1. Drugs and their targets
Drugs: chemicals of low molecular mass (about 100–500 u) that interact with macromolecular targets to give a biological response. Medicines: drugs with a therapeutic effect, used for diagnosis, prevention or treatment; most are harmful in larger doses, so they are used only under medical supervision.
Classification: by pharmacological effect (analgesics, antiseptics), by drug action on a biochemical process (antihistamines), by chemical structure (sulphonamides), by molecular target (drugs acting on enzymes, receptors).
Enzymes as targets: drugs may block the active site (competitive inhibitors), bind at an allosteric site to change the active site’s shape, or bind covalently (irreversible inhibition).
Receptors as targets: membrane proteins that receive chemical messengers. Agonists mimic the messenger; antagonists block the receptor.
Key terms
- Drug
A low-molecular-mass chemical that interacts with a macromolecular target in the body and produces a biological response.
- Competitive inhibitor
A drug that competes with the natural substrate for the active site of an enzyme.
- Antagonist
A drug that binds to a receptor and blocks the natural messenger without activating it.
- Agonist
A drug that mimics the natural messenger and switches a receptor on.
2. Therapeutic classes I: antacids, antihistamines, tranquilisers, analgesics
- Antacids: NaHCO₃, Mg(OH)₂, Al(OH)₃ neutralise excess acid (). Insoluble bases are preferred: excess soluble base makes the stomach alkaline and triggers more acid. H₂-receptor blockers (cimetidine, ranitidine) stop histamine from stimulating acid release.
- Antihistamines: brompheniramine, terfenadine — block histamine receptors in allergy (they do not affect acid secretion).
- Tranquilisers: for stress and mental illness — equanil (depression, hypertension); barbiturates (veronal, amytal, seconal, nembutal) as hypnotics.
- Analgesics: relieve pain without impairing consciousness. Non-narcotic: aspirin (also antipyretic, anti-inflammatory, prevents platelet clotting), paracetamol. Narcotic: morphine, codeine (severe pain; sleep and addiction).
| Class | Examples |
|---|---|
| Antacids | Mg(OH)₂, Al(OH)₃, cimetidine, ranitidine |
| Antihistamines | Brompheniramine, terfenadine |
| Tranquilisers | Equanil, veronal, seconal |
| Non-narcotic analgesics | Aspirin, paracetamol |
| Narcotic analgesics | Morphine, codeine |
Key terms
- Antacid
A substance that neutralises excess stomach acid.
- Tranquiliser
A drug acting on the central nervous system to relieve stress, anxiety or mental illness.
- Analgesic
A drug that reduces pain without causing loss of consciousness.
3. Therapeutic classes II: antimicrobials and antifertility drugs
Antimicrobials destroy or check microbes: antibacterials, antifungals, antivirals, antiparasitics. Early synthetic antimicrobials: salvarsan (arsenic compound, for syphilis), prontosil (converted in the body to sulphanilamide; led to the sulpha drugs).
Antibiotics: chemicals (originally from micro-organisms, now also synthesised) that kill or inhibit microbes.
- Bactericidal (kill): penicillin, aminoglycosides, ofloxacin. Bacteriostatic (stop growth): erythromycin, tetracycline, chloramphenicol.
- Broad-spectrum (many bacteria): ampicillin, amoxycillin, chloramphenicol, vancomycin, ofloxacin. Narrow-spectrum: penicillin G. Limited spectrum: one organism or disease.
Antiseptics (living tissue): Dettol (chloroxylenol + terpineol), bithionol, iodine tincture (2–3% I₂ in alcohol–water), iodoform, boric acid (eyes). Disinfectants (non-living objects): 1% phenol, chlorine (0.2–0.4 ppm in water), low concentrations of SO₂. 0.2% phenol is an antiseptic.
Antifertility drugs: synthetic progesterone derivatives with oestrogen derivatives, e.g. norethindrone, ethynylestradiol (novestrol).
| Antiseptic | Disinfectant |
|---|---|
| Living tissue | Non-living objects |
| 0.2% phenol, Dettol, iodine tincture | 1% phenol, chlorine in water |
| Milder | Stronger |
Key terms
- Bactericidal
Describes an antibiotic that kills bacteria.
- Bacteriostatic
Describes an antibiotic that stops the growth of bacteria.
- Broad-spectrum antibiotic
An antibiotic effective against a wide range of bacteria.
- Antiseptic
A chemical applied to living tissue to kill or prevent growth of micro-organisms.
- Disinfectant
A chemical applied to non-living objects to kill micro-organisms.
4. Artificial sweetening agents
Natural sweeteners (sucrose, fructose) add calories. Artificial sweeteners give sweetness with little or no energy — useful for diabetics and for weight control.
| Sweetener | Sweetness (sucrose = 1) | Note |
|---|---|---|
| Aspartame | 100 | Unstable at cooking temperature; cold foods and soft drinks only |
| Saccharin | 550 | First popular sweetener; excreted unchanged in urine |
| Sucralose | 600 | Trichloro derivative of sucrose; heat-stable; no calories |
| Alitame | 2000 | High potency; sweetness hard to control |
Mass needed for equal sweetness mass of sucrose relative sweetness.
| Sweetener | Heat-stable? |
|---|---|
| Aspartame | No |
| Saccharin | Yes |
| Sucralose | Yes |
Key terms
- Artificial sweetener
A synthetic chemical that tastes sweet but provides little or no energy.
5. Food preservatives and antioxidants
Food additives preserve food, improve appeal or add nutrients (colours, flavours, sweeteners, emulsifiers, flour improvers, antioxidants, preservatives, vitamins and minerals). Apart from nutritional supplements, they have no nutritive value.
Preservatives prevent microbial spoilage: table salt, sugar and vegetable oils (traditional); sodium benzoate (small amounts; metabolised to hippuric acid and excreted), salts of sorbic acid and propanoic acid.
Antioxidants slow oxidation (rancidity) of fats by reacting with oxygen or free radicals more readily than the food: BHT, BHA (often with ascorbic or citric acid); SO₂ and sulfites in wines, beers, sugar syrups and dried fruits.
| Additive | Example | Action |
|---|---|---|
| Preservative | Sodium benzoate | Inhibits microbial growth |
| Preservative | Salt, sugar | Dehydrate microbes by osmosis |
| Antioxidant | BHA, BHT | React with O₂ or radicals first |
Key terms
- Preservative
A substance that prevents spoilage of food by micro-organisms.
- Antioxidant
A substance that slows the oxidation of food, preventing rancidity.
- Rancidity
Spoiling of fats and oils by oxidation, giving unpleasant smell and taste.
Exam tips
Common mistakes
- Treating antiseptics and disinfectants as different chemicals rather than different uses or concentrations.
- Calling antihistamines antacids (they act on different histamine receptors).
- Mixing up bactericidal and bacteriostatic examples.
- Saying aspartame can be used in baked foods.
- Confusing preservatives (stop microbes) with antioxidants (stop oxidation).
How marks are usually awarded
- 1-mark items: class of a named drug or additive, one example.
- Explanations (2–3 marks): mode of action (enzyme, receptor), reason for a choice, with an example.
- Calculations: antacid neutralisation, sweetener equivalents, preservative limits.