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	<id>https://chemwiki.ch.ic.ac.uk/api.php?action=feedcontributions&amp;feedformat=atom&amp;user=Mha05</id>
	<title>ChemWiki - User contributions [en]</title>
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	<updated>2026-05-16T13:42:32Z</updated>
	<subtitle>User contributions</subtitle>
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	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=7861</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=7861"/>
		<updated>2006-12-08T12:09:31Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Systematic IUPAC Name&lt;br /&gt;
|-&lt;br /&gt;
| Systematic Iupac Name&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;| [R-(R*, R*)]-2-(4-fluorophenyl)-beta,&amp;lt;br&amp;gt; delta-dihydroxy-5- &amp;lt;br&amp;gt;(1-methylethyl)-3-phenyl-4- &amp;lt;br&amp;gt;[(phenylamino)carbonyl]-1H-&amp;lt;br&amp;gt; pyrrole-1-heptanoic acid|- &lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Identifiers&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|CAS number&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 134523-00-5&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|ATC Code&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C10AA05&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Pub Chem&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 60823&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Drug Bank&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | APRD00055&lt;br /&gt;
|-&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Chemical Data&lt;br /&gt;
|- &lt;br /&gt;
| Chemical formula|Molecular formula&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C&amp;lt;sub&amp;gt;33&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;34&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;5&amp;lt;/sub&amp;gt;F &lt;br /&gt;
|-&lt;br /&gt;
| Molar mass&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 558.64 g/mol&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Pharmacokinetic data&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|Bioavailability&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 15 %&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Metabolism&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | Liver&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Half Life&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 14 Hours&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Excretion&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | Bile&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Therapeutic considerations&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|Pregnancy Cat.&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | D(AU) X(US)&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Legal Status&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | S4(AU) POM(UK) ℞-only(US)&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Route&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | Oral&lt;br /&gt;
&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Lipitor (Atorvastatin also a type of chiral drug) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins. Lipitor is the most potent of all statins.It was introduced  in 1996. It is used to block the production of cholesterol in the human body. Lipitor is also used to increase levels of HDL (good) cholesterol in the blood. This is important as it reduces the risk of hardening arteries which can lead to heart attacks, strokes and peripheral vascular disease.&lt;br /&gt;
[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
Since 1996, Lipitor (lipitor marked jointly by Parke Davis and Pfizer, co-promoted by Warner-Lambert) had enormous growth in the international market of chiral drug. It has achieved sales up to $4 billion in 1999 (around 3 years of its market) which marked one of the best selling drug in US alone(41% of the US market). Lipitor has reached the worldwide market of cholesterol-reducing drug as the most potent drug in its class. &lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol is not water soluble thus it travels in the human body in the form of lipoprotein. Once it reaches the human artery, it can cause a buildup of plaque in the lumen wall, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will competitively inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol. &lt;br /&gt;
&lt;br /&gt;
== Synthesis ==&lt;br /&gt;
[[Image:atorvastatin synthesis.JPG]][http://organicdivision.org/essays_2001/schaus.pdf Synthesis]&lt;br /&gt;
&amp;lt;br&amp;gt;&lt;br /&gt;
An aldehyde is reacted with an enol ether to form alcohol &#039;&#039;&#039;15&#039;&#039;&#039;. The transesterification of the alcohol with NaOMe and methanol results in the methyl ester &#039;&#039;&#039;16&#039;&#039;&#039;. The enolate of tert-butylacetate (&#039;&#039;&#039;17&#039;&#039;&#039;) is added to the methyl ester furthered by directed reduction to form the syn-1,3-diol &#039;&#039;&#039;18&#039;&#039;&#039;. The resultant is treated with NaOH in refluxing Toluene to form the cycled hydroxylactone &#039;&#039;&#039;19&#039;&#039;&#039;. Lastly, acid is used to &#039;open&#039; the hydroxylactone thus forming a sodium salt which is treated with CaCl2.H2O to yield the atorvastatin (LIPITOR)&lt;br /&gt;
== Structure ==&lt;br /&gt;
&lt;br /&gt;
[[Image:lipitor3.gif|centre|100|image produced in chemdraw]]&lt;br /&gt;
&lt;br /&gt;
== 3D Structure ==&lt;br /&gt;
&lt;br /&gt;
&amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;500&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 80; cpk on;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;water.mol&lt;br /&gt;
title1&lt;br /&gt;
title2&lt;br /&gt;
ATOM      1  O           0      -4.424   1.493   1.749  0.00  0.00           O+0&lt;br /&gt;
ATOM      2  C           0      -4.300   0.218   1.115  0.00  0.00           C+0&lt;br /&gt;
ATOM      3  H           0      -4.644  -0.561   1.796  0.00  0.00           H+0&lt;br /&gt;
ATOM      4  C           0      -5.150   0.196  -0.157  0.00  0.00           C+0&lt;br /&gt;
ATOM      5  C           0      -6.629   0.321   0.216  0.00  0.00           C+0&lt;br /&gt;
ATOM      6  H           0      -6.891  -0.462   0.928  0.00  0.00           H+0&lt;br /&gt;
ATOM      7  O           0      -6.865   1.601   0.806  0.00  0.00           O+0&lt;br /&gt;
ATOM      8  C           0      -7.486   0.174  -1.043  0.00  0.00           C+0&lt;br /&gt;
ATOM      9  C           0      -8.944   0.174  -0.661  0.00  0.00           C+0&lt;br /&gt;
ATOM     10  O           0      -9.267   0.281   0.510  0.00  0.00           O-1&lt;br /&gt;
ATOM     11  O           0      -9.800   0.066  -1.522  0.00  0.00           O+0&lt;br /&gt;
ATOM     12  C           0      -2.834  -0.031   0.753  0.00  0.00           C+0&lt;br /&gt;
ATOM     13  C           0      -2.003  -0.133   2.034  0.00  0.00           C+0&lt;br /&gt;
ATOM     14  N           0      -0.600  -0.372   1.688  0.00  0.00           N+0&lt;br /&gt;
ATOM     15  C           0       0.314   0.596   1.478  0.00  0.00           C+0&lt;br /&gt;
ATOM     16  C           0       1.511   0.010   1.177  0.00  0.00           C+0&lt;br /&gt;
ATOM     17  C           0       2.779   0.692   0.877  0.00  0.00           C+0&lt;br /&gt;
ATOM     18  N           0       2.820   2.037   0.803  0.00  0.00           N+0&lt;br /&gt;
ATOM     19  C           0       4.044   2.691   0.633  0.00  0.00           C+0&lt;br /&gt;
ATOM     20  C           0       4.117   3.842  -0.142  0.00  0.00           C+0&lt;br /&gt;
ATOM     21  C           0       5.328   4.485  -0.307  0.00  0.00           C+0&lt;br /&gt;
ATOM     22  C           0       6.467   3.986   0.297  0.00  0.00           C+0&lt;br /&gt;
ATOM     23  C           0       6.398   2.841   1.069  0.00  0.00           C+0&lt;br /&gt;
ATOM     24  C           0       5.189   2.196   1.244  0.00  0.00           C+0&lt;br /&gt;
ATOM     25  O           0       3.791   0.042   0.696  0.00  0.00           O+0&lt;br /&gt;
ATOM     26  C           0      -0.036  -1.603   1.539  0.00  0.00           C+0&lt;br /&gt;
ATOM     27  C           0       1.274  -1.445   1.215  0.00  0.00           C+0&lt;br /&gt;
ATOM     28  C           0       2.265  -2.516   0.962  0.00  0.00           C+0&lt;br /&gt;
ATOM     29  C           0       2.666  -3.357   1.997  0.00  0.00           C+0&lt;br /&gt;
ATOM     30  C           0       3.590  -4.354   1.756  0.00  0.00           C+0&lt;br /&gt;
ATOM     31  C           0       4.122  -4.525   0.489  0.00  0.00           C+0&lt;br /&gt;
ATOM     32  C           0       3.735  -3.700  -0.548  0.00  0.00           C+0&lt;br /&gt;
ATOM     33  C           0       2.800  -2.693  -0.325  0.00  0.00           C+0&lt;br /&gt;
ATOM     34  C           0       2.381  -1.806  -1.435  0.00  0.00           C+0&lt;br /&gt;
ATOM     35  C           0       3.336  -1.099  -2.164  0.00  0.00           C+0&lt;br /&gt;
ATOM     36  C           0       2.941  -0.274  -3.197  0.00  0.00           C+0&lt;br /&gt;
ATOM     37  C           0       1.597  -0.146  -3.510  0.00  0.00           C+0&lt;br /&gt;
ATOM     38  F           0       1.215   0.663  -4.522  0.00  0.00           F+0&lt;br /&gt;
ATOM     39  C           0       0.644  -0.847  -2.788  0.00  0.00           C+0&lt;br /&gt;
ATOM     40  C           0       1.030  -1.679  -1.757  0.00  0.00           C+0&lt;br /&gt;
ATOM     41  H           0      -4.110   2.152   1.115  0.00  0.00           H+0&lt;br /&gt;
ATOM     42  H           0      -4.865   1.030  -0.798  0.00  0.00           H+0&lt;br /&gt;
ATOM     43  H           0      -4.987  -0.742  -0.687  0.00  0.00           H+0&lt;br /&gt;
ATOM     44  H           0      -6.621   2.263   0.145  0.00  0.00           H+0&lt;br /&gt;
ATOM     45  H           0      -7.287   1.007  -1.717  0.00  0.00           H+0&lt;br /&gt;
ATOM     46  H           0      -7.241  -0.764  -1.542  0.00  0.00           H+0&lt;br /&gt;
ATOM     47  H           0      -2.752  -0.961   0.192  0.00  0.00           H+0&lt;br /&gt;
ATOM     48  H           0      -2.465   0.795   0.145  0.00  0.00           H+0&lt;br /&gt;
ATOM     49  H           0      -2.086   0.798   2.596  0.00  0.00           H+0&lt;br /&gt;
ATOM     50  H           0      -2.373  -0.958   2.642  0.00  0.00           H+0&lt;br /&gt;
ATOM     51  H           0       0.130   1.659   1.537  0.00  0.00           H+0&lt;br /&gt;
ATOM     52  H           0       2.000   2.551   0.867  0.00  0.00           H+0&lt;br /&gt;
ATOM     53  H           0       3.228   4.232  -0.615  0.00  0.00           H+0&lt;br /&gt;
ATOM     54  H           0       5.385   5.380  -0.910  0.00  0.00           H+0&lt;br /&gt;
ATOM     55  H           0       7.412   4.491   0.166  0.00  0.00           H+0&lt;br /&gt;
ATOM     56  H           0       7.289   2.453   1.540  0.00  0.00           H+0&lt;br /&gt;
ATOM     57  H           0       5.136   1.301   1.847  0.00  0.00           H+0&lt;br /&gt;
ATOM     58  H           0      -0.546  -2.547   1.656  0.00  0.00           H+0&lt;br /&gt;
ATOM     59  H           0       2.256  -3.229   2.987  0.00  0.00           H+0&lt;br /&gt;
ATOM     60  H           0       3.900  -5.005   2.560  0.00  0.00           H+0&lt;br /&gt;
ATOM     61  H           0       4.845  -5.308   0.311  0.00  0.00           H+0&lt;br /&gt;
