MORPHINE INTRODUCTION Morphine was isolated from raw opium in 1805 by a German pharmacologist, Friedrich Wilhelm Adam Serturner . It is important among the opium alkaloid. The amout being nearly 3-23% . The other two closely related alkaloids are codeine and thebaine Due to the presence of phenanthrene nucleus these are also known as phenanthere alkaloid . Morphine is a natural opium alkaloid. It is a dried extract obtained from the capsules of the poppy plant known as papaver somniferum . It requires approximately 10 kg of raw opium to produce 1 kg of morphine. Uses of Morphine : Analgesia General anesthetic Cough suppressant Anti-diarrheal Pre-operative medication Post-operative medication
SOURCE: O pium or gum opium poppy or poppy capsules It is obtainted from dried latex of unripe capsules of papavarine species(by Vertical incisions 0.1 to 0.5 mm depth) . Papavarine sominiferum P . bractatum P . oriantale P . rhoeaes Commercial Varieties: Turkis opium Indian opium Chainese opium Russian opium
Properties and Uses:- Morphine is colorless prism . M.Pt :254 O C. Bitter in taste . Levo rotatory . Insoluble in water, little soluble in benzol, ether , chloroform sufficiently soluble in alcohol and alkali solution . Used as analgesic and sedative . Depressant action on various parts of the nervous system but habit forming. Diacetyl derivative of mophine- heroin (more habit forming than morphine) . Codeine sulfate less effective analgesic and antitussive causes addiction . Thebaine little medicinal values and produces convulsions .
MECHANISM OF ACTION Morphine binds to opiate receptors that control passage of Ca2+ and K+ through channels which in turn control acetylcholine (nerve transmitter) flow across synapses
Structural Area Relationship (SAR) of MORPHINE
SAR of MORPHINE : A aromatic ring B-cyclo hexane C-cyclo hexane D-pyridine E-tetra hydrofuran At 3,6 position,-OH groups:- Conversion of 3-OH to 3-methoxy gives codeine-decreases activity upto 15% of morphine Conversion of 6-OH to 6-methoxy gives heterocodeine- increases 6 fold activity Of morphine Oxidation of 6-OH gives ketone –decreases the activity O NCH3 HO HO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 A B C D E Note:- absence of 7,8 double bond in morphine --- decreases the activity 37% Absence of double bond and presence of ketone ----increases the activity
CHEMISTRY OF MORPHINE 1. SAR- The Phenol Moiety • Codeine is metabolised in the liver to morphine. • The activity observed is due to morphine. • Codeine is used for mild pain and coughs • Weaker analgesic but weaker side effects. Masking phenol is bad for activity
2. SAR- The 6-alcohol Morphine Hydromorohine Desomorphine •Activity increases due to reduced polarity •Compounds cross the blood brain barrier more easily •6-OH is not important for binding •Oxidation , coupled with reduction of 7,8 C=C, increases activity
3. SAR - Double bond at 7,8 Dihydromorphine Increased activity The DOUBLE BOND (alkene group) is not important to binding
4. SAR- Replacement of N-CH 3 • Morphine also has a methyl group attached to a nitrogen atom. If this methyl group is replaced by a propenyl group, an antagonist of morphine called nalorphine is formed. NALORPHINE
CODEINE •Codeine is available as a sulfate and phosphate salt and also as the free base and as tablets, elixir and solution for injection. • The 3-methoxy group protects the 3-position from glucuronide as occurs with morphine. • Codeine is used as an analgesic and antitussive. It is metabolized by cytochrome-mediated O-D to morphine (10% of dose), by cytochrome- mediated OND to norcodeine (11% activity of codeine), and conjugation to 6-O-glucuronide .
Esterification (acetylation) of both the 3- and 6-OH groups yields more lipophilic and more potent analgesic. Morphine Codeine Ethylmorphine (1) morphine R1 = Rz = H (2) codeine Rl = CH3, R2 = H (3) heroin Rl = Rz = COCH3 •Heroin was thus one of the first prodrugs.
• Esterification of the 6-OH enhanced lipophilicity of these compounds and their increased penetration in the CNS. Ring C Analogues
Modification in Alicyclic Ring= 7-8 unsaturation modification 15
N-Demethylation and realkylation yield N- allylnormorphine and nalorphine , which is a morphine antagonist .
• Annelation – adding a sixth ring across carbons 6 and 14 of the C ring of morphine – yields thebaine compounds such as etorphine which are extremely potent analgesics. These compounds as typically used to immobilize large animals (elephants). The Thebaines Thebaines
•Replacement of the N-methyl group of the thebaines with a methylcyclopropyl group yields compounds with mixed agonist/antagonist or partial agonist activity. •partial opiate agonist at m-receptors and an antagonist at k1 receptors Buprenorphine • Buprenorphine available as IM and sublingual administration has a half-life of about 5 hours. • It has moderate abuse potential. Because of its high affinity and slow dissociation from opiate receptors, larger doses of antagonists such as naloxone are required to produce reversal
Ring D Analogues and the Tertiary Amine Function • Replacement of morphine’s N-methyl group by a hydrogen atom as in normorphine reduces analgesic activity to 1/8th that of morphine. But substitution with aralkyl groups significantly increases analgesic activity.eg=N phenethylnormorphine
MORPHINE CLASSIFICATION BASED ON STRUCTURE
1.MORPHINAN
2. Benzomorphan Cylazocine Pentazocie
3. 4-PHENYL PIPERDINES Meperidine
4. 4-ANILIDOPIPERIDINES Sufentanil Alfentanil
5. DIPHENYLHEPTANES METHADONE HYDROCHLORIDE equally potent to morphine or heroin; Highly addictive
6. Miscellanious Drugs Tramadol Nalbuphine
Uses :- Analgesic Hypnotic and sedative Potent analgesic due to its central narcotic effect CTZ stimulation in the medulla Codeine is used as antitussive Heroin is used as more narcotic and analgesic (habit forming drug) Apomorphine has emetic action Dihydromorphine –potent narcotic drug Synthetic morphine compounds lilke opiods which are non habit forming but possess the medicinal activity of mophine