Continuous Flow Synthesis of a (S)-Pregabalin Precursor and (S)-Warfarin
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Thiourea Derivatives of Tröger's Base
General Papers ARKIVOC 2009 (xiv) 124-134 Thiourea derivatives of Tröger’s base: synthesis, enantioseparation and evaluation in organocatalysis of Michael addition to nitroolefins Delphine Didiera and Sergey Sergeyeva,b* a Université Libre de Bruxelles (ULB), Laboratoire de Chimie des Polymères, CP 206/01, Boulevard du Triomphe, 1050 Brussels, Belgium b University of Antwerp, Department of Chemistry, Groenenborgerlaan 171, 2020 Antwerp, Belgium E-mail: [email protected] Abstract The catalytic activity of racemic thiourea derivatives of Tröger’s base (±)-2–4 in Michael additions of malonate derivatives to trans-β-nitrostyrene was studied. Due to the low basicity of Tröger’s base, the outcome of the addition reactions was strongly dependent on the pKa of the nucleophile. Thiourea catalysts (±)-2, 3 were resolved on the chiral stationary phase Whelk O1. Unfortunately, enantiopure catalysts 2 and 3 showed no stereoselectivity in the Michael addition. Keywords: Tröger’s base, thiourea, Michael addition, catalysis, WhelkO1 Introduction In the recent years, asymmetric organocatalysis has emerged as a competitive, environment- friendlier alternative to catalysis with transition metal complexes. While simple molecules such as derivatives of proline have been receiving a great deal of attention due to their availability, considerable effort has been directed towards searching for novel chiral scaffolds for asymmetric organocatalysis.1 Tröger’s base 1 is a chiral diamine bearing two stereogenic bridge-head nitrogen atoms (Figure 1). The two aromatic rings fused to the central bicyclic framework are almost perpendicular to each other, creating a rigid, V-shaped C2-symmetrical molecular scaffold with a distance of ca. 1nm between the two extremities.2 Due to its chirality and relatively rigid geometry, one would intuitively expect a considerable interest for analogues of Tröger’s base in the field of asymmetric synthesis and catalysis. -
Phenibut Overdose in Combination with Fasoracetam: Emerging Drugs of Abuse
Open Access Journal of Clinical Intensive Care and Medicine Case Report Phenibut Overdose in Combination ISSN with Fasoracetam: Emerging Drugs 2639-6653 of Abuse Cristian Merchan1*, Ryan Morgan1, John Papadopoulos1,2 and David Fridman2 1Department of Pharmacy, New York University Langone Medical Center, New York, USA 2New York University School of Medicine, New York, USA *Address for Correspondence: Dr. Cristian INTRODUCTION D Merchan, Pharm.D, BCCCP, Critical Care Pharmacotherapist, Department of Pharmacy, The widespread availability of non-traditional dietary supplements and New York University Langone Medical Center, pharmacologically active substances via the Internet continues to introduce New York, USA, Tel: 516-263-1671; Email: [email protected] mechanisms for inadvertent toxidromes not commonly seen. Consumers are virtually unrestricted in their ability to acquire products purporting augmentation of normal Submitted: 25 October 2016 Approved: 15 December 2016 physiology for the purposes of enhancement, recreation, and/or potential abuse. The Published: 17 December 2016 safety proiles at standard or toxic doses remain largely unknown for many agents that Copyright: 2016 Merchan et al. This is an can be purchased electronically. We report a case of mixed toxicity related to phenibut open access article distributed under the and fosaracetam, both of which are readily available for consumer purchase from Creative Commons Attribution License, which online retailers. Written and verbal consent was obtained for this case presentation. permits unrestricted use, distribution, and reproduction in any medium, provided the CASE REPORT original work is properly cited. Keywords: Nootropic; GABA agonist; Drug of A 27-year-old male with a past medical history of anxiety was discovered abuse; Dietary supplement; Alternative medicine unresponsive on the sidewalk. -
Part I Principles of Enzyme Catalysis