ATOM     62  H           0       4.154  -3.838  -1.534  0.00  0.00           H+0&lt;br /&gt;
ATOM     63  H           0       4.384  -1.197  -1.921  0.00  0.00           H+0&lt;br /&gt;
ATOM     64  H           0       3.681   0.274  -3.762  0.00  0.00           H+0&lt;br /&gt;
ATOM     65  H           0      -0.402  -0.744  -3.035  0.00  0.00           H+0&lt;br /&gt;
ATOM     66  H           0       0.286  -2.224  -1.195  0.00  0.00           H+0&lt;br /&gt;
CONECT    1    2   41    0    0                                         NONE  71&lt;br /&gt;
CONECT    2    1    3    4   12                                         NONE  72&lt;br /&gt;
CONECT    4    2    5   42   43                                         NONE  73&lt;br /&gt;
CONECT    5    4    6    7    8                                         NONE  74&lt;br /&gt;
CONECT    7    5   44    0    0                                         NONE  75&lt;br /&gt;
CONECT    8    5    9   45   46                                         NONE  76&lt;br /&gt;
CONECT    9    8   10   11    0                                         NONE  77&lt;br /&gt;
CONECT   10    9    0    0    0                                         NONE  78&lt;br /&gt;
CONECT   11    9    0    0    0                                         NONE  79&lt;br /&gt;
CONECT   12    2   13   47   48                                         NONE  80&lt;br /&gt;
CONECT   13   12   14   49   50                                         NONE  81&lt;br /&gt;
CONECT   14   13   15   26    0                                         NONE  82&lt;br /&gt;
CONECT   15   14   16   51    0                                         NONE  83&lt;br /&gt;
CONECT   16   15   27   17    0                                         NONE  84&lt;br /&gt;
CONECT   17   16   18   25    0                                         NONE  85&lt;br /&gt;
CONECT   18   17   19   52    0                                         NONE  86&lt;br /&gt;
CONECT   19   18   24   20    0                                         NONE  87&lt;br /&gt;
CONECT   20   19   21   53    0                                         NONE  88&lt;br /&gt;
CONECT   21   20   22   54    0                                         NONE  89&lt;br /&gt;
CONECT   22   21   23   55    0                                         NONE  90&lt;br /&gt;
CONECT   23   22   24   56    0                                         NONE  91&lt;br /&gt;
CONECT   24   23   19   57    0                                         NONE  92&lt;br /&gt;
CONECT   25   17    0    0    0                                         NONE  93&lt;br /&gt;
CONECT   26   14   27   58    0                                         NONE  94&lt;br /&gt;
CONECT   27   26   16   28    0                                         NONE  95&lt;br /&gt;
CONECT   28   27   33   29    0                                         NONE  96&lt;br /&gt;
CONECT   29   28   30   59    0                                         NONE  97&lt;br /&gt;
CONECT   30   29   31   60    0                                         NONE  98&lt;br /&gt;
CONECT   31   30   32   61    0                                         NONE  99&lt;br /&gt;
CONECT   32   31   33   62    0                                         NONE 100&lt;br /&gt;
CONECT   33   32   28   34    0                                         NONE 101&lt;br /&gt;
CONECT   34   33   40   35    0                                         NONE 102&lt;br /&gt;
CONECT   35   34   36   63    0                                         NONE 103&lt;br /&gt;
CONECT   36   35   37   64    0                                         NONE 104&lt;br /&gt;
CONECT   37   36   38   39    0                                         NONE 105&lt;br /&gt;
CONECT   38   37    0    0    0                                         NONE 106&lt;br /&gt;
CONECT   39   37   40   65    0                                         NONE 107&lt;br /&gt;
CONECT   40   39   34   66    0                                         NONE 108&lt;br /&gt;
END                                                                     NONE 109&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*itching&lt;br /&gt;
*difficulty with memory/ thinking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;br /&gt;
&lt;br /&gt;
== Reference Link ==&lt;br /&gt;
&lt;br /&gt;
*[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop Lipitor Main Page]&lt;br /&gt;
*http://www.drugs.com/lipitor.html&lt;br /&gt;
*http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm&lt;br /&gt;
*http://organicdivision.org/essays_2001/schaus.pdf&lt;br /&gt;
*http://www.molecular-networks.com/online_demos/corina_demo.html&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7856</id>
		<title>It:Ceftriaxone</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7856"/>
		<updated>2006-12-08T11:59:30Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Ceftriaxone&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[Image:Ceftriaxone.png|200px|Ceftriaxone]] &lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |3D structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | &amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;200&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 100; cpk off;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;REMARK   MSI WebLab Viewer PDB file&lt;br /&gt;
REMARK   Created:  Fri Oct 20 12:51:30 GMT Standard Time 2006&lt;br /&gt;
ATOM      1  N           0      -9.077   1.857  -0.122  0.00  0.00&lt;br /&gt;
ATOM      2  C           0      -8.278   0.728  -0.196  0.00  0.00&lt;br /&gt;
ATOM      3  N           0      -6.981   0.610   0.017  0.00  0.00&lt;br /&gt;
ATOM      4  C           0      -6.368  -0.567  -0.099  0.00  0.00&lt;br /&gt;
ATOM      5  C           0      -4.914  -0.681   0.144  0.00  0.00&lt;br /&gt;
ATOM      6  C           0      -4.077   0.540   0.215  0.00  0.00&lt;br /&gt;
ATOM      7  N           0      -2.751   0.436   0.436  0.00  0.00&lt;br /&gt;
ATOM      8  C           0      -1.924   1.643   0.507  0.00  0.00&lt;br /&gt;
ATOM      9  H           0      -2.488   2.527   0.804  0.00  0.00&lt;br /&gt;
ATOM     10  C           0      -0.628   1.452   1.290  0.00  0.00&lt;br /&gt;
ATOM     11  H           0      -0.366   2.265   1.966  0.00  0.00&lt;br /&gt;
ATOM     12  N           0       0.045   1.470  -0.046  0.00  0.00&lt;br /&gt;
ATOM     13  C           0       1.350   1.029  -0.326  0.00  0.00&lt;br /&gt;
ATOM     14  C           0       2.034   1.452  -1.561  0.00  0.00&lt;br /&gt;
ATOM     15  O           0       2.018   0.656  -2.648  0.00  0.00&lt;br /&gt;
ATOM     16  O           0       2.613   2.520  -1.599  0.00  0.00&lt;br /&gt;
ATOM     17  C           0       1.957   0.225   0.538  0.00  0.00&lt;br /&gt;
ATOM     18  C           0       3.333  -0.248   0.144  0.00  0.00&lt;br /&gt;
ATOM     19  S           0       4.579   0.682   1.072  0.00  0.00&lt;br /&gt;
ATOM     20  C           0       6.047  -0.054   0.434  0.00  0.00&lt;br /&gt;
ATOM     21  N           0       5.952  -1.008  -0.472  0.00  0.00&lt;br /&gt;
ATOM     22  C           0       7.050  -1.583  -0.973  0.00  0.00&lt;br /&gt;
ATOM     23  C           0       8.372  -1.143  -0.504  0.00  0.00&lt;br /&gt;
ATOM     24  O           0       9.504  -1.709  -0.996  0.00  0.00&lt;br /&gt;
ATOM     25  N           0       8.438  -0.194   0.395  0.00  0.00           &lt;br /&gt;
ATOM     26  N           0       7.253   0.376   0.880  0.00  0.00&lt;br /&gt;
ATOM     27  C           0       7.319   1.438   1.887  0.00  0.00&lt;br /&gt;
ATOM     28  O           0       6.956  -2.466  -1.811  0.00  0.00&lt;br /&gt;
ATOM     29  C           0       1.447  -0.268   1.850  0.00  0.00&lt;br /&gt;
ATOM     30  S           0      -0.373  -0.214   1.982  0.00  0.00&lt;br /&gt;
ATOM     31  C           0      -1.054   1.858  -0.721  0.00  0.00&lt;br /&gt;
ATOM     32  O           0      -1.267   2.231  -1.855  0.00  0.00&lt;br /&gt;
ATOM     33  H           0      -2.345  -0.438   0.549  0.00  0.00&lt;br /&gt;
ATOM     34  O           0      -4.585   1.634   0.074  0.00  0.00&lt;br /&gt;
ATOM     35  N           0      -4.368  -1.854   0.295  0.00  0.00&lt;br /&gt;
ATOM     36  O           0      -5.160  -3.023   0.179  0.00  0.00&lt;br /&gt;
ATOM     37  C           0      -4.288  -4.135   0.394  0.00  0.00&lt;br /&gt;
ATOM     38  C           0      -7.101  -1.670  -0.446  0.00  0.00&lt;br /&gt;
ATOM     39  S           0      -8.732  -0.953  -0.596  0.00  0.00&lt;br /&gt;
ATOM     40  H           0      -8.687   2.713   0.115  0.00  0.00&lt;br /&gt;
ATOM     41  H           0     -10.026   1.792  -0.311  0.00  0.00&lt;br /&gt;
ATOM     42  H           0       2.467   0.934  -3.458  0.00  0.00&lt;br /&gt;
ATOM     43  H           0       3.430  -1.310   0.369  0.00  0.00&lt;br /&gt;
ATOM     44  H           0       3.481  -0.087  -0.923  0.00  0.00&lt;br /&gt;
ATOM     45  H           0       9.226  -2.376  -1.639  0.00  0.00&lt;br /&gt;
ATOM     46  H           0       8.361   1.645   2.130  0.00  0.00&lt;br /&gt;
ATOM     47  H           0       6.851   2.340   1.494  0.00  0.00&lt;br /&gt;
ATOM     48  H           0       6.792   1.118   2.787  0.00  0.00&lt;br /&gt;
ATOM     49  H           0       1.781  -1.296   1.993  0.00  0.00&lt;br /&gt;
ATOM     50  H           0       1.868   0.349   2.644  0.00  0.00&lt;br /&gt;
ATOM     51  H           0      -4.855  -5.062   0.314  0.00  0.00&lt;br /&gt;
ATOM     52  H           0      -3.498  -4.127  -0.357  0.00  0.00&lt;br /&gt;
ATOM     53  H           0      -3.846  -4.064   1.387  0.00  0.00           &lt;br /&gt;
ATOM     54  H           0      -6.783  -2.693  -0.586  0.00  0.00          &lt;br /&gt;
TER&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot; | General&lt;br /&gt;
|- &lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/IUPAC_nomenclature Systematic name]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;|(6&#039;&#039;R&#039;&#039;,7&#039;&#039;R&#039;&#039;,&#039;&#039;Z&#039;&#039;)-7-(2-(2-aminothiazol-4-yl)-2-&amp;lt;br /&amp;gt;(methoxyimino)acetamido)-3-((6-hydroxy&amp;lt;br /&amp;gt;-2-methyl-5-oxo-2,5-dihydro-1,2,4-triazin&amp;lt;br /&amp;gt;-3-ylthio)methyl)-8-oxo-5-thia-1-aza-bicyclo&amp;lt;br /&amp;gt;[4.2.0]oct-2-ene-2-carboxylic acid&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Synonyms&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Rocephin&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Chemical_formula Molecular formula]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |C&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;8&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;7&amp;lt;/sub&amp;gt;S&amp;lt;sub&amp;gt;3&amp;lt;/sub&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Simplified_molecular_input_line_entry_specification SMILES]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |NC1=NC(/C(C(N([C@@H]([C@@H]3N2C&amp;lt;br /&amp;gt;(C(O)=O)=C(CSC4=NC(C(O)=NN4C)=O)&amp;lt;br /&amp;gt;CS3)C2=O)[H])=O)=N\OC)=CS1&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Molar_mass Molar mass]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |554.58 g/mol&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Appearance&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Yellow-orange crystalline powder&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/CAS_registry_number CAS number]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |63527-52-6&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/ATC_code ATC Code]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |J01DD01&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Properties&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Density Density] and [http://en.wikipedia.org/wiki/Phase_%28matter%29 Phase]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |g/cm&amp;lt;sup&amp;gt;3&amp;lt;/sup&amp;gt;, solid&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Solubility Solubility] in [http://en.wikipedia.org/wiki/Water_%28molecule%29 water]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |readily-soluble&lt;br /&gt;
