachidonic acid to prostaglandins is Cyclooxygenase-1 (COX-1) cyclooxygenase-1 (COX-1) which abstracts a hydrogen atom from O arachidonic acid to produce a radical intermediate. This reactive OH intermediate then undergoes a number of subsequent steps, eventually leading to the Steps production of prostaglandins (PGE2 is shown). Most anti- inflammatory drugs work by O inhibiting the prostaglandin synthesis pathway in some O OH manner. In the case of Aspirin, the COX-1 enzyme is deactivated by Prostaglandin PGE2 transfer of the aspirin acetyl group to an important –OH moiety of the HO COX enzyme. -
Novel Applications of Nsaids: Insight and Future Perspectives in Cardiovascular, Neurodegenerative, Diabetes and Cancer Disease Therapy
International Journal of Molecular Sciences Review Novel Applications of NSAIDs: Insight and Future Perspectives in Cardiovascular, Neurodegenerative, Diabetes and Cancer Disease Therapy Edmundas Kaduševiˇcius Institute of Physiology and Pharmacology, Medical Academy, Lithuanian University of Health Sciences, 9 A. Mickeviciaus Street, LT-44307 Kaunas, Lithuania; [email protected] Abstract: Once it became clear that inflammation takes place in the modulation of different degen- erative disease including neurodegenerative, cardiovascular, diabetes and cancer the researchers has started intensive programs evaluating potential role of non-steroidal anti-inflammatory drugs (NSAIDs) in the prevention or therapy of these diseases. This review discusses the novel mechanism of action of NSAIDs and its potential use in the pharmacotherapy of neurodegenerative, cardiovascu- lar, diabetes and cancer diseases. Many different molecular and cellular factors which are not yet fully understood play an important role in the pathogenesis of inflammation, axonal damage, demyeli- nation, atherosclerosis, carcinogenesis thus further NSAID studies for a new potential indications based on precise pharmacotherapy model are warranted since NSAIDs are a heterogeneous group of medicines with relative different pharmacokinetics and pharmacodynamics profiles. Hopefully the new data from studies will fill in the gap between experimental and clinical results and translate our knowledge into successful disease therapy. Citation: Kaduševiˇcius,E. Novel Applications of NSAIDs: Insight and Keywords: NSAIDs; neuro-inflammation; axonal damage; demyelination; atherosclerosis; carcino- Future Perspectives in Cardiovascular, genesis; diabetes Neurodegenerative, Diabetes and Cancer Disease Therapy. Int. J. Mol. Sci. 2021, 22, 6637. https://doi.org/ 10.3390/ijms22126637 1. Introduction Historically, medicines applied for the relief of pain, fever, and inflammation from Academic Editors: Seung Joon Baek herbs or plants were known for centuries. -
When Innovation Goes Wrong: Technological Regress and the Opioid Epidemic
NBER WORKING PAPER SERIES WHEN INNOVATION GOES WRONG: TECHNOLOGICAL REGRESS AND THE OPIOID EPIDEMIC David M. Cutler Edward L. Glaeser Working Paper 28873 http://www.nber.org/papers/w28873 NATIONAL BUREAU OF ECONOMIC RESEARCH 1050 Massachusetts Avenue Cambridge, MA 02138 May 2021 We are grateful to Toby Chaiken, Julia Dennett, and Travis Donahoe for expert research assistance. We are also grateful to Leonard Young and Netrali Dalvi of the Massachusetts Prescription Drug Monitoring Program for providing assistance with MA’s Prescription Monitoring Program (PMP) data, Adam Berrones and Dave Hopkins for providing assistance with Kentucky’s All Schedule Prescription Electronic Reporting (KASPER) data, and Gilbert Samia for providing assistance with California’s Controlled Substance Utilization Review and Evaluation System (CURES) data. This research was supported by the National Institute On Aging of the National Institutes of Health under award numbers R37AG047312. Cutler is involved in the multi-district litigation regarding opioids as an expert witness to the plaintiff counties suing opioid manufacturers, distributors, and dispensers. Additional detail on the data and results presented are available in the online appendix. The views expressed herein are those of the authors and do not necessarily reflect the views of the National Bureau of Economic Research. At least one co-author has disclosed additional relationships of potential relevance for this research. Further information is available online at http://www.nber.org/papers/w28873.ack NBER working papers are circulated for discussion and comment purposes. They have not been peer-reviewed or been subject to the review by the NBER Board of Directors that accompanies official NBER publications. -