j1 Part I Principles of Enzyme Catalysis Enzyme Catalysis in Organic Synthesis, Third Edition. Edited by Karlheinz Drauz, Harald Groger,€ and Oliver May. Ó 2012 Wiley-VCH Verlag GmbH & Co. KGaA. Published 2012 by Wiley-VCH Verlag GmbH & Co. KGaA. j3 1 Introduction – Principles and Historical Landmarks of Enzyme Catalysis in Organic Synthesis Harald Gr€oger and Yasuhisa Asano 1.1 General Remarks Enzyme catalysis in organic synthesis – behind this term stands a technology that today is widely recognized as a first choice opportunity in the preparation of a wide range of chemical compounds. Notably, this is true not only for academic syntheses but also for industrial-scale applications [1]. For numerous molecules the synthetic routes based on enzyme catalysis have turned out to be competitive (and often superior!) compared with classic chemicalaswellaschemocatalyticsynthetic approaches. Thus, enzymatic catalysis is increasingly recognized by organic chemists in both academia and industry as an attractive synthetic tool besides the traditional organic disciplines such as classic synthesis, metal catalysis, and organocatalysis [2]. By means of enzymes a broad range of transformations relevant in organic chemistry can be catalyzed, including, for example, redox reactions, carbon–carbon bond forming reactions, and hydrolytic reactions. Nonetheless, for a long time enzyme catalysis was not realized as a first choice option in organic synthesis. Organic chemists did not use enzymes as catalysts for their envisioned syntheses because of observed (or assumed) disadvantages such as narrow substrate range, limited stability of enzymes under organic reaction conditions, low efficiency when using wild-type strains, and diluted substrate and product solutions, thus leading to non-satisfactory volumetric productivities. -
Chapter 25 Mechanisms of Action of Antiepileptic Drugs
Chapter 25 Mechanisms of action of antiepileptic drugs GRAEME J. SILLS Department of Molecular and Clinical Pharmacology, University of Liverpool _________________________________________________________________________ Introduction The serendipitous discovery of the anticonvulsant properties of phenobarbital in 1912 marked the foundation of the modern pharmacotherapy of epilepsy. The subsequent 70 years saw the introduction of phenytoin, ethosuximide, carbamazepine, sodium valproate and a range of benzodiazepines. Collectively, these compounds have come to be regarded as the ‘established’ antiepileptic drugs (AEDs). A concerted period of development of drugs for epilepsy throughout the 1980s and 1990s has resulted (to date) in 16 new agents being licensed as add-on treatment for difficult-to-control adult and/or paediatric epilepsy, with some becoming available as monotherapy for newly diagnosed patients. Together, these have become known as the ‘modern’ AEDs. Throughout this period of unprecedented drug development, there have also been considerable advances in our understanding of how antiepileptic agents exert their effects at the cellular level. AEDs are neither preventive nor curative and are employed solely as a means of controlling symptoms (i.e. suppression of seizures). Recurrent seizure activity is the manifestation of an intermittent and excessive hyperexcitability of the nervous system and, while the pharmacological minutiae of currently marketed AEDs remain to be completely unravelled, these agents essentially redress the balance between neuronal excitation and inhibition. Three major classes of mechanism are recognised: modulation of voltage-gated ion channels; enhancement of gamma-aminobutyric acid (GABA)-mediated inhibitory neurotransmission; and attenuation of glutamate-mediated excitatory neurotransmission. The principal pharmacological targets of currently available AEDs are highlighted in Table 1 and discussed further below. -
“GABA” 'Bout? Pregabalin and Gabapentin Abuse
3/19/18 What’s All the “GABA” ‘Bout? Pregabalin and Gabapentin Abuse Courtney Kominek, PharmD, BCPS, CPE Disclosures .Courtney Kominek, PharmD, BCPS, CPE –Axial Healthcare – Consultant .The views and opinions expressed in this presentation are those of the authors and do not necessarily reflect the official policy or position of any agency of the United States government, including the Department of Veterans Affairs. 1 3/19/18 Learning Objectives .Review the proposed mechanisms of action (MOA) for gabapentin and pregabalin. .Explain the proposed rationale as to why gabapentin and pregabalin have become drugs of abuse. .Identify signs and symptoms of withdrawal that an addicted or tolerant patient may experience upon abrupt discontinuation of gabapentin or pregabalin. .Discuss updates on changes in pain management given the increase in gabapentin and pregabalin abuse. Current Situation Opioid overdose public health crisis Rising use of nonopioid medications including gabapentin Opioids and concomitant gabapentin increase risk for overdose Reports of gabapentinoid abuse Changes in PDMP and scheduling at state level http://www.register-herald.com/news/manchin-asks-fda-dea-to-consider-rescheduling-gabapentin/article_442fa04b-7ed9-5bf8-8d19-b5440e9c278b.html 2 3/19/18 Gabapentin and Pregabalin: Pharmacology and Pharmacokinetics Fact or Alternate Fact? .Gabapentin and pregabalin work on GABA. 3 3/19/18 Mechanism of Action Structurally related to GABA and has GABA-mimetic properties Do not • Alter uptake or breakdown • Convert into GABA • Bind to GABAa or GABAB Binds to the α2-δ subunit of the voltage-gated calcium channel Reduces the Ca2+ -dependent release of pro-nociceptive neurotransmitters Decreases release of glutamate, NE, and substance P Dworkin RH et al. -