|-&lt;br /&gt;
| Other solvents&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Methanol (sparingly)&amp;lt;br /&amp;gt;Ethanol (slightly)&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/pH p&#039;&#039;H&#039;&#039;] &amp;lt;!-- omit if not a base. If several values, be clear --&amp;gt;&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |6.7 (1% aqueous solution)&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Pharmacokinetic data&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Bioavailability Bioavailability]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |n/a&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Metabolism Metabolism]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |negligible&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Elimination_half-life Half life]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 5.8-8.7 hours&lt;br /&gt;
|- &lt;br /&gt;
| [http://en.wikipedia.org/wiki/Excretion Excretion]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | [http://en.wikipedia.org/wiki/biliary Biliary], [http://en.wikipedia.org/wiki/renal Renal]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| {{chembox header}} colspan=&amp;quot;3&amp;quot;| &amp;lt;small&amp;gt;Except where noted otherwise, data are given for&amp;lt;br&amp;gt; materials in their [http://en.wikipedia.org/wiki/Standard_state standard state (at 25 &amp;amp;deg;C, 100 kPa)]&amp;lt;br/&amp;gt;[http://en.wikipedia.org/wiki/Wikipedia:Chemical_infobox Infobox disclaimer and references]]&amp;lt;/small&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Ceftriaxone&#039;&#039;&#039; is a cephalosporin antibiotic which has been used in the treatment of pneumonia, bacterial meningitis, Lyme&#039;s Disease and gonorrhoea. It is a third-generation cephalosporin antibiotic which has a broad spectrum activity against Gram Positive and Gram negative Bacterias.&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone Sodium is marketed internationally by Hoffman-La Roche under the brand name Rocephin&lt;br /&gt;
== Routes of administration ==&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone is injected either intravenously or intramuscularly with a usual starting dose of between 1 and 2 grams every 12-24 hours.&lt;br /&gt;
&lt;br /&gt;
== Treatment of gonorrhoea ==&lt;br /&gt;
&lt;br /&gt;
In the treatment of gonorrhoea a single intramuscular dose of 250mg is administered, most commonly in combination with [[It:Azithromycin|azithromycin]], a treatment for [http://en.wikipedia.org/wiki/chlamydia chlamydia].&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Chemistry ==&lt;br /&gt;
Ceftriaxone is a yellowish-orange powder. It has readily-soluble in water, partly soluble in methanol and almost insoluble in ethanol. THe 1% aqueous solution has a pH of 6.7. The colour of of its solution ranges from light yellow to amber coloured solution. &lt;br /&gt;
&lt;br /&gt;
Ceftriaxone can form complexes with transition metals. Different metal complex has different activity against different type of bacteria. Rocephin is one example of the anhydrous Ceftriaxone complex which is a complex of sodium [Na2(ceftria)]. This is because generally, the sodium complex has good overall activity against different type of bacteria and easy to synthesized.&lt;br /&gt;
&lt;br /&gt;
Some transition metal complex of Ceftriaxone forms in its hydrated form (e.g. [Mn(Ceftria)].2H2O)&lt;br /&gt;
&lt;br /&gt;
== Microbiology ==&lt;br /&gt;
Ceftriaxone  works by interfering with the formation of cell walls in the bacteria causing the disease. This leaves the bacteria without a cell wall and only a membrance, making it very vulnerable and weak.  This causes it to break down and die in time, preventing the disease from developing any further.&lt;br /&gt;
&lt;br /&gt;
== Health Complication of using Rocephin (ceftriaxone sodium)==&lt;br /&gt;
Rocephin has some side effects concerning of its use:[http://www2.netdoctor.co.uk/medicines/100003884.html Side effect]&lt;br /&gt;
*Headache&lt;br /&gt;
*Rash&lt;br /&gt;
*Diarrhoea&lt;br /&gt;
*Pruritus (Ithcing)&lt;br /&gt;
*Allergic Reaction&lt;br /&gt;
*Inflammation at site or injection, Pancreas (Pancreatitis), Large Intestines (Colitis)&lt;br /&gt;
*Dizzines&lt;br /&gt;
*Nausea and Vomiting&lt;br /&gt;
*Increase time for Blood clotting&lt;br /&gt;
&lt;br /&gt;
Consumption of Rochepin should be done in caution if you are allergic to peniccilin type antibody, premature babies, and severe kidney diseases. Roceephin should not be consumed for people who is allergic to any active ingreadients, babies with jaundice, low albumin blood levels, inherited blood diseases.&lt;br /&gt;
&lt;br /&gt;
== External Link ==&lt;br /&gt;
*[http://www2.netdoctor.co.uk/medicines/100003884.html net doctor]&lt;br /&gt;
*[http://www.rocheusa.com/products/rocephin/pi.pdf Official Link]&lt;br /&gt;
*[http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a685032.html Medicine Plus Drug Information]&lt;br /&gt;
*[http://www.rxlist.com/cgi/generic3/ceftriax.htm rxlist]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7855</id>
		<title>It:Ceftriaxone</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7855"/>
		<updated>2006-12-08T11:58:51Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Ceftriaxone&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[Image:Ceftriaxone.png|200px|Ceftriaxone]] &lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |3D structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | &amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;200&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 100; cpk off;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;REMARK   MSI WebLab Viewer PDB file&lt;br /&gt;
REMARK   Created:  Fri Oct 20 12:51:30 GMT Standard Time 2006&lt;br /&gt;
ATOM      1  N           0      -9.077   1.857  -0.122  0.00  0.00&lt;br /&gt;
ATOM      2  C           0      -8.278   0.728  -0.196  0.00  0.00&lt;br /&gt;
ATOM      3  N           0      -6.981   0.610   0.017  0.00  0.00&lt;br /&gt;
ATOM      4  C           0      -6.368  -0.567  -0.099  0.00  0.00&lt;br /&gt;
ATOM      5  C           0      -4.914  -0.681   0.144  0.00  0.00&lt;br /&gt;
ATOM      6  C           0      -4.077   0.540   0.215  0.00  0.00&lt;br /&gt;
ATOM      7  N           0      -2.751   0.436   0.436  0.00  0.00&lt;br /&gt;
ATOM      8  C           0      -1.924   1.643   0.507  0.00  0.00&lt;br /&gt;
ATOM      9  H           0      -2.488   2.527   0.804  0.00  0.00&lt;br /&gt;
ATOM     10  C           0      -0.628   1.452   1.290  0.00  0.00&lt;br /&gt;
ATOM     11  H           0      -0.366   2.265   1.966  0.00  0.00&lt;br /&gt;
ATOM     12  N           0       0.045   1.470  -0.046  0.00  0.00&lt;br /&gt;
ATOM     13  C           0       1.350   1.029  -0.326  0.00  0.00&lt;br /&gt;
ATOM     14  C           0       2.034   1.452  -1.561  0.00  0.00&lt;br /&gt;
ATOM     15  O           0       2.018   0.656  -2.648  0.00  0.00&lt;br /&gt;
ATOM     16  O           0       2.613   2.520  -1.599  0.00  0.00&lt;br /&gt;
ATOM     17  C           0       1.957   0.225   0.538  0.00  0.00&lt;br /&gt;
ATOM     18  C           0       3.333  -0.248   0.144  0.00  0.00&lt;br /&gt;
ATOM     19  S           0       4.579   0.682   1.072  0.00  0.00&lt;br /&gt;
ATOM     20  C           0       6.047  -0.054   0.434  0.00  0.00&lt;br /&gt;
ATOM     21  N           0       5.952  -1.008  -0.472  0.00  0.00&lt;br /&gt;
ATOM     22  C           0       7.050  -1.583  -0.973  0.00  0.00&lt;br /&gt;
ATOM     23  C           0       8.372  -1.143  -0.504  0.00  0.00&lt;br /&gt;
ATOM     24  O           0       9.504  -1.709  -0.996  0.00  0.00&lt;br /&gt;
ATOM     25  N           0       8.438  -0.194   0.395  0.00  0.00           &lt;br /&gt;
ATOM     26  N           0       7.253   0.376   0.880  0.00  0.00&lt;br /&gt;
ATOM     27  C           0       7.319   1.438   1.887  0.00  0.00&lt;br /&gt;
ATOM     28  O           0       6.956  -2.466  -1.811  0.00  0.00&lt;br /&gt;
ATOM     29  C           0       1.447  -0.268   1.850  0.00  0.00&lt;br /&gt;
ATOM     30  S           0      -0.373  -0.214   1.982  0.00  0.00&lt;br /&gt;
ATOM     31  C           0      -1.054   1.858  -0.721  0.00  0.00&lt;br /&gt;
ATOM     32  O           0      -1.267   2.231  -1.855  0.00  0.00&lt;br /&gt;
ATOM     33  H           0      -2.345  -0.438   0.549  0.00  0.00&lt;br /&gt;
ATOM     34  O           0      -4.585   1.634   0.074  0.00  0.00&lt;br /&gt;
ATOM     35  N           0      -4.368  -1.854   0.295  0.00  0.00&lt;br /&gt;
ATOM     36  O           0      -5.160  -3.023   0.179  0.00  0.00&lt;br /&gt;
ATOM     37  C           0      -4.288  -4.135   0.394  0.00  0.00&lt;br /&gt;
ATOM     38  C           0      -7.101  -1.670  -0.446  0.00  0.00&lt;br /&gt;
ATOM     39  S           0      -8.732  -0.953  -0.596  0.00  0.00&lt;br /&gt;
ATOM     40  H           0      -8.687   2.713   0.115  0.00  0.00&lt;br /&gt;
ATOM     41  H           0     -10.026   1.792  -0.311  0.00  0.00&lt;br /&gt;
ATOM     42  H           0       2.467   0.934  -3.458  0.00  0.00&lt;br /&gt;
ATOM     43  H           0       3.430  -1.310   0.369  0.00  0.00&lt;br /&gt;
ATOM     44  H           0       3.481  -0.087  -0.923  0.00  0.00&lt;br /&gt;
ATOM     45  H           0       9.226  -2.376  -1.639  0.00  0.00&lt;br /&gt;
ATOM     46  H           0       8.361   1.645   2.130  0.00  0.00&lt;br /&gt;
ATOM     47  H           0       6.851   2.340   1.494  0.00  0.00&lt;br /&gt;
ATOM     48  H           0       6.792   1.118   2.787  0.00  0.00&lt;br /&gt;
ATOM     49  H           0       1.781  -1.296   1.993  0.00  0.00&lt;br /&gt;
ATOM     50  H           0       1.868   0.349   2.644  0.00  0.00&lt;br /&gt;
ATOM     51  H           0      -4.855  -5.062   0.314  0.00  0.00&lt;br /&gt;
ATOM     52  H           0      -3.498  -4.127  -0.357  0.00  0.00&lt;br /&gt;
ATOM     53  H           0      -3.846  -4.064   1.387  0.00  0.00           &lt;br /&gt;
ATOM     54  H           0      -6.783  -2.693  -0.586  0.00  0.00          &lt;br /&gt;
TER&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot; | General&lt;br /&gt;
