药物分类及代表药物结构式合成抗菌药①磺胺类药物:磺胺甲恶唑(Sulfamethoxazole ); ②氟喹诺酮药物:氧氟沙星(Ofloxacin )、环丙沙星(Ciprofloxacin )、帕珠沙星(Pazufloxacin )、加替沙星(Gatifloxacin ); ③恶唑烷酮类药物:利奈唑胺(Linezolid )NOOCOOHF NNNOCOOHF NNH OM eNH 2SO 2NHN ONOCOOHF NNH H2NFOO3磺胺甲恶唑(Sulfamethoxazole )氧氟沙星(Ofloxacin )环丙沙星(Ciprofloxacin )帕珠沙星(Pazufloxacin )加替沙星(Gatifloxacin )利奈唑胺(Linezolid )β-内酰胺类抗生素①青霉素类:氨苄西林(Ampicillin ); ②头孢菌素类:头孢氨苄(Cefalexin )、头孢塞利(Cefoselis )、头孢卡品酯(Cefcapene Pivoxil );③单环β-内酰胺类:卡芦莫南(Carumonam ); ④青霉烯和碳青霉烯类:法罗培南(Faropenem )、多尼培南(Doripenem ); ⑤β-内酰胺酶抑制剂:克拉维酸(Clavulanic acid )、舒巴坦(Sulbactam );NH 2NH O 氨苄西林(Ampicillin )NH 2O 头孢氨苄(Cefalexin )SO+NCH 2CH 2OHNH 2NOC H 3NH 2N头孢塞利(Cefoselis )OO O O NH 2O SNNH2头孢卡品酯(Cefcapene Pivoxil )2OH 克拉维酸(Clavulanic acid )舒巴坦(Sulbactam )唑类抗真菌药物酮康唑(Ketoconazole )、氟康唑(Fluoconazole )、伏力康唑(Vpriconazole )、伊曲康唑(Itraconazole )NNOFFN OHN N NNNN NNNNNN NO酮康唑(Ketoconazole )氟康唑(Fluoconazole )伏力康唑(Vpriconazole )伊曲康唑(Itraconazole )抗病毒药物㈠抗疱疹病毒药物①核苷类:阿昔洛韦(Acyclovir )、喷昔洛韦(Penciclovir )、泛昔洛韦(Famciclovir );②非核苷类:酚丁胺(Taidingan ); ㈡抗人免疫缺陷病毒药物①核苷类逆转录酶抑制剂:齐多夫定(Zidovudine)、替诺福韦酯(Tenofovir )、恩曲他滨(Emtricitabine);②非核苷类逆转录酶抑制剂:奈韦拉平(Nevirapine)、依法韦伦(Efavirenz ); ③蛋白酶抑制剂:沙奎那韦(Saquinavir); ④整合酶抑制剂:L-731988;⑤融合酶抑制剂:恩夫韦地(Enfurvitide ); ㈢抗肝炎病毒药物①干扰素:INF-2a,INF-2b ;②核苷类:拉米夫定(Lamivudine )、阿德福韦酯(Adefovir Dipivoxil )、恩替卡韦(Entecavir )、替比夫啶(Telbivudine );③非核苷类:双环醇(Bicyclol )、利巴韦林(Ribavirin ); ㈣抗流感病毒药物①M 2蛋白酶抑制剂:金刚烷胺(Amantadine );②神经氨酸酶抑制剂:磷酸奥塞米韦(Oseltamivir Phosphate ); ③其他:利巴韦林(Ribavirin );N N H N NO OH N H 2O NN H N NOH N H 2OOHNN N NON H 2OOO阿昔洛韦(Acyclovir )喷昔洛韦(Penciclovir )泛昔洛韦(Famciclovir )NN H 3H O NN NNNH 2OP O O OO OO O OO齐多夫定(Zidovudine)替诺福韦酯(Tenofovir )NNO S OH NH 2O FN H NONN恩曲他滨(Emtricitabine)奈韦拉平(Nevirapine)HNNH O2OH 依法韦伦(Efavirenz )沙奎那韦(Saquinavir)拉米夫定(Lamivudine )阿德福韦酯(Adefovir Dipivoxil )双环醇(Bicyclol )利巴韦林(Ribavirin )NNH NH 2NN NNNH 2OP O O OO O OOO O O OOC H 3OC H 3CO 2CH 3CH 2OH H NNN NH 2O抗肿瘤药物㈠直接作用于DNA 的药物①烷化剂:环磷酰胺(Cyclophosphamide )、卡莫司汀(Carmustine ); ②金属铂络合物:卡铂(Carboplatin ) ③博来霉素类④作用于DNA 拓扑异构酶的药物:米托恩醌(Mitoxantrone )㈡干扰DNA 合成的药物(抗代谢抗肿瘤药物)①叶酸拮抗剂:甲氨蝶呤(Methotrexate ) ②嘧啶拮抗剂:氟尿嘧啶(Fluorouracil )、阿糖胞苷(Cytarabine ) ③嘌呤拮抗剂:巯嘌呤(Mercaptopurine ) ㈢抗有丝分裂的药物:紫杉醇(Taxol );㈣基于肿瘤信号传导机制的药物:伊马替尼(Imatinib );O NHP O NClCl NHN O ClClNOOOOH OH NH NH NHOHNHOH环磷酰胺(Cyclophosphamide )卡莫司汀(Carmustine )米托恩醌(Mitoxantrone )NHN H O OFNN N N HSHNNO OH O H OH ONH 2氟尿嘧啶(Fluorouracil )阿糖胞苷(Cytarabine )巯嘌呤(Mercaptopurine )N N NHNNH ONN伊马替尼(Imatinib )抗疟疾药物氯喹(Chloroquine )、伯氨喹(Primaquine )、青蒿素(Artemisinin)NClNH NNH 3CONH NH 2氯喹(Chloroquine )伯氨喹(Primaquine )抗高血压药物㈠交感神经抑制药①中枢降压药:可乐定(Clonidine ); ②神经节阻断药:潘必定(Pempidine )③交感神经末梢抑制药:利舍平(Reserpine ) ㈡肾上腺素受体阻滞剂①α1受体阻滞剂:特拉唑嗪(Terazosin ) ②β受体阻滞剂:普萘洛尔(Propranolol )、美托洛尔(Metoprolol ) ㈢钙离子通道拮抗剂①二氢吡啶类:氨氯地平(Amlodipine ) ②芳烷基胺类:维拉帕米(Verapamil )③苯并硫氮杂卓类:盐酸地尔硫卓(Diltiazem ) ㈣肾素-血管紧张素-醛固酮系统降压药①ACE 抑制剂:卡托普利(Captopril )、马来酸依那普利(Enalapril ) ②血管紧张素Ⅱ受体拮抗剂:氯沙坦钾(Losartan Potassium )、奥美沙坦酯(Olmesartan Medoxomil )普萘洛尔(P ropranolol )美托洛尔(M etoprolol )OOHNHCH(CH 3)2OC H 3ONHCH(CH 3)2OH氨氯地平(Am lodipine )H 3COOCN HClONH 2COOC 2H 5维拉帕米(Verapam il )NOC H 3OC H 3CNH 3COH 3CO地尔硫卓(Diltiazem )SNH 33CH 2CH 2N(CH 3)2HSH 2卡托普利(Captopril )依那普利(E nalapril )NHE tOOC氯沙坦钾(Losartan P otassium )N -NN NNN C 4H 9CH 2OHCl .K +降血脂药①HMG CoA 还原酶抑制剂:洛伐他汀(Lovastatin )、氟伐他汀钠(FluvastatinSodium )、阿托伐他汀钙(Atorvastatin Calcium ) ②纤维酸衍生物类药物:吉非贝齐(Gemfibrozil )洛伐他汀(Lovastatin )氟伐他汀钠(Fluvastatin Sodium )-Na +阿托伐他汀钙(Atorvastatin Calcium )2+OOH O吉非贝齐(Gemfibrozil )抗心律失常药物①Ⅰ类,钠通道阻滞剂:奎尼丁(Quinidine)、利多卡因(Lidocaine);②Ⅱ类,β受体阻滞剂:普萘洛尔(Propranolol)、美托洛尔(Metoprolol);③Ⅲ类,延长动作电位时程(APD)药:胺碘酮(Amiodarone)、索他洛尔(Sotalol); ④Ⅳ类,钙通道阻滞剂:维拉帕米(Verapamil)、地尔硫卓(Diltiazem)奎尼丁(Quinidine )利多卡因(Lidocaine )H 3NH ON普萘洛尔(P ropranolol )美托洛尔(M etoprolol )OOHNHCH(CH 3)2OC H 3ONHCH(CH 3)2OH胺碘酮(Am iodarone )索他洛尔(sotalol )OOIIO NNHS O ONHOH维拉帕米(Verapam il )地尔硫卓(Diltiazem )SN33CH 2CH 2N(C H 3)2NOCH 3OCH 3CNH 3CO H 3CO抗血栓药物㈠抗凝血药①肝素类②香豆素类:华法林(Warfarin )③凝血酶抑制剂:阿加曲班(Argatroban )、希美加群(Ximelagatran ) ㈡抗血小板药①环氧化酶(COX )抑制剂:阿司匹林(Aspirin )②血小板ADP (P 2Y 12)受体拮抗剂:氯吡格雷(Clopidogrel ) ③GP Ⅱb/Ⅲa 受体拮抗剂:替罗非班(Tirofiban ) ㈢溶栓药(生物制剂)NH2NH阿加曲班(Argatroban)NNH2OHO希美加群(Ximelagatran)NS3氯吡格雷(Clopidogrel)NH替罗非班(Tirofiban)非甾体抗炎药①水杨酸类:阿司匹林(Aspirin);②吡唑酮类:安乃近(Analgin);③芳基烷酸类:吲哚美辛(Indomethacin)、布洛芬(Ibuprofen)、萘普生(Naproxen);④邻氨基苯甲酸类:甲芬那酸(Mefenamic Acid);⑤1,2-苯并噻嗪类:美洛昔康(Meloxicam)、吡罗昔康(Piroxicam);⑥选择性COX2抑制剂:塞利昔布(Celecoxib)OCOOHONNON CH2SO3NaNH3CO CH2COOHClO阿司匹林(Aspirin)安乃近(Analgin)吲哚美辛(Indomethacin)COOHH3NHCOOH 布洛芬(Ibuprofen)萘普生(Naproxen)甲芬那酸(Mefenamic Acid)NSOOOHNHO NSNSOOOHNHONH2NSO2NN CF3美洛昔康(Meloxicam)吡罗昔康(Piroxicam)塞利昔布(Celecoxib)镇静催眠药和抗焦虑药镇静催眠药:佐匹克隆(Zopiclone )、唑吡坦(Zolpidem )、 扎来普隆(Zaleplon )、艾佐匹克隆(Eszopiclone )抗焦虑药:丁螺环酮(Buspirone )、坦度螺酮(Tandospirone )NN NNClO NNOON NNO佐匹克隆(Zopiclone )唑吡坦(Zolpidem )NN NCNN ON OO(CH 2)4N NNN扎来普隆(Zaleplon )丁螺环酮(Buspirone )抗抑郁药①三环类抗抑郁药:阿米替林(Amitriptyline )、地昔帕明(Desipramine ) ②选择性5-HT 再摄取抑制剂:氟西汀(Fluoxetine )、帕罗西汀(Paroxetine )、艾西酞普兰(Escitalopram ) ③5-HT 和NE 能再摄取抑制剂:度洛西汀(Duloxetine )、文拉法新(Venlafaxine ) ④选择性NE 能再摄取抑制剂:瑞波西汀(Reboxetine )氟西汀(Fluoxetine )F 3CONHCH 3CHCH 2CH 2N(C H 3)2阿米替林(Amitriptyline )32艾西酞普兰(Escitalopram )帕罗西汀(Paroxetine )HOO瑞波西汀(Reboxetine )O O N HOC 2H 5O3度洛西汀(Duloxetine )抗精神病药①经典抗精神病药:氯丙嗪(Chlorpromazine )、氟哌啶醇(Haloperidol )、舒必利(Sulpiride )②非经典抗精神病药:氯氮平(Clozapine )、奥氮平(Olanzapine )、利培酮(Risperidone )、齐拉西酮(Ziprasidone )S NN(C H 3)2ClFNOOHCl氯丙嗪(Chlorpromazine )氟哌啶醇(Haloperidol )NNHN NClNN H N N S氯氮平(Clozapine )奥氮平(Olanzapine )N NNNOFO N HOClN NNS利培酮(Risperidone )齐拉西酮(Ziprasidone )平喘药㈠β2受体激动剂①短、中效:沙丁胺醇(Albuterol ); ②长效:班布特罗(Bambuterol )、福莫特罗(Fomoterol )、沙美特罗(Salmeterol );㈡M 胆碱拮抗剂:氧托溴铵(Oxitropium )、氟托溴胺(Flutropium )、噻托溴胺(Tiotropium );㈢磷酸二酯酶-4抑制剂:西洛司特(Cilomilast )、罗氟司特(Roflumilast ); ㈣肾上腺皮质激素:氟替卡松(Fluticasone )、环索奈德(Ciclesonide ); ㈤抗组胺药物①组胺受体拮抗剂:盐酸左西替利嗪(Levocetirizine Dihydrochloride )、地氯雷他定(Desloratadine );②组胺释放抑制剂:色甘酸钠(Cromolyn )、酮替芬(Ketotifen )、甲磺司特(Suplatast Tosilate )、奥洛他定(Olopatadine ); ㈥抗白三烯药①白三烯受体拮抗剂:孟鲁司特(Montelukast )、扎鲁司特(Zafirlukast )、普仑司特(Pranlukast )、;②白三烯合成抑制剂:齐留通(Zileuton );㈦其他炎症介质拮抗剂:赛曲司特(Seratrodast )(TXA 2 受体拮抗剂)NHOHO O NONO氧托溴铵(Oxitropium )+OOH.Br -班布特罗(Bambuterol )西洛司特(Cilomilast )O氟替卡松(Fluticasone )2H 5西替利嗪(Cetirizine )NN ClO COOHNOH SCOOHCl孟鲁司特(Montelukast )齐留通(Zileuton )SN O NH 2O H 赛曲司特(Seratrodast )COOHOO抗溃疡药物①H1受体拮抗剂:西咪替丁(Cimetidine )、乙溴替丁(Ebrotidine )、拉夫替丁(Lafutidine )②质子泵抑制剂:奥美拉唑(Omeprazole )NH NSNHNHNCN 西咪替丁(Cimetidine )BrS OO N NHSNSN NH 2NH 2乙溴替丁(Ebrotidine )OS NH OOONN拉夫替丁(Lafutidine )NOC H 3SON H NOC H 3奥美拉唑(Omeprazole )抗糖尿病药物㈠胰岛素及类似物 ㈡促胰岛素分泌药物①磺酰脲类:格列本脲(glibenclamide)、格列吡嗪(glipizide)、格列美脲(glimepiride)、格列奇特(gliclazide);②格列奈类:瑞格列奈(repaglinide)、那格列奈(nateglinide)、米格列奈(mitiglinide); ㈢胰岛素增敏剂①双胍类:二甲双胍(metformin);②噻唑烷二酮类:罗格列酮(rosiglitazone)、吡格列酮 (pioglitazone); ㈣α-葡萄糖苷酶抑制剂:阿卡波糖、米格列醇(Miglitol ); 五:二肽基肽酶-Ⅳ抑制剂:MK-0431格列美脲(Glimepiride )瑞格列奈(Repaglinide )二甲双胍(Metformin )罗格列酮(Rosiglitazon e )米格列醇(Miglitol )S OOH O N HON 3O CH 3C H 3CH 3CH 3N H OOOHOCH 3NNN HNHNH 2NH C H 3CH 3OSNH OON CH 3NNO H OH OHOHCH 2CH 2OH。