Conjugation of Tryptamine to Biologically Active Carboxylic Acids in Order to Create Prodrugs
ISSN 2380-5064 | The Arsenal is published by the Augusta University Libraries | http://guides.augusta.edu/arsenal Volume 4, Issue 1 (2021) Special Edition Issue CONJUGATION OF TRYPTAMINE TO BIOLOGICALLY ACTIVE CARBOXYLIC ACIDS IN ORDER TO CREATE PRODRUGS Colin Miller, Jr. and Iryna O. Lebedyeva Citation Miller, C., Jr., & Lebedyeva, I. O. (2021). Conjugation of tryptamine to biologically active carboxylic acids in order to create prodrugs. The Arsenal: The Undergraduate Research Journal of Augusta University, 4(1), 26. http://doi.org/10.21633/issn.2380.5064/s.2021.04.01.26 © Miller, Jr. and Lebedyeva 2021. This open access article is distributed under a Creative Commons Attribution NonCommercial-NoDerivs 2.0 Generic License (https://creativecommons.org/licenses/by-nc-nd/2.0/). Conjugation of Tryptamine to Biologically Active Carboxylic Acids in Order to Create Prodrugs Presenter(s): Colin Miller, Jr. Author(s): Colin Miller Jr. and Iryna O. Lebedyeva Faculty Sponsor(s): Iryna O. Lebedyeva, PhD Affiliation(s): Department of Chemistry and Physics (Augusta Univ.) ABSTRACT A number of blood and brain barrier penetrating neurotransmitters contain polar functional groups. Gamma-aminobutyric acid (GABA) is an amino acid, which is one of the primary inhibitory neurotransmitter in the brain and a major inhibitory neurotransmitter in the spinal cord. Antiepileptic medications such as Gabapentin, Phenibut, and Pregabalin have been developed to structurally represent GABA. These drugs are usually prescribed for the treatment of neuropathic pain. Since these drugs contain a polar carboxylic acid group, it affects their ability to penetrate the blood and brain barrier. To address the low bioavailability and tendency for intramolecular cyclization of Gabapentin, its less polar prodrug Gabapentin Enacarbil has been approved in 2011. -
Membrane Stabilizer Medications in the Treatment of Chronic Neuropathic Pain: a Comprehensive Review
Current Pain and Headache Reports (2019) 23: 37 https://doi.org/10.1007/s11916-019-0774-0 OTHER PAIN (A KAYE AND N VADIVELU, SECTION EDITORS) Membrane Stabilizer Medications in the Treatment of Chronic Neuropathic Pain: a Comprehensive Review Omar Viswanath1,2,3 & Ivan Urits4 & Mark R. Jones4 & Jacqueline M. Peck5 & Justin Kochanski6 & Morgan Hasegawa6 & Best Anyama7 & Alan D. Kaye7 Published online: 1 May 2019 # Springer Science+Business Media, LLC, part of Springer Nature 2019 Abstract Purpose of Review Neuropathic pain is often debilitating, severely limiting the daily lives of patients who are affected. Typically, neuropathic pain is difficult to manage and, as a result, leads to progression into a chronic condition that is, in many instances, refractory to medical management. Recent Findings Gabapentinoids, belonging to the calcium channel blocking class of drugs, have shown good efficacy in the management of chronic pain and are thus commonly utilized as first-line therapy. Various sodium channel blocking drugs, belonging to the categories of anticonvulsants and local anesthetics, have demonstrated varying degrees of efficacy in the in the treatment of neurogenic pain. Summary Though there is limited medical literature as to efficacy of any one drug, individualized multimodal therapy can provide significant analgesia to patients with chronic neuropathic pain. Keywords Neuropathic pain . Chronic pain . Ion Channel blockers . Anticonvulsants . Membrane stabilizers Introduction Neuropathic pain, which is a result of nervous system injury or lives of patients who are affected. Frequently, it is difficult to dysfunction, is often debilitating, severely limiting the daily manage and as a result leads to the progression of a chronic condition that is, in many instances, refractory to medical This article is part of the Topical Collection on Other Pain management. -
Organocatalytic Cyclopropanation of (E)-Dec-2-Enal: Synthesis, Spectral Analysis and Mechanistic Understanding