|- &lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/IUPAC_nomenclature Systematic name]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;|(6&#039;&#039;R&#039;&#039;,7&#039;&#039;R&#039;&#039;,&#039;&#039;Z&#039;&#039;)-7-(2-(2-aminothiazol-4-yl)-2-&amp;lt;br /&amp;gt;(methoxyimino)acetamido)-3-((6-hydroxy&amp;lt;br /&amp;gt;-2-methyl-5-oxo-2,5-dihydro-1,2,4-triazin&amp;lt;br /&amp;gt;-3-ylthio)methyl)-8-oxo-5-thia-1-aza-bicyclo&amp;lt;br /&amp;gt;[4.2.0]oct-2-ene-2-carboxylic acid&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Synonyms&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Rocephin&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Chemical_formula Molecular formula]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |C&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;8&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;7&amp;lt;/sub&amp;gt;S&amp;lt;sub&amp;gt;3&amp;lt;/sub&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Simplified_molecular_input_line_entry_specification SMILES]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |NC1=NC(/C(C(N([C@@H]([C@@H]3N2C&amp;lt;br /&amp;gt;(C(O)=O)=C(CSC4=NC(C(O)=NN4C)=O)&amp;lt;br /&amp;gt;CS3)C2=O)[H])=O)=N\OC)=CS1&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Molar_mass Molar mass]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |554.58 g/mol&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Appearance&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Yellow-orange crystalline powder&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/CAS_registry_number CAS number]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |63527-52-6&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/ATC_code ATC Code]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |J01DD01&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Properties&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Density Density] and [http://en.wikipedia.org/wiki/Phase_%28matter%29 Phase]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |g/cm&amp;lt;sup&amp;gt;3&amp;lt;/sup&amp;gt;, solid&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Solubility Solubility] in [http://en.wikipedia.org/wiki/Water_%28molecule%29 water]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |readily-soluble&lt;br /&gt;
|-&lt;br /&gt;
| Other solvents&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Methanol (sparingly)&amp;lt;br /&amp;gt;Ethanol (slightly)&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/pH p&#039;&#039;H&#039;&#039;] &amp;lt;!-- omit if not a base. If several values, be clear --&amp;gt;&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |6.7 (1% aqueous solution)&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Pharmacokinetic data&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Bioavailability Bioavailability]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |n/a&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Metabolism Metabolism]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |negligible&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Elimination_half-life Half life]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 5.8-8.7 hours&lt;br /&gt;
|- &lt;br /&gt;
| [http://en.wikipedia.org/wiki/Excretion Excretion]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | [http://en.wikipedia.org/wiki/biliary Biliary], [http://en.wikipedia.org/wiki/renal Renal]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| {{chembox header}} colspan=&amp;quot;3&amp;quot;| &amp;lt;small&amp;gt;Except where noted otherwise, data are given for&amp;lt;br&amp;gt; materials in their [http://en.wikipedia.org/wiki/Standard_state standard state (at 25 &amp;amp;deg;C, 100 kPa)]&amp;lt;br/&amp;gt;[http://en.wikipedia.org/wiki/Wikipedia:Chemical_infobox Infobox disclaimer and references]]&amp;lt;/small&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Ceftriaxone&#039;&#039;&#039; is a cephalosporin antibiotic which has been used in the treatment of pneumonia, bacterial meningitis, Lyme&#039;s Disease and gonorrhoea. It is a third-generation cephalosporin antibiotic which has a broad spectrum activity against Gram Positive and Gram negative Bacterias.&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone Sodium is marketed internationally by Hoffman-La Roche under the brand name Rocephin&lt;br /&gt;
== Routes of administration ==&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone is injected either intravenously or intramuscularly with a usual starting dose of between 1 and 2 grams every 12-24 hours.&lt;br /&gt;
&lt;br /&gt;
== Treatment of gonorrhoea ==&lt;br /&gt;
&lt;br /&gt;
In the treatment of gonorrhoea a single intramuscular dose of 250mg is administered, most commonly in combination with [[It:Azithromycin|azithromycin]], a treatment for [http://en.wikipedia.org/wiki/chlamydia chlamydia].&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Chemistry ==&lt;br /&gt;
Ceftriaxone is a yellowish-orange powder. It has readily-soluble in water, partly soluble in methanol and almost insoluble in ethanol. THe 1% aqueous solution has a pH of 6.7. The colour of of its solution ranges from light yellow to amber coloured solution. &lt;br /&gt;
&lt;br /&gt;
Ceftriaxone can form complexes with transition metals. Different metal complex has different activity against different type of bacteria. Rocephin is one example of the anhydrous Ceftriaxone complex which is a complex of sodium [Na2(ceftria)]. This is because generally, the sodium complex has good overall activity against different type of bacteria and easy to synthesized.&lt;br /&gt;
&lt;br /&gt;
Some transition metal complex of Ceftriaxone forms in its hydrated form (e.g. [Mn(Ceftria)].2H2O)&lt;br /&gt;
&lt;br /&gt;
== Microbiology ==&lt;br /&gt;
Ceftriaxone  works by interfering with the formation of cell walls in the bacteria causing the disease. This leaves the bacteria without a cell wall and only a membrance, making it very vulnerable and weak.  This causes it to break down and die in time, preventing the disease from developing any further.&lt;br /&gt;
&lt;br /&gt;
== Health Complication of using ROcephin (ceftriaxone sodium)==&lt;br /&gt;
Rocephin has some side effects concerning of its use:[http://www2.netdoctor.co.uk/medicines/100003884.html Side effect]&lt;br /&gt;
*Headache&lt;br /&gt;
*Rash&lt;br /&gt;
*Diarrhoea&lt;br /&gt;
*Pruritus (Ithcing)&lt;br /&gt;
*Allergic Reaction&lt;br /&gt;
*Inflammation at site or injection, Pancreas (Pancreatitis), Large Intestines (Colitis)&lt;br /&gt;
*Dizzines&lt;br /&gt;
*Nausea and Vomiting&lt;br /&gt;
*Increase time for Blood clotting&lt;br /&gt;
&lt;br /&gt;
Consumption of Rochepin should be done in caution if you are allergic to peniccilin type antibody, premature babies, and severe kidney diseases. Roceephin should not be consumed for people who is allergic to any active ingreadients, babies with jaundice, low albumin blood levels, inherited blood diseases.&lt;br /&gt;
&lt;br /&gt;
== External Link ==&lt;br /&gt;
*[http://www2.netdoctor.co.uk/medicines/100003884.html net doctor]&lt;br /&gt;
*[http://www.rocheusa.com/products/rocephin/pi.pdf Official Link]&lt;br /&gt;
*[http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a685032.html Medicine Plus Drug Information]&lt;br /&gt;
*[http://www.rxlist.com/cgi/generic3/ceftriax.htm rxlist]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7851</id>
		<title>It:Ceftriaxone</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7851"/>
		<updated>2006-12-08T11:53:35Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Ceftriaxone&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[Image:Ceftriaxone.png|200px|Ceftriaxone]] &lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |3D structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | &amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;200&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 100; cpk off;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;REMARK   MSI WebLab Viewer PDB file&lt;br /&gt;
REMARK   Created:  Fri Oct 20 12:51:30 GMT Standard Time 2006&lt;br /&gt;
ATOM      1  N           0      -9.077   1.857  -0.122  0.00  0.00&lt;br /&gt;
ATOM      2  C           0      -8.278   0.728  -0.196  0.00  0.00&lt;br /&gt;
ATOM      3  N           0      -6.981   0.610   0.017  0.00  0.00&lt;br /&gt;
ATOM      4  C           0      -6.368  -0.567  -0.099  0.00  0.00&lt;br /&gt;
ATOM      5  C           0      -4.914  -0.681   0.144  0.00  0.00&lt;br /&gt;
ATOM      6  C           0      -4.077   0.540   0.215  0.00  0.00&lt;br /&gt;
ATOM      7  N           0      -2.751   0.436   0.436  0.00  0.00&lt;br /&gt;
ATOM      8  C           0      -1.924   1.643   0.507  0.00  0.00&lt;br /&gt;
ATOM      9  H           0      -2.488   2.527   0.804  0.00  0.00&lt;br /&gt;
ATOM     10  C           0      -0.628   1.452   1.290  0.00  0.00&lt;br /&gt;
ATOM     11  H           0      -0.366   2.265   1.966  0.00  0.00&lt;br /&gt;
ATOM     12  N           0       0.045   1.470  -0.046  0.00  0.00&lt;br /&gt;
ATOM     13  C           0       1.350   1.029  -0.326  0.00  0.00&lt;br /&gt;
ATOM     14  C           0       2.034   1.452  -1.561  0.00  0.00&lt;br /&gt;
ATOM     15  O           0       2.018   0.656  -2.648  0.00  0.00&lt;br /&gt;
ATOM     16  O           0       2.613   2.520  -1.599  0.00  0.00&lt;br /&gt;
ATOM     17  C           0       1.957   0.225   0.538  0.00  0.00&lt;br /&gt;
ATOM     18  C           0       3.333  -0.248   0.144  0.00  0.00&lt;br /&gt;
ATOM     19  S           0       4.579   0.682   1.072  0.00  0.00&lt;br /&gt;
ATOM     20  C           0       6.047  -0.054   0.434  0.00  0.00&lt;br /&gt;
ATOM     21  N           0       5.952  -1.008  -0.472  0.00  0.00&lt;br /&gt;
ATOM     22  C           0       7.050  -1.583  -0.973  0.00  0.00&lt;br /&gt;
ATOM     23  C           0       8.372  -1.143  -0.504  0.00  0.00&lt;br /&gt;
ATOM     24  O           0       9.504  -1.709  -0.996  0.00  0.00&lt;br /&gt;
ATOM     25  N           0       8.438  -0.194   0.395  0.00  0.00           &lt;br /&gt;
ATOM     26  N           0       7.253   0.376   0.880  0.00  0.00&lt;br /&gt;
ATOM     27  C           0       7.319   1.438   1.887  0.00  0.00&lt;br /&gt;
ATOM     28  O           0       6.956  -2.466  -1.811  0.00  0.00&lt;br /&gt;
ATOM     29  C           0       1.447  -0.268   1.850  0.00  0.00&lt;br /&gt;
ATOM     30  S           0      -0.373  -0.214   1.982  0.00  0.00&lt;br /&gt;
ATOM     31  C           0      -1.054   1.858  -0.721  0.00  0.00&lt;br /&gt;
ATOM     32  O           0      -1.267   2.231  -1.855  0.00  0.00&lt;br /&gt;
ATOM     33  H           0      -2.345  -0.438   0.549  0.00  0.00&lt;br /&gt;
ATOM     34  O           0      -4.585   1.634   0.074  0.00  0.00&lt;br /&gt;
ATOM     35  N           0      -4.368  -1.854   0.295  0.00  0.00&lt;br /&gt;
ATOM     36  O           0      -5.160  -3.023   0.179  0.00  0.00&lt;br /&gt;
ATOM     37  C           0      -4.288  -4.135   0.394  0.00  0.00&lt;br /&gt;
ATOM     38  C           0      -7.101  -1.670  -0.446  0.00  0.00&lt;br /&gt;
ATOM     39  S           0      -8.732  -0.953  -0.596  0.00  0.00&lt;br /&gt;
ATOM     40  H           0      -8.687   2.713   0.115  0.00  0.00&lt;br /&gt;
ATOM     41  H           0     -10.026   1.792  -0.311  0.00  0.00&lt;br /&gt;
ATOM     42  H           0       2.467   0.934  -3.458  0.00  0.00&lt;br /&gt;
ATOM     43  H           0       3.430  -1.310   0.369  0.00  0.00&lt;br /&gt;
ATOM     44  H           0       3.481  -0.087  -0.923  0.00  0.00&lt;br /&gt;
ATOM     45  H           0       9.226  -2.376  -1.639  0.00  0.00&lt;br /&gt;
ATOM     46  H           0       8.361   1.645   2.130  0.00  0.00&lt;br /&gt;
ATOM     47  H           0       6.851   2.340   1.494  0.00  0.00&lt;br /&gt;
