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Review
. 1991 Dec;338(8782-8783):1565-8.
doi: 10.1016/0140-6736(91)92382-c.

Chirality in antirheumatic drugs

Affiliations
Review

Chirality in antirheumatic drugs

W F Kean et al. Lancet. 1991 Dec.

Abstract

Use of chiral molecules in clinical practice may cause problems because different chiral forms of a drug (enantiomers) may have different biological activities--yet clinicians have little awareness of these risks. After discussion of the chemical conventions used to describe chirality, examples of the influence of chirality on the efficacy and toxicity of antirheumatic drugs are given. It is recommended that single enantiomers should be used in biological experiments and clinical trials.

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Comment in

  • Chirality of penicillamine.
    Walshe JM. Walshe JM. Lancet. 1992 Jan 25;339(8787):254. doi: 10.1016/0140-6736(92)90069-f. Lancet. 1992. PMID: 1346220 No abstract available.
  • Thalidomide enantiomers.
    Winter W, Frankus E. Winter W, et al. Lancet. 1992 Feb 8;339(8789):365. doi: 10.1016/0140-6736(92)91684-z. Lancet. 1992. PMID: 1346437 No abstract available.
  • Chirality and drug development.
    Beary JF 3rd. Beary JF 3rd. Lancet. 1992 Feb 22;339(8791):495. doi: 10.1016/0140-6736(92)91104-g. Lancet. 1992. PMID: 1346848 No abstract available.
  • S(+) versus racemic ibuprofen.
    Klein G, Neff H, Kullich W, Phleps W, Kollenz CJ. Klein G, et al. Lancet. 1992 Mar 14;339(8794):681. doi: 10.1016/0140-6736(92)90842-q. Lancet. 1992. PMID: 1347370 Clinical Trial. No abstract available.

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