Organocatalytic Cyclopropanation of (E)-Dec-2-enal: Synthesis, Spectral Analysis and Mechanistic Understanding. Marta Meazza, Agnieszka Kowalczuk, Sarah Watkins, Simon Holland, Thomas A. 5 Logothetis, Ramon Rios Faculty of Natural & Environmental Sciences, Department of Chemistry, University of Southampton, Highfield Campus, Southampton, SO17 1BJ, United Kingdom In memoriam Klaus Burger ABSTRACT 10 An undergraduate experiment combining synthesis, NMR analysis and mechanistic understanding is reported. The students perform an organocatalyzed cyclopropanation reaction of (E)-dec-2-enal and are then required to determine the diastereoselectivity and assign the relative configuration of each product using NMR spectroscopy. 15 ABSTRACT GRAPHIC Journal of Chemical Education 8/20/18 Page 1 of 21 KEYWORDS Upper Division Undergraduate, Organic Chemistry, Hands-On Learning/Manipulatives, Inquiry-Based/Discovery Learning, Asymmetric Synthesis, 20 NMR Spectroscopy, Diastereomers. BACKGROUND In recent years, catalysis has had a huge impact on the nature of organic synthesis. With the increasing emphasis on green chemistry and sustainable processes, the development of new, highly enantioselective methodologies for the 25 synthesis of new, 3D scaffolds has become of paramount importance for organic chemists. A clear example is the 2001 Nobel Prize awarded to K. B. Sharpless, R. Noyori and W. S. Knowles for their contributions to this field. A further step towards the development of greener methodologies was made in 2000 with the “renaissance” of organocatalysis by the pioneering works of B. List1 and D.W.C. 30 MacMillan.2 List et al.1 developed the first intermolecular enantioselective aldol reaction catalyzed by proline through enamine activation, while MacMillan and coworkers2 developed the first organocatalyzed enantioselective Diels-Alder reaction through iminium activation. -
Pregabalin for the Treatment of Drug and Alcohol Withdrawal Symptoms: a Comprehensive Review
CNS Drugs (2016) 30:1191–1200 DOI 10.1007/s40263-016-0390-z REVIEW ARTICLE Pregabalin for the Treatment of Drug and Alcohol Withdrawal Symptoms: A Comprehensive Review 1 2,3 4 5 Rainer Freynhagen • Miroslav Backonja • Stephan Schug • Gavin Lyndon • 6 6 6 Bruce Parsons • Stephen Watt • Regina Behar Published online: 16 November 2016 Ó The Author(s) 2016. This article is published with open access at Springerlink.com Abstract Treatments for physical dependence and asso- treatment of physical dependence and accompanying ciated withdrawal symptoms following the abrupt discon- withdrawal symptoms associated with opioids, benzodi- tinuation of prescription drugs (such as opioids and azepines, nicotine, cannabinoids, and alcohol, although benzodiazepines), nicotine, alcohol, and cannabinoids are data from randomized controlled studies are sparse. How- available, but there is still a need for new and more ever, the current evidence is promising and provides a effective therapies. This review examines evidence sup- platform for future studies, including appropriate random- porting the potential use of pregabalin, an a2d voltage- ized, placebo- and/or comparator-controlled studies, to gated calcium channel subunit ligand, for the treatment of further explore the efficacy and safety of pregabalin for the physical dependence and associated withdrawal symptoms. treatment of withdrawal symptoms. Given the potential for A literature search of the MEDLINE and Cochrane Library pregabalin misuse or abuse, particularly in individuals with databases up to and including 11 December 2015 was a previous history of substance abuse, clinicians should conducted. The search term used was ‘(dependence OR exercise caution when using pregabalin in this patient withdrawal) AND pregabalin’. -
4Th Quarter 2020 DEA
QUARTERLY REPORT 4th Quarter – 2020 U.S. Department of Justice Drug Enforcement Administration Diversion Control Division Drug and Chemical Evaluation Section Drug Enforcement Administration – Toxicology Testing Program Contents Introduction ............................................................ 3 Summary ................................................................. 4 NPS Discovered via DEA TOX ................................. 5 New Psychoactive Substances ............................... 6 Traditional Illicit Drugs ........................................... 8 Prescription and Over the Counter Drugs ............. 9 Contact Information ............................................. 