ATOM     48  H           0       6.792   1.118   2.787  0.00  0.00&lt;br /&gt;
ATOM     49  H           0       1.781  -1.296   1.993  0.00  0.00&lt;br /&gt;
ATOM     50  H           0       1.868   0.349   2.644  0.00  0.00&lt;br /&gt;
ATOM     51  H           0      -4.855  -5.062   0.314  0.00  0.00&lt;br /&gt;
ATOM     52  H           0      -3.498  -4.127  -0.357  0.00  0.00&lt;br /&gt;
ATOM     53  H           0      -3.846  -4.064   1.387  0.00  0.00           &lt;br /&gt;
ATOM     54  H           0      -6.783  -2.693  -0.586  0.00  0.00          &lt;br /&gt;
TER&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot; | General&lt;br /&gt;
|- &lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/IUPAC_nomenclature Systematic name]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;|(6&#039;&#039;R&#039;&#039;,7&#039;&#039;R&#039;&#039;,&#039;&#039;Z&#039;&#039;)-7-(2-(2-aminothiazol-4-yl)-2-&amp;lt;br /&amp;gt;(methoxyimino)acetamido)-3-((6-hydroxy&amp;lt;br /&amp;gt;-2-methyl-5-oxo-2,5-dihydro-1,2,4-triazin&amp;lt;br /&amp;gt;-3-ylthio)methyl)-8-oxo-5-thia-1-aza-bicyclo&amp;lt;br /&amp;gt;[4.2.0]oct-2-ene-2-carboxylic acid&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Synonyms&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Rocephin&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Chemical_formula Molecular formula]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |C&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;8&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;7&amp;lt;/sub&amp;gt;S&amp;lt;sub&amp;gt;3&amp;lt;/sub&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Simplified_molecular_input_line_entry_specification SMILES]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |NC1=NC(/C(C(N([C@@H]([C@@H]3N2C&amp;lt;br /&amp;gt;(C(O)=O)=C(CSC4=NC(C(O)=NN4C)=O)&amp;lt;br /&amp;gt;CS3)C2=O)[H])=O)=N\OC)=CS1&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Molar_mass Molar mass]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |554.58 g/mol&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Appearance&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Yellow-orange crystalline powder&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/CAS_registry_number CAS number]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |63527-52-6&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/ATC_code ATC Code]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |J01DD01&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Properties&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Density Density] and [http://en.wikipedia.org/wiki/Phase_%28matter%29 Phase]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |g/cm&amp;lt;sup&amp;gt;3&amp;lt;/sup&amp;gt;, solid&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Solubility Solubility] in [http://en.wikipedia.org/wiki/Water_%28molecule%29 water]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |readily-soluble&lt;br /&gt;
|-&lt;br /&gt;
| Other solvents&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Methanol (sparingly)&amp;lt;br /&amp;gt;Ethanol (slightly)&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/pH p&#039;&#039;H&#039;&#039;] &amp;lt;!-- omit if not a base. If several values, be clear --&amp;gt;&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |6.7 (1% aqueous solution)&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Pharmacokinetic data&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Bioavailability Bioavailability]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |n/a&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Metabolism Metabolism]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |negligible&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Elimination_half-life Half life]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 5.8-8.7 hours&lt;br /&gt;
|- &lt;br /&gt;
| [http://en.wikipedia.org/wiki/Excretion Excretion]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | [http://en.wikipedia.org/wiki/biliary Biliary], [http://en.wikipedia.org/wiki/renal Renal]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| {{chembox header}} colspan=&amp;quot;3&amp;quot;| &amp;lt;small&amp;gt;Except where noted otherwise, data are given for&amp;lt;br&amp;gt; materials in their [http://en.wikipedia.org/wiki/Standard_state standard state (at 25 &amp;amp;deg;C, 100 kPa)]&amp;lt;br/&amp;gt;[http://en.wikipedia.org/wiki/Wikipedia:Chemical_infobox Infobox disclaimer and references]]&amp;lt;/small&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Ceftriaxone&#039;&#039;&#039; is a cephalosporin antibiotic which has been used in the treatment of pneumonia, bacterial meningitis, Lyme&#039;s Disease and gonorrhoea. It is a third-generation cephalosporin antibiotic which has a broad spectrum activity against Gram Positive and Gram negative Bacterias.&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone Sodium is marketed internationally by Hoffman-La Roche under the brand name Rocephin&lt;br /&gt;
== Routes of administration ==&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone is injected either intravenously or intramuscularly with a usual starting dose of between 1 and 2 grams every 12-24 hours.&lt;br /&gt;
&lt;br /&gt;
== Treatment of gonorrhoea ==&lt;br /&gt;
&lt;br /&gt;
In the treatment of gonorrhoea a single intramuscular dose of 250mg is administered, most commonly in combination with [[It:Azithromycin|azithromycin]], a treatment for [http://en.wikipedia.org/wiki/chlamydia chlamydia].&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Chemistry ==&lt;br /&gt;
Ceftriaxone is a yellowish-orange powder. It has readily-soluble in water, partly soluble in methanol and almost insoluble in ethanol. THe 1% aqueous solution has a pH of 6.7. The colour of of its solution ranges from light yellow to amber coloured solution. &lt;br /&gt;
&lt;br /&gt;
Ceftriaxone can form complexes with metals. Different metal complex has different activity against different type of bacteria. Rocephin is one example of the anhydrous Ceftriaxone complex which is a complex of sodium [Na2(ceftria)]. This is because generally, the sodium complex has good overall activity against different type of bacteria and easy to synthesized.&lt;br /&gt;
&lt;br /&gt;
Some metal complex of Ceftriaxone forms in its hydrated form (e.g. [Mn(Ceftria)].2H2O&lt;br /&gt;
&lt;br /&gt;
== Microbiology ==&lt;br /&gt;
Ceftriaxone  works by interfering with the formation of cell walls in the bacteria causing the disease. This leaves the bacteria without a cell wall and only a membrance, making it very vulnerable and weak.  This causes it to break down and die in time, preventing the disease from developing any further.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
Ceftriaxone has some side effects concerning of its use:[http://www2.netdoctor.co.uk/medicines/100003884.html Side effect]&lt;br /&gt;
*Headache&lt;br /&gt;
*Rash&lt;br /&gt;
*Diarrhoea&lt;br /&gt;
*Pruritus (Ithcing)&lt;br /&gt;
*Allergic Reaction&lt;br /&gt;
*Inflammation at site or injection, Pancreas (Pancreatitis), Large Intestines (Colitis)&lt;br /&gt;
*Dizzines&lt;br /&gt;
*Nausea and Vomiting&lt;br /&gt;
*Increase time for Blood clotting&lt;br /&gt;
&lt;br /&gt;
Consumption of Ceftriaxone should be done in caution if you are allergic to peniccilin type antibody, premature babies, and severe kidney diseases. Ceftriaxone should not be consumed for people who is allergic to any active ingreadients, babies with jaundice, low albumin blood levels, inherited blood diseases.&lt;br /&gt;
&lt;br /&gt;
== External Link ==&lt;br /&gt;
*[http://www2.netdoctor.co.uk/medicines/100003884.html net doctor]&lt;br /&gt;
*[http://www.rocheusa.com/products/rocephin/pi.pdf Official Link]&lt;br /&gt;
*[http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a685032.html Medicine Plus Drug Information]&lt;br /&gt;
*[http://www.rxlist.com/cgi/generic3/ceftriax.htm rxlist]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7846</id>
		<title>It:Ceftriaxone</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7846"/>
		<updated>2006-12-08T11:47:11Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Ceftriaxone&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[Image:Ceftriaxone.png|200px|Ceftriaxone]] &lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |3D structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | &amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;200&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 100; cpk off;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;REMARK   MSI WebLab Viewer PDB file&lt;br /&gt;
REMARK   Created:  Fri Oct 20 12:51:30 GMT Standard Time 2006&lt;br /&gt;
ATOM      1  N           0      -9.077   1.857  -0.122  0.00  0.00&lt;br /&gt;
ATOM      2  C           0      -8.278   0.728  -0.196  0.00  0.00&lt;br /&gt;
ATOM      3  N           0      -6.981   0.610   0.017  0.00  0.00&lt;br /&gt;
ATOM      4  C           0      -6.368  -0.567  -0.099  0.00  0.00&lt;br /&gt;
ATOM      5  C           0      -4.914  -0.681   0.144  0.00  0.00&lt;br /&gt;
ATOM      6  C           0      -4.077   0.540   0.215  0.00  0.00&lt;br /&gt;
ATOM      7  N           0      -2.751   0.436   0.436  0.00  0.00&lt;br /&gt;
ATOM      8  C           0      -1.924   1.643   0.507  0.00  0.00&lt;br /&gt;
ATOM      9  H           0      -2.488   2.527   0.804  0.00  0.00&lt;br /&gt;
ATOM     10  C           0      -0.628   1.452   1.290  0.00  0.00&lt;br /&gt;
ATOM     11  H           0      -0.366   2.265   1.966  0.00  0.00&lt;br /&gt;
ATOM     12  N           0       0.045   1.470  -0.046  0.00  0.00&lt;br /&gt;
ATOM     13  C           0       1.350   1.029  -0.326  0.00  0.00&lt;br /&gt;
ATOM     14  C           0       2.034   1.452  -1.561  0.00  0.00&lt;br /&gt;
ATOM     15  O           0       2.018   0.656  -2.648  0.00  0.00&lt;br /&gt;
ATOM     16  O           0       2.613   2.520  -1.599  0.00  0.00&lt;br /&gt;
ATOM     17  C           0       1.957   0.225   0.538  0.00  0.00&lt;br /&gt;
ATOM     18  C           0       3.333  -0.248   0.144  0.00  0.00&lt;br /&gt;
ATOM     19  S           0       4.579   0.682   1.072  0.00  0.00&lt;br /&gt;
ATOM     20  C           0       6.047  -0.054   0.434  0.00  0.00&lt;br /&gt;
ATOM     21  N           0       5.952  -1.008  -0.472  0.00  0.00&lt;br /&gt;
ATOM     22  C           0       7.050  -1.583  -0.973  0.00  0.00&lt;br /&gt;
ATOM     23  C           0       8.372  -1.143  -0.504  0.00  0.00&lt;br /&gt;
ATOM     24  O           0       9.504  -1.709  -0.996  0.00  0.00&lt;br /&gt;
ATOM     25  N           0       8.438  -0.194   0.395  0.00  0.00           &lt;br /&gt;
ATOM     26  N           0       7.253   0.376   0.880  0.00  0.00&lt;br /&gt;
ATOM     27  C           0       7.319   1.438   1.887  0.00  0.00&lt;br /&gt;
ATOM     28  O           0       6.956  -2.466  -1.811  0.00  0.00&lt;br /&gt;
ATOM     29  C           0       1.447  -0.268   1.850  0.00  0.00&lt;br /&gt;
ATOM     30  S           0      -0.373  -0.214   1.982  0.00  0.00&lt;br /&gt;
ATOM     31  C           0      -1.054   1.858  -0.721  0.00  0.00&lt;br /&gt;
ATOM     32  O           0      -1.267   2.231  -1.855  0.00  0.00&lt;br /&gt;
ATOM     33  H           0      -2.345  -0.438   0.549  0.00  0.00&lt;br /&gt;
