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- Feb 11, 2008
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As my 8 months of freedom are about to end in approximately one month and I embark on my first year of pharmacy school, I've decided to review what I believe is a relevant topic that might be quite useful in pharm school....stereochemistry. I haven't studied the material in about a year and figure reviewing details such as R/S absolute configuration, enantiomers, and diastereomers might serve me well when I begin to learn about medications, most of which are racemic compounds. Do you guys feel what I'm doing is a good use of my time or plainly unnecessary?
Personally, I happen to believe stereochem is EXTREMELY important because you encounter it frequently while working in a pharmacy. Dextroamphetamine, Levothyroxine, Levofloxacin (Levaquin), among others all serve to remind us how tiny structural differences around a simple chiral carbon can impart vastly different properties on a drug. A nitrogen atom that is sticking out front (on a wedge) in one enantiomer may have either no effect or a teratogenic effect compared to the mirror image form having the nitrogen atom sticking out in the back (on a dashed line). I truly think is amazing and much more interesting than boring constitutional isomers. Until recently, I read that the enantiomer of the all too common cough suppressant, dextromethorphan, is actually a potent opioid narcotic. Just amazing how two groups that have been switched around a carbon can promote such a difference in drug uses. How cool is that?
I guess I'm just too excited about reviewing this stuff again, but seriously, is it really necessary? Please let me know your opinion.