Analyse the therapeutic or chemical effects of isomerism. Research the drugs thalidomide and ibuprofen, and their therapeutic effects. Both drugs have optical isomers: compare the structures and properties of the optical isomers in each case study. Explain why one of these drugs is only available as a single optical isomer whilst the other is sold as a racemic mixture (a 50:50 mixture of both optical isomers). Discuss the implications of having to separate a racemic mixture into its stereoisomers and the implications if the two stereoisomers are not separated, with reference to the two drugs.
(This provides evidence for D3)
Stereoisomers differ in pharmacokinetic and pharmacodynamic properties. Pharmacokinetic differences resulting out of stereoisomerism can be in absorption like L-Methotrexate is better absorbed than D-Methotrexate, Esomeprazole is more bioavailable than racemic omeprazole; in distribution like S-Warfarin is more extensively bound to albumin than R-Warfarin, hence it has lower volume of distribution.[5,9] Levocetrizine has smaller volume of distribution than its dextroisomer,[10] d-Propranolol is more extensively bound to proteins than l-Propranolol; in metabolism like S-Warfarin is more potent and metabolized by ring oxidation while R-Warfarin is less potent and metabolized by side chain reduction, half life of S-Warfarin is 32 hours while it is 54 hours for R-Warfarin
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