ATOM     34  O           0      -4.585   1.634   0.074  0.00  0.00&lt;br /&gt;
ATOM     35  N           0      -4.368  -1.854   0.295  0.00  0.00&lt;br /&gt;
ATOM     36  O           0      -5.160  -3.023   0.179  0.00  0.00&lt;br /&gt;
ATOM     37  C           0      -4.288  -4.135   0.394  0.00  0.00&lt;br /&gt;
ATOM     38  C           0      -7.101  -1.670  -0.446  0.00  0.00&lt;br /&gt;
ATOM     39  S           0      -8.732  -0.953  -0.596  0.00  0.00&lt;br /&gt;
ATOM     40  H           0      -8.687   2.713   0.115  0.00  0.00&lt;br /&gt;
ATOM     41  H           0     -10.026   1.792  -0.311  0.00  0.00&lt;br /&gt;
ATOM     42  H           0       2.467   0.934  -3.458  0.00  0.00&lt;br /&gt;
ATOM     43  H           0       3.430  -1.310   0.369  0.00  0.00&lt;br /&gt;
ATOM     44  H           0       3.481  -0.087  -0.923  0.00  0.00&lt;br /&gt;
ATOM     45  H           0       9.226  -2.376  -1.639  0.00  0.00&lt;br /&gt;
ATOM     46  H           0       8.361   1.645   2.130  0.00  0.00&lt;br /&gt;
ATOM     47  H           0       6.851   2.340   1.494  0.00  0.00&lt;br /&gt;
ATOM     48  H           0       6.792   1.118   2.787  0.00  0.00&lt;br /&gt;
ATOM     49  H           0       1.781  -1.296   1.993  0.00  0.00&lt;br /&gt;
ATOM     50  H           0       1.868   0.349   2.644  0.00  0.00&lt;br /&gt;
ATOM     51  H           0      -4.855  -5.062   0.314  0.00  0.00&lt;br /&gt;
ATOM     52  H           0      -3.498  -4.127  -0.357  0.00  0.00&lt;br /&gt;
ATOM     53  H           0      -3.846  -4.064   1.387  0.00  0.00           &lt;br /&gt;
ATOM     54  H           0      -6.783  -2.693  -0.586  0.00  0.00          &lt;br /&gt;
TER&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot; | General&lt;br /&gt;
|- &lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/IUPAC_nomenclature Systematic name]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;|(6&#039;&#039;R&#039;&#039;,7&#039;&#039;R&#039;&#039;,&#039;&#039;Z&#039;&#039;)-7-(2-(2-aminothiazol-4-yl)-2-&amp;lt;br /&amp;gt;(methoxyimino)acetamido)-3-((6-hydroxy&amp;lt;br /&amp;gt;-2-methyl-5-oxo-2,5-dihydro-1,2,4-triazin&amp;lt;br /&amp;gt;-3-ylthio)methyl)-8-oxo-5-thia-1-aza-bicyclo&amp;lt;br /&amp;gt;[4.2.0]oct-2-ene-2-carboxylic acid&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Synonyms&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Rocephin&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Chemical_formula Molecular formula]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |C&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;8&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;7&amp;lt;/sub&amp;gt;S&amp;lt;sub&amp;gt;3&amp;lt;/sub&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Simplified_molecular_input_line_entry_specification SMILES]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |NC1=NC(/C(C(N([C@@H]([C@@H]3N2C&amp;lt;br /&amp;gt;(C(O)=O)=C(CSC4=NC(C(O)=NN4C)=O)&amp;lt;br /&amp;gt;CS3)C2=O)[H])=O)=N\OC)=CS1&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Molar_mass Molar mass]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |554.58 g/mol&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Appearance&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Yellow-orange crystalline powder&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/CAS_registry_number CAS number]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |63527-52-6&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/ATC_code ATC Code]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |J01DD01&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Properties&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Density Density] and [http://en.wikipedia.org/wiki/Phase_%28matter%29 Phase]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |g/cm&amp;lt;sup&amp;gt;3&amp;lt;/sup&amp;gt;, solid&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Solubility Solubility] in [http://en.wikipedia.org/wiki/Water_%28molecule%29 water]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |readily-soluble&lt;br /&gt;
|-&lt;br /&gt;
| Other solvents&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Methanol (sparingly)&amp;lt;br /&amp;gt;Ethanol (slightly)&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/pH p&#039;&#039;H&#039;&#039;] &amp;lt;!-- omit if not a base. If several values, be clear --&amp;gt;&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |6.7 (1% aqueous solution)&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Pharmacokinetic data&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Bioavailability Bioavailability]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |n/a&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Metabolism Metabolism]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |negligible&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Elimination_half-life Half life]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 5.8-8.7 hours&lt;br /&gt;
|- &lt;br /&gt;
| [http://en.wikipedia.org/wiki/Excretion Excretion]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | [http://en.wikipedia.org/wiki/biliary Biliary], [http://en.wikipedia.org/wiki/renal Renal]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| {{chembox header}} colspan=&amp;quot;3&amp;quot;| &amp;lt;small&amp;gt;Except where noted otherwise, data are given for&amp;lt;br&amp;gt; materials in their [http://en.wikipedia.org/wiki/Standard_state standard state (at 25 &amp;amp;deg;C, 100 kPa)]&amp;lt;br/&amp;gt;[http://en.wikipedia.org/wiki/Wikipedia:Chemical_infobox Infobox disclaimer and references]]&amp;lt;/small&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Ceftriaxone&#039;&#039;&#039; is a cephalosporin antibiotic which has been used in the treatment of pneumonia, bacterial meningitis, Lyme&#039;s Disease and gonorrhoea. It is a third-generation cephalosporin antibiotic which has a broad spectrum activity against Gram Positive and Gram negative Bacterias.&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone Sodium is marketed internationally by Hoffman-La Roche under the brand name Rocephin&lt;br /&gt;
== Routes of administration ==&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone is injected either intravenously or intramuscularly with a usual starting dose of between 1 and 2 grams every 12-24 hours.&lt;br /&gt;
&lt;br /&gt;
== Treatment of gonorrhoea ==&lt;br /&gt;
&lt;br /&gt;
In the treatment of gonorrhoea a single intramuscular dose of 250mg is administered, most commonly in combination with [[It:Azithromycin|azithromycin]], a treatment for [http://en.wikipedia.org/wiki/chlamydia chlamydia].&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Chemistry ==&lt;br /&gt;
Ceftriaxone is a yellowish-orange powder. It has readily-soluble in water, partly soluble in methanol and almost insoluble in ethanol. THe 1% aqueous solution has a pH of 6.7. The colour of of its solution ranges from light yellow to amber coloured solution. &lt;br /&gt;
&lt;br /&gt;
== Microbiology ==&lt;br /&gt;
Ceftriaxone  works by interfering with the formation of cell walls in the bacteria causing the disease. This leaves the bacteria without a cell wall and only a membrance, making it very vulnerable and weak.  This causes it to break down and die in time, preventing the disease from developing any further.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
Ceftriaxone has some side effects concerning of its use:[http://www2.netdoctor.co.uk/medicines/100003884.html Side effect]&lt;br /&gt;
*Headache&lt;br /&gt;
*Rash&lt;br /&gt;
*Diarrhoea&lt;br /&gt;
*Pruritus (Ithcing)&lt;br /&gt;
*Allergic Reaction&lt;br /&gt;
*Inflammation at site or injection, Pancreas (Pancreatitis), Large Intestines (Colitis)&lt;br /&gt;
*Dizzines&lt;br /&gt;
*Nausea and Vomiting&lt;br /&gt;
*Increase time for Blood clotting&lt;br /&gt;
&lt;br /&gt;
Consumption of Ceftriaxone should be done in caution if you are allergic to peniccilin type antibody, premature babies, and severe kidney diseases. Ceftriaxone should not be consumed for people who is allergic to any active ingreadients, babies with jaundice, low albumin blood levels, inherited blood diseases.&lt;br /&gt;
&lt;br /&gt;
== External Link ==&lt;br /&gt;
*[http://www2.netdoctor.co.uk/medicines/100003884.html net doctor]&lt;br /&gt;
*[http://www.rocheusa.com/products/rocephin/pi.pdf Official Link]&lt;br /&gt;
*[http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a685032.html Medicine Plus Drug Information]&lt;br /&gt;
*[http://www.rxlist.com/cgi/generic3/ceftriax.htm rxlist]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7839</id>
		<title>It:Ceftriaxone</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7839"/>
		<updated>2006-12-08T11:38:36Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Ceftriaxone&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[Image:Ceftriaxone.png|200px|Ceftriaxone]] &lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |3D structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | &amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;200&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 100; cpk off;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;REMARK   MSI WebLab Viewer PDB file&lt;br /&gt;
REMARK   Created:  Fri Oct 20 12:51:30 GMT Standard Time 2006&lt;br /&gt;
ATOM      1  N           0      -9.077   1.857  -0.122  0.00  0.00&lt;br /&gt;
ATOM      2  C           0      -8.278   0.728  -0.196  0.00  0.00&lt;br /&gt;
ATOM      3  N           0      -6.981   0.610   0.017  0.00  0.00&lt;br /&gt;
ATOM      4  C           0      -6.368  -0.567  -0.099  0.00  0.00&lt;br /&gt;
ATOM      5  C           0      -4.914  -0.681   0.144  0.00  0.00&lt;br /&gt;
ATOM      6  C           0      -4.077   0.540   0.215  0.00  0.00&lt;br /&gt;
ATOM      7  N           0      -2.751   0.436   0.436  0.00  0.00&lt;br /&gt;
ATOM      8  C           0      -1.924   1.643   0.507  0.00  0.00&lt;br /&gt;
ATOM      9  H           0      -2.488   2.527   0.804  0.00  0.00&lt;br /&gt;
ATOM     10  C           0      -0.628   1.452   1.290  0.00  0.00&lt;br /&gt;
ATOM     11  H           0      -0.366   2.265   1.966  0.00  0.00&lt;br /&gt;
ATOM     12  N           0       0.045   1.470  -0.046  0.00  0.00&lt;br /&gt;
ATOM     13  C           0       1.350   1.029  -0.326  0.00  0.00&lt;br /&gt;
ATOM     14  C           0       2.034   1.452  -1.561  0.00  0.00&lt;br /&gt;
ATOM     15  O           0       2.018   0.656  -2.648  0.00  0.00&lt;br /&gt;
ATOM     16  O           0       2.613   2.520  -1.599  0.00  0.00&lt;br /&gt;
ATOM     17  C           0       1.957   0.225   0.538  0.00  0.00&lt;br /&gt;
ATOM     18  C           0       3.333  -0.248   0.144  0.00  0.00&lt;br /&gt;
ATOM     19  S           0       4.579   0.682   1.072  0.00  0.00&lt;br /&gt;
ATOM     20  C           0       6.047  -0.054   0.434  0.00  0.00&lt;br /&gt;
ATOM     21  N           0       5.952  -1.008  -0.472  0.00  0.00&lt;br /&gt;
ATOM     22  C           0       7.050  -1.583  -0.973  0.00  0.00&lt;br /&gt;
ATOM     23  C           0       8.372  -1.143  -0.504  0.00  0.00&lt;br /&gt;
ATOM     24  O           0       9.504  -1.709  -0.996  0.00  0.00&lt;br /&gt;
ATOM     25  N           0       8.438  -0.194   0.395  0.00  0.00           &lt;br /&gt;
ATOM     26  N           0       7.253   0.376   0.880  0.00  0.00&lt;br /&gt;
