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Drug/medicine: Drug or medicine can be defined as the substances that are generally used for prevention, diagnosis as well as treating the different symptoms of abnormal conditions. Laboratory medicine is a clinical science or discipline that is mainly devoted to quantitative measurement and qualitative assessment of substances that can easily be assayed in different biological fluids of animals including humans for medical research purposes (Lippi and Plebani, 2020). Medicines are used for easing pain, control of blood sugar, curing any infection or many other things that can provide relief from health risks of humans and other animals.
Placebo: Placebo can be defined as the pharmacologically inert preparation that is prescribed more especially for the mental relief of different patients who are suffering from some accurate disorder. Placebo treatment using drugs includes some clinical, neurobiological along with laboratory applications for relief of pain (Klinger et al. 2018). Placebo treatment is beneficial for understanding the effect of any new drug in some treatment in particular conditions.
Therapeutic window: Therapeutic window (TW) can be defined as the range of time between the injury and the possible treatment during which the treatment can still be effective to heal the wounds. Short term as well as low to moderate corticosteroids strategy of therapy in TW can provide benefits for serious patients (Li et al. 2020).
Tolerance: Tolerance can be defined as the responses that a patient provides to any drug when a particular drug is used for a repeated period. In other words, tolerance can be defined as the survival transient of any patient during exposure to any high concentration medicine such as antibiotics (Yan and Bassler, 2019). Tolerance occurs when any person does not respond to any drug as it has responded for the first time.
Side-effects: Side effects can be termed as the adverse reactions of any drug that are unintended during treatment for patients. Drugs are generally helpful to treat critical disease however, the negative effects of the drugs in any human body is termed as their side effects (Zhao et al. 2018). Side effects generally occur due to interaction with other drugs or killing the cells after consumption that causes a negative influence on health.
Salicylic acid and aspirin
Dissimilarities:
Similarities:
Diazepam, nitrazepam and chlordiazepoxide
Dissimilarities:
Similarities:
Amphetamine and adrenaline
Dissimilarities:
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Morphine, codeine and diamorphine
Dissimilarities:
Similarities:
Functional groups (FG) present in molecules of drugs are the main aspect using which any drugs reach against some particular health disease. Modification of the functional group indicates the conversion of FG for more intense chemical reactions with different molecules. Modification is essential, especially for drugs as it helps to react with disease effectively and more vigorously, through which recovery of patients can easily be possible. Functional groups of different drugs such as ester, phosphates, carbamates and amides are highly reactive and cleaved effectively as well as enzymatically within the body (Zhang and Tang, 2018). The modification increases reactivity of functional groups that support separate chemical erection of drugs inside the body to react against the diseases. FG is generally determined by the intrinsic reactivity of different parent molecules of a drug that helps in improving the reactivity as well as several properties of the drug for which modification is necessary.
General process that is used in the early-stage development of potential drugs includes the first stage of discovery and development with the research on FG present within a drug. The next step is preclinical research in which newly developed drugs are tested in the laboratory to measure their safety and effectiveness. The next stage is clinical research that includes the implementation of drugs on people for testing safety or any side effects in the body. FDA review is essential for checking the documentation that indicates the potentiality of drugs in a specific disease. FDA can sometimes require the drug manufacturer to do some extensive research about a new drug that is developed before its approval for use (Darrow et al. 2020). The last step is the motoring by the FDA about the safety of drugs after allowing use for mass people.
Functional group in a drug provides different effects such as electronic effects, steric effects along with the effect of solubility. Modification of the FG helps to increase these effects that enhance the effectiveness of the drug against a specific disease. The presence of the active FG at the exterior portion of dendrimers allows a proper conjugation of different biomolecules to surface while different drugs can be effectively loaded at the interior (Mitchell et al. 2021). Delivery of drugs depends on modification of FG as it increases effectiveness for which requirement of those drugs increases significantly. Safety includes proper testing of drugs after modification of FG as effective modification helps to improve its reactiveness in water. Modification of FG is done based on testing that increases safety for consumption during any health issue.
Alcohol detection in breath
Alcohol detection in urine
Alcohol detection in blood
Compound Library (CL): Compound library can be termed as a collection of different chemicals that are specially used for the high-throughput screening along with maintenance of other essential processes for the development of drugs. The presence of comparatively large CL helps in providing great value for the discovery of different bioactive components along with different therapeutic agents (Jiang et al. 2019). Compound library stores different chemicals with their characteristics, presence of purity and respective quantity using which chemicals are used for drug discovery.
Classical pharmacology is the strategy using which different phenotypic drugs are discovered. Chemicals that are present in CL are used based on the requirement of a drug for any specific disease after testing the effectiveness of those chemicals. A range of existing chemicals in CL is screened against any specific drug for any particular disease model. According to Schneider (2018), CL uses microfluidic reactors for drug discovery after testing without extensively using any microfluidic-assisted synthesis of chemicals. Selectivity of specific drugs is essential for the evaluation of ADRs of drugs for which CL is beneficial and allows testing of different drugs with the use of chemicals. Testing quality before its permission for consumption requires analysis of design of drugs and its reconvenes with other biological components that are present inside body. CL allows the pathway for innovative drug discovery by using isomers that can react effectively during treatment.
Use of combinatorial chemistry (CC): Combinatorial chemistry can be termed as one of the advanced cost and time effective methodologies for producing effective drugs. A dynamic CC is an effective approach that helps in generating chemical libraries for different macromolecular targets (Frei et al. 2019). CC helps in the effective screening of new drugs, optimises the testing procedure using chemical lead process, and purifies the library along effective handling of samples during testing. This strategy helps in the development of large chemical components in a rapid way using a small-scale cell of reaction. The use of recently developed techniques in CC is beneficial for further testing and synthesis of new drugs.