Short Article One Hundred Years of Aspirin
Medical History, 1999, 43: 502-507 Short Article One Hundred Years of Aspirin THIJS J RINSEMA* Acetylsalicylic acid was synthesized by Gerhardt in 1853 and even put on the market during the 1880s by the firm Merck.1 Yet the proper history of this medicine begins only in 1897, now more than a hundred years ago, when this miracle amongst medicines was again synthesized at the dyestuffs factory of Friedrich Bayer and the chemical factory of Friedrich von Heyden. About eighteen months later at Bayer they provided this chemical substance with a brand name: Aspirin. The story of the development of Aspirin at Bayer is well known and has been told over and over again. Felix Hoffmann was painstakingly looking for a substitute for salicylic acid because his father, who suffered from rheumatism, hated taking this medicine. Hoffmann succeeded in his endeavour after actively searching for some time: on 10 August 1897 he synthesized acetylsalicylic acid. The next step was the pharmaceutical trial of this remedy. Bayer's pharmacist, Heinrich Dreser, took care of this, and after tests on animals and himself he discovered the excellent sedative and anti-febrile properties of this substance. On 23 January 1899 they decided to give this substance the brand name of Aspirin and finally, on 6 March 1899, this was registered at the Kaiserlichen Patentsamt Berlin. The dyestuffs factory was able to put acetylsalicylic acid on the market as an over-the-counter analgesic and remedy for rheumatism.2 However, was the discovery of this medicine really the result of the actions of the two people mentioned above? A letter from the chemist Arthur Eichengrun (sent from the concentration camp Theresienstadt) throws a different light on the question. -
Opioid Epidemic Do Not Be a Contributor! Optometry's Responsibility
7/12/2019 OPIOID EPIDEMIC DO NOT BE A CONTRIBUTOR! OPTOMETRY’S RESPONSIBILITY REBECCA H. WARTMAN OD NSU SMOKY MOUNTAIN SUMMER CONFERENCE JULY 2019 DISCLAIMERS FOR PRESENTATION 1. All information was current at time it was prepared 2. Drawn from national policies, with links included in the presentation for your use 3. Prepared as a tool to assist doctors and staff and is not intended to grant rights or impose obligations 4. Prepared and presented carefully to ensure the information is accurate, current and relevant 5. No conflicts of interest exist for the presenter- financial or otherwise. Rebecca writes for Optometric Journals and is a consultant for Eye Care Centers, PA 1 7/12/2019 DISCLAIMERS FOR PRESENTATION 6. Of course the ultimate responsibility for the correct submission of claims and compliance with provider contracts lies with the provider of services 7. AOA, NSU, its presenters, agents, and staff make no representation, warranty, or guarantee that this presentation and/or its contents are error-free and will bear no responsibility or liability for the results or consequences of the information contained herein 8. Special thank you for Dr. Harvey Richman OUTLINE • Definition of terms • Origin of opioid epidemic • Early and more Recent Laws • Modern Pain Control approaches • Pre 2018 and Post 2018 • The Opioid Epidemic –Scope of the Problem • Pain Management for Optometry • Watch out for drug seekers • Tropicamide???? Really??? 2 7/12/2019 READY?? DEFINITION OF TERMS • Aberrant drug‐related behavior • Behavior outside agreed‐upon treatment plan • Abuse • Any drug use/intentional self‐administration for nonmedical purpose • pleasure‐seeking, consciousness altering 3 7/12/2019 DEFINITION OF TERMS • Addiction • Chronic, neurobiological disease ( genetic, psychosocial, and environmental factors) • Behaviors including: 1.