ATOM     27  C           0       7.319   1.438   1.887  0.00  0.00&lt;br /&gt;
ATOM     28  O           0       6.956  -2.466  -1.811  0.00  0.00&lt;br /&gt;
ATOM     29  C           0       1.447  -0.268   1.850  0.00  0.00&lt;br /&gt;
ATOM     30  S           0      -0.373  -0.214   1.982  0.00  0.00&lt;br /&gt;
ATOM     31  C           0      -1.054   1.858  -0.721  0.00  0.00&lt;br /&gt;
ATOM     32  O           0      -1.267   2.231  -1.855  0.00  0.00&lt;br /&gt;
ATOM     33  H           0      -2.345  -0.438   0.549  0.00  0.00&lt;br /&gt;
ATOM     34  O           0      -4.585   1.634   0.074  0.00  0.00&lt;br /&gt;
ATOM     35  N           0      -4.368  -1.854   0.295  0.00  0.00&lt;br /&gt;
ATOM     36  O           0      -5.160  -3.023   0.179  0.00  0.00&lt;br /&gt;
ATOM     37  C           0      -4.288  -4.135   0.394  0.00  0.00&lt;br /&gt;
ATOM     38  C           0      -7.101  -1.670  -0.446  0.00  0.00&lt;br /&gt;
ATOM     39  S           0      -8.732  -0.953  -0.596  0.00  0.00&lt;br /&gt;
ATOM     40  H           0      -8.687   2.713   0.115  0.00  0.00&lt;br /&gt;
ATOM     41  H           0     -10.026   1.792  -0.311  0.00  0.00&lt;br /&gt;
ATOM     42  H           0       2.467   0.934  -3.458  0.00  0.00&lt;br /&gt;
ATOM     43  H           0       3.430  -1.310   0.369  0.00  0.00&lt;br /&gt;
ATOM     44  H           0       3.481  -0.087  -0.923  0.00  0.00&lt;br /&gt;
ATOM     45  H           0       9.226  -2.376  -1.639  0.00  0.00&lt;br /&gt;
ATOM     46  H           0       8.361   1.645   2.130  0.00  0.00&lt;br /&gt;
ATOM     47  H           0       6.851   2.340   1.494  0.00  0.00&lt;br /&gt;
ATOM     48  H           0       6.792   1.118   2.787  0.00  0.00&lt;br /&gt;
ATOM     49  H           0       1.781  -1.296   1.993  0.00  0.00&lt;br /&gt;
ATOM     50  H           0       1.868   0.349   2.644  0.00  0.00&lt;br /&gt;
ATOM     51  H           0      -4.855  -5.062   0.314  0.00  0.00&lt;br /&gt;
ATOM     52  H           0      -3.498  -4.127  -0.357  0.00  0.00&lt;br /&gt;
ATOM     53  H           0      -3.846  -4.064   1.387  0.00  0.00           &lt;br /&gt;
ATOM     54  H           0      -6.783  -2.693  -0.586  0.00  0.00          &lt;br /&gt;
TER&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot; | General&lt;br /&gt;
|- &lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/IUPAC_nomenclature Systematic name]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;|(6&#039;&#039;R&#039;&#039;,7&#039;&#039;R&#039;&#039;,&#039;&#039;Z&#039;&#039;)-7-(2-(2-aminothiazol-4-yl)-2-&amp;lt;br /&amp;gt;(methoxyimino)acetamido)-3-((6-hydroxy&amp;lt;br /&amp;gt;-2-methyl-5-oxo-2,5-dihydro-1,2,4-triazin&amp;lt;br /&amp;gt;-3-ylthio)methyl)-8-oxo-5-thia-1-aza-bicyclo&amp;lt;br /&amp;gt;[4.2.0]oct-2-ene-2-carboxylic acid&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Synonyms&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Rocephin&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Chemical_formula Molecular formula]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |C&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;8&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;7&amp;lt;/sub&amp;gt;S&amp;lt;sub&amp;gt;3&amp;lt;/sub&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Simplified_molecular_input_line_entry_specification SMILES]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |NC1=NC(/C(C(N([C@@H]([C@@H]3N2C&amp;lt;br /&amp;gt;(C(O)=O)=C(CSC4=NC(C(O)=NN4C)=O)&amp;lt;br /&amp;gt;CS3)C2=O)[H])=O)=N\OC)=CS1&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Molar_mass Molar mass]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |554.58 g/mol&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Appearance&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Yellow-orange crystalline powder&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/CAS_registry_number CAS number]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |63527-52-6&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/ATC_code ATC Code]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |J01DD01&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Properties&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Density Density] and [http://en.wikipedia.org/wiki/Phase_%28matter%29 Phase]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |g/cm&amp;lt;sup&amp;gt;3&amp;lt;/sup&amp;gt;, solid&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Solubility Solubility] in [http://en.wikipedia.org/wiki/Water_%28molecule%29 water]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |readily-soluble&lt;br /&gt;
|-&lt;br /&gt;
| Other solvents&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Methanol (sparingly)&amp;lt;br /&amp;gt;Ethanol (slightly)&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/pH p&#039;&#039;H&#039;&#039;] &amp;lt;!-- omit if not a base. If several values, be clear --&amp;gt;&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |6.7 (1% aqueous solution)&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Pharmacokinetic data&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Bioavailability Bioavailability]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |n/a&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Metabolism Metabolism]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |negligible&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Elimination_half-life Half life]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 5.8-8.7 hours&lt;br /&gt;
|- &lt;br /&gt;
| [http://en.wikipedia.org/wiki/Excretion Excretion]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | [http://en.wikipedia.org/wiki/biliary Biliary], [http://en.wikipedia.org/wiki/renal Renal]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| {{chembox header}} colspan=&amp;quot;3&amp;quot;| &amp;lt;small&amp;gt;Except where noted otherwise, data are given for&amp;lt;br&amp;gt; materials in their [http://en.wikipedia.org/wiki/Standard_state standard state (at 25 &amp;amp;deg;C, 100 kPa)]&amp;lt;br/&amp;gt;[http://en.wikipedia.org/wiki/Wikipedia:Chemical_infobox Infobox disclaimer and references]]&amp;lt;/small&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Ceftriaxone&#039;&#039;&#039; is a cephalosporin antibiotic which has been used in the treatment of pneumonia, bacterial meningitis, Lyme&#039;s Disease and gonorrhoea. It is a third-generation cephalosporin antibiotic which has a broad spectrum activity against Gram Positive and Gram negative Bacterias.&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone Sodium is marketed internationally by Hoffman-La Roche under the brand name Rocephin&lt;br /&gt;
== Routes of administration ==&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone is injected either intravenously or intramuscularly with a usual starting dose of between 1 and 2 grams every 12-24 hours.&lt;br /&gt;
&lt;br /&gt;
== Treatment of gonorrhoea ==&lt;br /&gt;
&lt;br /&gt;
In the treatment of gonorrhoea a single intramuscular dose of 250mg is administered, most commonly in combination with [[It:Azithromycin|azithromycin]], a treatment for [http://en.wikipedia.org/wiki/chlamydia chlamydia].&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Chemistry ==&lt;br /&gt;
Ceftriaxone is a yellowish-orange powder. It has readily-soluble in water, partly soluble in methanol and almost insoluble in ethanol. THe 1% aqueous solution has a pH of 6.7. &lt;br /&gt;
&lt;br /&gt;
== Microbiology ==&lt;br /&gt;
Ceftriaxone  works by interfering with the formation of cell walls in the bacteria causing the disease. This leaves the bacteria without a cell wall and only a membrance, making it very vulnerable and weak.  This causes it to break down and die in time, preventing the disease from developing any further.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
Ceftriaxone has some side effects concerning of its use:[http://www2.netdoctor.co.uk/medicines/100003884.html Side effect]&lt;br /&gt;
*Headache&lt;br /&gt;
*Rash&lt;br /&gt;
*Diarrhoea&lt;br /&gt;
*Pruritus (Ithcing)&lt;br /&gt;
*Allergic Reaction&lt;br /&gt;
*Inflammation at site or injection, Pancreas (Pancreatitis), Large Intestines (Colitis)&lt;br /&gt;
*Dizzines&lt;br /&gt;
*Nausea and Vomiting&lt;br /&gt;
*Increase time for Blood clotting&lt;br /&gt;
&lt;br /&gt;
== External Link ==&lt;br /&gt;
*[http://www2.netdoctor.co.uk/medicines/100003884.html net doctor]&lt;br /&gt;
*[http://www.rocheusa.com/products/rocephin/pi.pdf Official Link]&lt;br /&gt;
*[http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a685032.html Medicine Plus Drug Information]&lt;br /&gt;
*[http://www.rxlist.com/cgi/generic3/ceftriax.htm rxlist]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7836</id>
		<title>It:Ceftriaxone</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7836"/>
		<updated>2006-12-08T11:35:28Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Ceftriaxone&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[Image:Ceftriaxone.png|200px|Ceftriaxone]] &lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |3D structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | &amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;200&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 100; cpk off;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;REMARK   MSI WebLab Viewer PDB file&lt;br /&gt;
REMARK   Created:  Fri Oct 20 12:51:30 GMT Standard Time 2006&lt;br /&gt;
ATOM      1  N           0      -9.077   1.857  -0.122  0.00  0.00&lt;br /&gt;
ATOM      2  C           0      -8.278   0.728  -0.196  0.00  0.00&lt;br /&gt;
ATOM      3  N           0      -6.981   0.610   0.017  0.00  0.00&lt;br /&gt;
ATOM      4  C           0      -6.368  -0.567  -0.099  0.00  0.00&lt;br /&gt;
ATOM      5  C           0      -4.914  -0.681   0.144  0.00  0.00&lt;br /&gt;
ATOM      6  C           0      -4.077   0.540   0.215  0.00  0.00&lt;br /&gt;
ATOM      7  N           0      -2.751   0.436   0.436  0.00  0.00&lt;br /&gt;
ATOM      8  C           0      -1.924   1.643   0.507  0.00  0.00&lt;br /&gt;
ATOM      9  H           0      -2.488   2.527   0.804  0.00  0.00&lt;br /&gt;
ATOM     10  C           0      -0.628   1.452   1.290  0.00  0.00&lt;br /&gt;
ATOM     11  H           0      -0.366   2.265   1.966  0.00  0.00&lt;br /&gt;
ATOM     12  N           0       0.045   1.470  -0.046  0.00  0.00&lt;br /&gt;
ATOM     13  C           0       1.350   1.029  -0.326  0.00  0.00&lt;br /&gt;
ATOM     14  C           0       2.034   1.452  -1.561  0.00  0.00&lt;br /&gt;
ATOM     15  O           0       2.018   0.656  -2.648  0.00  0.00&lt;br /&gt;
ATOM     16  O           0       2.613   2.520  -1.599  0.00  0.00&lt;br /&gt;
ATOM     17  C           0       1.957   0.225   0.538  0.00  0.00&lt;br /&gt;
ATOM     18  C           0       3.333  -0.248   0.144  0.00  0.00&lt;br /&gt;
ATOM     19  S           0       4.579   0.682   1.072  0.00  0.00&lt;br /&gt;
ATOM     20  C           0       6.047  -0.054   0.434  0.00  0.00&lt;br /&gt;
ATOM     21  N           0       5.952  -1.008  -0.472  0.00  0.00&lt;br /&gt;
ATOM     22  C           0       7.050  -1.583  -0.973  0.00  0.00&lt;br /&gt;
ATOM     23  C           0       8.372  -1.143  -0.504  0.00  0.00&lt;br /&gt;
ATOM     24  O           0       9.504  -1.709  -0.996  0.00  0.00&lt;br /&gt;