Use of computer in designing new drugs: Computer-aided designing of new drugs is effective in the identification of lead compounds that helps in developing new drugs. Computer-based designing of drugs uses a structural determination of drugs based on legends that are promising in maintaining compounds effectively for the improvement of reactivity. Computer analysis is an effective tool for the identification of interactions of different drug molecules using which new drugs can easily be developed (Salo-Ahen et al. 2021). Measurement accuracy, as well as less work force usage, create the advantage of using CADD for the discovery of new drugs.
Reference list
Journals
Darrow, J.J., Avorn, J. and Kesselheim, A.S., 2020. FDA approval and regulation of pharmaceuticals, 1983-2018. Jama, 323(2), pp.164-176.
Foley, K.F., 2018. A positive urine alcohol with negative urine ethyl-glucuronide. Laboratory Medicine, 49(3), pp.276-279.
Frei, P., Hevey, R. and Ernst, B., 2019. Dynamic combinatorial chemistry: a new methodology comes of age. Chemistry–A European Journal, 25(1), pp.60-73.
Ghosh, C., Singh, V., Grandy, J. and Pawliszyn, J., 2020. Recent advances in breath analysis to track human health by new enrichment technologies. Journal of separation science, 43(1), pp.226-240.
Idrees, M., Mohammad, A.R., Karodia, N. and Rahman, A., 2020. Multimodal role of amino acids in microbial control and drug development. Antibiotics, 9(6), p.330.
Ito, T. and Handa, H., 2020. Molecular mechanisms of thalidomide and its derivatives. Proceedings of the Japan Academy, Series B, 96(6), pp.189-203.
Jiang, X., Hao, X., Jing, L., Wu, G., Kang, D., Liu, X. and Zhan, P., 2019. Recent applications of click chemistry in drug discovery. Expert opinion on drug discovery, 14(8), pp.779-789.
Klinger, R., Stuhlreyer, J., Schwartz, M., Schmitz, J. and Colloca, L., 2018. Clinical use of placebo effects in patients with pain disorders. International review of neurobiology, 139, pp.107-128.
Li, Y., Zhou, X., Li, T., Chan, S., Yu, Y., Ai, J.W., Zhang, H., Sun, F., Zhang, Q., Zhu, L. and Shao, L., 2020. Corticosteroid prevents COVID-19 progression within its therapeutic window: a multicentre, proof-of-concept, observational study. Emerging microbes & infections, 9(1), pp.1869-1877.
Lippi, G. and Plebani, M., 2020. A modern and pragmatic definition of Laboratory Medicine. Clinical Chemistry and Laboratory Medicine (CCLM), 58(8), pp.1171-1171.
Mitchell, M.J., Billingsley, M.M., Haley, R.M., Wechsler, M.E., Peppas, N.A. and Langer, R., 2021. Engineering precision nanoparticles for drug delivery. Nature Reviews Drug Discovery, 20(2), pp.101-124.
Salo-Ahen, O.M., Alanko, I., Bhadane, R., Bonvin, A.M., Honorato, R.V., Hossain, S., Juffer, A.H., Kabedev, A., Lahtela-Kakkonen, M., Larsen, A.S. and Lescrinier, E., 2021. Molecular dynamics simulations in drug discovery and pharmaceutical development. Processes, 9(1), p.71.
Schneider, G., 2018. Automating drug discovery. Nature reviews drug discovery, 17(2), pp.97-113.
van de Luitgaarden, I.A., Beulens, J.W., Schrieks, I.C., Kieneker, L.M., Touw, D.J., van Ballegooijen, A.J., van Oort, S., Grobbee, D.E. and Bakker, S.J., 2019. Urinary ethyl glucuronidecan be used as a biomarker of habitual alcohol consumption in the general population. The Journal of nutrition, 149(12), pp.2199-2205.
Yan, J. and Bassler, B.L., 2019. Surviving as a community: antibiotic tolerance and persistence in bacterial biofilms. Cell host & microbe, 26(1), pp.15-21.
Zhang, Z. and Tang, W., 2018. Drug metabolism in drug discovery and development. ActaPharmaceuticaSinica B, 8(5), pp.721-732.
Zhao, X., Chen, L. and Lu, J., 2018. A similarity-based method for prediction of drug side effects with heterogeneous information. Mathematical biosciences, 306, pp.136-144.
Websites
Pubchem.ncbi.nlm.nih.gov, 2022a. Diazepam, Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Diazepam [Accessed on: 288/02/2022]
Pubchem.ncbi.nlm.nih.gov, 2022b. Nitrazepam, Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Nitrazepam#section=3D-Conformer [Accessed on: 288/02/2022]
Pubchem.ncbi.nlm.nih.gov, 2022c. Chlordiazepoxide, Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Chlordiazepoxide#section=Computed-Descriptors [Accessed on: 288/02/2022]
Pubchem.ncbi.nlm.nih.gov, 2022d. Amphetamine, Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Amphetamine#section=3D-Conformer [Accessed on: 288/02/2022]
Pubchem.ncbi.nlm.nih.gov, 2022e. DL-Adrenaline, Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Adrenaline [Accessed on: 288/02/2022]
Pubchem.ncbi.nlm.nih.gov, 2022f, Morphine, Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Morphine#section=Names-and-Identifiers [Accessed on: 288/02/2022]
Pubchem.ncbi.nlm.nih.gov, 2022g. Codeine, Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Codeine [Accessed on: 288/02/2022]
Pubchem.ncbi.nlm.nih.gov, 2022h. cis,trans-5'-Hydroxythalidomide, Available at: https://pubchem.ncbi.nlm.nih.gov/compound/cis_trans-5_-Hydroxythalidomide [Accessed on: 288/02/2022]
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