Professional Documents
Culture Documents
Students should be able to describe the process of discovery and development of potential new medicines,
including preclinical and clinical testing.
Traditionally drugs were extracted from plants and microorganisms.
• The heart drug digitalis originates from foxgloves.
• The painkiller aspirin originates from willow.
• Penicillin was discovered by Alexander Fleming from the Penicillium mould.
Most new drugs are synthesised by chemists in the pharmaceutical industry. However, the starting point may still
be a chemical extracted from a plant.
New medical drugs have to be tested and trialled before being used to check that they are safe and effective.
New drugs are extensively tested for toxicity, efficacy and dose. Preclinical testing is done in a laboratory using
cells, tissues and live animals. Clinical trials use healthy volunteers and patients.
• Very low doses of the drug are given at the start of the clinical trial.
• If the drug is found to be safe, further clinical trials are carried out to
find the optimum dose for the drug.
• In double blind trials, some patients are given a placebo.
Developing Drugs
Developing Drugs 03/04/23
Nettle
sting?
The First Medicines
The discovery of digitalis is accredited to the Scottish doctor William Withering, and makes for quite an interesting historical
story. While working as a physician in Staffordshire in the 18th Century, his girlfriend got him interested in plants and botany - so
much so, that in 1776 he published a huge treatise, whose title begins 'A botanical arrangement of all the vegetables growing in
Great Britain,...' and goes on for a further 24 lines! By the age of 46 he'd become the richest doctor outside of London, and
bought Edgbaston Hall in Birmingham, which is now Edgbaston Golf Club. Another of his claims to fame is that he owned the
first water closet in Birmingham!
In 1775, one of his patients came to him with a very bad heart condition and since Withering had no effective treatment for
him, thought he was going to die. The patient, being an independent type, went instead to a local gypsy, took a secret herbal
remedy - and promptly got much better!
When Withering heard about this, he became quite excited and searched for the gypsy throughout the by-ways of Shropshire.
Eventually he found her, and demanded to know what was in the secret remedy. After much bargaining, the gypsy finally told
her secret. The herbal remedy was made from a whole concoction of things, but the active ingredient was the purple foxglove,
digitalis purpurea. The potency of digitalis extract had been known since the dark ages, when it had been used as a poison for
the mediaeval 'trial by ordeal', and also used as an external application to promote the healing of wounds. There are also
reports of digitalis extract finding some use in the treatment of dropsy.
Traditional Medicines
Willow bark.
Traditional Medicines
Penicillin
was discovered to be
released from the
Penicillium mould by
Alexander Flemming.
Why is this
written in italics?
New Drugs
Down
1. An example of a cardio-
active or cardiotonic drug,
discovered by Withering.
2. The name of a medicine
developed from the
Penicillium mould.
3. The name of a mould
(fungus) which has
bactericidal properties.
4. This medicine was first
extracted from the bark of
willow trees.
5. This group of medicines
lessen the pain felt by the
patient.
Answers
Down
1. An example of a cardio-
active or cardiotonic drug,
discovered by Withering.
2. The name of a medicine
developed from the
Penicillium mould.
3. The name of a mould
(fungus) which has
bactericidal properties.
4. This medicine was first
extracted from the bark of
willow trees.
5. This group of medicines
lessen the pain felt by the
patient.