10 2 | Page 4th Quarter Report – 2020 Drug Enforcement Administration – Toxicology Testing Program Introduction The Drug Enforcement Administration’s Toxicology Testing Program (DEA TOX) began in May 2019 as a surveillance program aimed at detecting new psychoactive substances within the United States. In response to the ongoing synthetic drug epidemic, the Drug Enforcement Administration (DEA) awarded a contract with the University of California at San Francisco (UCSF) to analyze biological samples generated from overdose victims of synthetic drugs. In many cases, it can be difficult to ascertain the specific substance responsible for the overdose. The goal of DEA TOX is to connect symptom causation to the abuse of newly emerging synthetic drugs (e.g. synthetic cannabinoids, synthetic cathinones, fentanyl-related substances, other hallucinogens, etc.). -
Intranasal Pregabalin Administration: a Review of the Literature and the Worldwide Spontaneous Reporting System of Adverse Drug Reactions
brain sciences Perspective Intranasal Pregabalin Administration: A Review of the Literature and the Worldwide Spontaneous Reporting System of Adverse Drug Reactions Mohamed Elsayed *, René Zeiss, Maximilian Gahr, Bernhard J. Connemann and Carlos Schönfeldt-Lecuona Department of Psychiatry and Psychotherapy III, University of Ulm, Leimgrubenweg 12-14, 89075 Ulm, Germany; [email protected] (R.Z.); [email protected] (M.G.); [email protected] (B.J.C.); [email protected] (C.S.-L.) * Correspondence: [email protected]; Tel.: +49-(0)-731-500-61411; Fax: +49-(0)-731-500-61412 Received: 2 October 2019; Accepted: 11 November 2019; Published: 13 November 2019 Abstract: Background: It is repeatedly reported that pregabalin (PRG) and gabapentin feature a potential for abuse/misuse, predominantly in patients with former or active substance use disorder. The most common route of use is oral, though reports of sublingual, intravenous, rectal, and smoking administration also exist. A narrative review was performed to provide an overview of current knowledge about nasal PRG use. Methods: A narrative review of the currently available literature of nasal PRG use was performed by searching the MEDLINE, EMBASE, and Web of Science databases. The abstracts and articles identified were reviewed and examined for relevance. Secondly, a request regarding reports of cases of nasal PRG administration was performed in the worldwide spontaneous reporting system of adverse drug reactions of the European Medicines Agency (EMA, EudraVigilance database). Results: The literature search resulted in two reported cases of nasal PRG use. In the analysis of the EMA-database, 13 reported cases of nasal PRG use (11 male (two not specified), mean age of users = 34.2 years (four not specified)) were found. -
Gabapentin Enacarbil (Horizant) Monograph
Gabapentin enacarbil (Horizant) Monograph ® Gabapentin Enacarbil (Horizant ) National Drug Monograph March 2012 VA Pharmacy Benefits Management Services, Medical Advisory Panel, and VISN Pharmacist Executives The purpose of VA PBM Services drug monographs is to provide a comprehensive drug review for making formulary decisions. These documents will be updated when new clinical data warrant additional formulary discussion. Documents will be placed in the Archive section when the information is deemed to be no longer current. Executive Summary: Gabapentin enacarbil (Horizant®) is a prodrug of gabapentin which binds with high affinity to the α2δ subunit of voltage-activated calcium channels in vitro studies. It is unknown how the binding of gabapentin enacarbil (GEn) to the α2δ subunit corresponds to the treatment of restless leg syndrome (RLS) symptoms. Indication: GEn is FDA approved for treatment of RLS. Pharmacokinetics: GEn is primarily excreted by the kidneys and neither gabapentin nor GEn is substrate, inhibitor, or inducer of the major CYP450 system. In addition, GEn is not an inhibitor or substrate of p-glycoprotein in vitro. Dose: The recommended dosage is 600 mg once daily taken with food at about 5 PM. Efficacy: Several studies examining GEn have shown efficacy over placebo in patients with RLS; improvement in RLS symptoms was observed within 7 days of starting treatment.6-8, 12-14 Three studies demonstrated 1200 mg/day GEn significantly reduced International Restless Legs Syndrome (IRLS) scale total score and improved Clinical Global Impression– Improvement (CGI-I) scale compared with placebo.6-8 Two studies demonstrated efficacy at lower dose of 600 mg/day GEn; however, another study did not.7,12,13 These results are comparable to those seen with dopamine agonists.8,12 Adverse Drug Events: Commonly reported adverse effects for the approved dose of 600 mg/day GEn are somnolence, sedation and dizziness.