ATOM     25  N           0       8.438  -0.194   0.395  0.00  0.00           &lt;br /&gt;
ATOM     26  N           0       7.253   0.376   0.880  0.00  0.00&lt;br /&gt;
ATOM     27  C           0       7.319   1.438   1.887  0.00  0.00&lt;br /&gt;
ATOM     28  O           0       6.956  -2.466  -1.811  0.00  0.00&lt;br /&gt;
ATOM     29  C           0       1.447  -0.268   1.850  0.00  0.00&lt;br /&gt;
ATOM     30  S           0      -0.373  -0.214   1.982  0.00  0.00&lt;br /&gt;
ATOM     31  C           0      -1.054   1.858  -0.721  0.00  0.00&lt;br /&gt;
ATOM     32  O           0      -1.267   2.231  -1.855  0.00  0.00&lt;br /&gt;
ATOM     33  H           0      -2.345  -0.438   0.549  0.00  0.00&lt;br /&gt;
ATOM     34  O           0      -4.585   1.634   0.074  0.00  0.00&lt;br /&gt;
ATOM     35  N           0      -4.368  -1.854   0.295  0.00  0.00&lt;br /&gt;
ATOM     36  O           0      -5.160  -3.023   0.179  0.00  0.00&lt;br /&gt;
ATOM     37  C           0      -4.288  -4.135   0.394  0.00  0.00&lt;br /&gt;
ATOM     38  C           0      -7.101  -1.670  -0.446  0.00  0.00&lt;br /&gt;
ATOM     39  S           0      -8.732  -0.953  -0.596  0.00  0.00&lt;br /&gt;
ATOM     40  H           0      -8.687   2.713   0.115  0.00  0.00&lt;br /&gt;
ATOM     41  H           0     -10.026   1.792  -0.311  0.00  0.00&lt;br /&gt;
ATOM     42  H           0       2.467   0.934  -3.458  0.00  0.00&lt;br /&gt;
ATOM     43  H           0       3.430  -1.310   0.369  0.00  0.00&lt;br /&gt;
ATOM     44  H           0       3.481  -0.087  -0.923  0.00  0.00&lt;br /&gt;
ATOM     45  H           0       9.226  -2.376  -1.639  0.00  0.00&lt;br /&gt;
ATOM     46  H           0       8.361   1.645   2.130  0.00  0.00&lt;br /&gt;
ATOM     47  H           0       6.851   2.340   1.494  0.00  0.00&lt;br /&gt;
ATOM     48  H           0       6.792   1.118   2.787  0.00  0.00&lt;br /&gt;
ATOM     49  H           0       1.781  -1.296   1.993  0.00  0.00&lt;br /&gt;
ATOM     50  H           0       1.868   0.349   2.644  0.00  0.00&lt;br /&gt;
ATOM     51  H           0      -4.855  -5.062   0.314  0.00  0.00&lt;br /&gt;
ATOM     52  H           0      -3.498  -4.127  -0.357  0.00  0.00&lt;br /&gt;
ATOM     53  H           0      -3.846  -4.064   1.387  0.00  0.00           &lt;br /&gt;
ATOM     54  H           0      -6.783  -2.693  -0.586  0.00  0.00          &lt;br /&gt;
TER&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot; | General&lt;br /&gt;
|- &lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/IUPAC_nomenclature Systematic name]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;|(6&#039;&#039;R&#039;&#039;,7&#039;&#039;R&#039;&#039;,&#039;&#039;Z&#039;&#039;)-7-(2-(2-aminothiazol-4-yl)-2-&amp;lt;br /&amp;gt;(methoxyimino)acetamido)-3-((6-hydroxy&amp;lt;br /&amp;gt;-2-methyl-5-oxo-2,5-dihydro-1,2,4-triazin&amp;lt;br /&amp;gt;-3-ylthio)methyl)-8-oxo-5-thia-1-aza-bicyclo&amp;lt;br /&amp;gt;[4.2.0]oct-2-ene-2-carboxylic acid&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Synonyms&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Rocephin&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Chemical_formula Molecular formula]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |C&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;8&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;7&amp;lt;/sub&amp;gt;S&amp;lt;sub&amp;gt;3&amp;lt;/sub&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Simplified_molecular_input_line_entry_specification SMILES]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |NC1=NC(/C(C(N([C@@H]([C@@H]3N2C&amp;lt;br /&amp;gt;(C(O)=O)=C(CSC4=NC(C(O)=NN4C)=O)&amp;lt;br /&amp;gt;CS3)C2=O)[H])=O)=N\OC)=CS1&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Molar_mass Molar mass]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |554.58 g/mol&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Appearance&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Yellow-orange crystalline powder&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/CAS_registry_number CAS number]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |63527-52-6&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/ATC_code ATC Code]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |J01DD01&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Properties&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Density Density] and [http://en.wikipedia.org/wiki/Phase_%28matter%29 Phase]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |g/cm&amp;lt;sup&amp;gt;3&amp;lt;/sup&amp;gt;, solid&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Solubility Solubility] in [http://en.wikipedia.org/wiki/Water_%28molecule%29 water]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |readily-soluble&lt;br /&gt;
|-&lt;br /&gt;
| Other solvents&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Methanol (sparingly)&amp;lt;br /&amp;gt;Ethanol (slightly)&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/pH p&#039;&#039;H&#039;&#039;] &amp;lt;!-- omit if not a base. If several values, be clear --&amp;gt;&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |6.7 (1% aqueous solution)&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Pharmacokinetic data&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Bioavailability Bioavailability]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |n/a&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Metabolism Metabolism]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |negligible&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Elimination_half-life Half life]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 5.8-8.7 hours&lt;br /&gt;
|- &lt;br /&gt;
| [http://en.wikipedia.org/wiki/Excretion Excretion]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | [http://en.wikipedia.org/wiki/biliary Biliary], [http://en.wikipedia.org/wiki/renal Renal]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| {{chembox header}} colspan=&amp;quot;3&amp;quot;| &amp;lt;small&amp;gt;Except where noted otherwise, data are given for&amp;lt;br&amp;gt; materials in their [http://en.wikipedia.org/wiki/Standard_state standard state (at 25 &amp;amp;deg;C, 100 kPa)]&amp;lt;br/&amp;gt;[http://en.wikipedia.org/wiki/Wikipedia:Chemical_infobox Infobox disclaimer and references]]&amp;lt;/small&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Ceftriaxone&#039;&#039;&#039; is a cephalosporin antibiotic which has been used in the treatment of pneumonia, bacterial meningitis, Lyme&#039;s Disease and gonorrhoea. It is a third-generation cephalosporin antibiotic which has a broad spectrum activity against Gram Positive and Gram negative Bacterias.&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone Sodium is marketed internationally by Hoffman-La Roche under the brand name Rocephin&lt;br /&gt;
== Routes of administration ==&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone is injected either intravenously or intramuscularly with a usual starting dose of between 1 and 2 grams every 12-24 hours.&lt;br /&gt;
&lt;br /&gt;
== Treatment of gonorrhoea ==&lt;br /&gt;
&lt;br /&gt;
In the treatment of gonorrhoea a single intramuscular dose of 250mg is administered, most commonly in combination with [[It:Azithromycin|azithromycin]], a treatment for [http://en.wikipedia.org/wiki/chlamydia chlamydia].&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Chemistry ==&lt;br /&gt;
Ceftriaxone is a yellowish-orange powder. It has readily-soluble in water, partly soluble in methanol and almost insoluble in ethanol. THe 1% aqueous solution has a pH of 6.7. &lt;br /&gt;
&lt;br /&gt;
== Microbiology ==&lt;br /&gt;
Ceftriaxone  works by interfering with the formation of cell walls in the bacteria causing the disease. This leaves the bacteria without a cell wall and only a membrance, making it very vulnerable and weak.  This causes it to break down and die in time, preventing the disease from developing any further.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
Ceftriaxone has some side effects concerning of its use:[http://www2.netdoctor.co.uk/medicines/100003884.html Side effect]&lt;br /&gt;
*Headache&lt;br /&gt;
*Rash&lt;br /&gt;
*Diarrhoea&lt;br /&gt;
*Pruritus (Ithcing)&lt;br /&gt;
*Allergic Reaction&lt;br /&gt;
*Inflammation at site or injection, Pancreas (Pancreatitis), Large Intestines (Colitis)&lt;br /&gt;
*Dizzines&lt;br /&gt;
*Nausea and Vomiting&lt;br /&gt;
*Increase time for Blood clotting&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7827</id>
		<title>It:Ceftriaxone</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7827"/>
		<updated>2006-12-08T11:28:59Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Ceftriaxone&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[Image:Ceftriaxone.png|200px|Ceftriaxone]] &lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |3D structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | &amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;200&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 100; cpk off;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;REMARK   MSI WebLab Viewer PDB file&lt;br /&gt;
REMARK   Created:  Fri Oct 20 12:51:30 GMT Standard Time 2006&lt;br /&gt;
ATOM      1  N           0      -9.077   1.857  -0.122  0.00  0.00&lt;br /&gt;
ATOM      2  C           0      -8.278   0.728  -0.196  0.00  0.00&lt;br /&gt;
ATOM      3  N           0      -6.981   0.610   0.017  0.00  0.00&lt;br /&gt;
ATOM      4  C           0      -6.368  -0.567  -0.099  0.00  0.00&lt;br /&gt;
ATOM      5  C           0      -4.914  -0.681   0.144  0.00  0.00&lt;br /&gt;
ATOM      6  C           0      -4.077   0.540   0.215  0.00  0.00&lt;br /&gt;
ATOM      7  N           0      -2.751   0.436   0.436  0.00  0.00&lt;br /&gt;
ATOM      8  C           0      -1.924   1.643   0.507  0.00  0.00&lt;br /&gt;
ATOM      9  H           0      -2.488   2.527   0.804  0.00  0.00&lt;br /&gt;
ATOM     10  C           0      -0.628   1.452   1.290  0.00  0.00&lt;br /&gt;
ATOM     11  H           0      -0.366   2.265   1.966  0.00  0.00&lt;br /&gt;
ATOM     12  N           0       0.045   1.470  -0.046  0.00  0.00&lt;br /&gt;
ATOM     13  C           0       1.350   1.029  -0.326  0.00  0.00&lt;br /&gt;
ATOM     14  C           0       2.034   1.452  -1.561  0.00  0.00&lt;br /&gt;
ATOM     15  O           0       2.018   0.656  -2.648  0.00  0.00&lt;br /&gt;
ATOM     16  O           0       2.613   2.520  -1.599  0.00  0.00&lt;br /&gt;
ATOM     17  C           0       1.957   0.225   0.538  0.00  0.00&lt;br /&gt;
ATOM     18  C           0       3.333  -0.248   0.144  0.00  0.00&lt;br /&gt;
ATOM     19  S           0       4.579   0.682   1.072  0.00  0.00&lt;br /&gt;
ATOM     20  C           0       6.047  -0.054   0.434  0.00  0.00&lt;br /&gt;
ATOM     21  N           0       5.952  -1.008  -0.472  0.00  0.00&lt;br /&gt;
ATOM     22  C           0       7.050  -1.583  -0.973  0.00  0.00&lt;br /&gt;
ATOM     23  C           0       8.372  -1.143  -0.504  0.00  0.00&lt;br /&gt;
ATOM     24  O           0       9.504  -1.709  -0.996  0.00  0.00&lt;br /&gt;
ATOM     25  N           0       8.438  -0.194   0.395  0.00  0.00           &lt;br /&gt;
ATOM     26  N           0       7.253   0.376   0.880  0.00  0.00&lt;br /&gt;
ATOM     27  C           0       7.319   1.438   1.887  0.00  0.00&lt;br /&gt;
ATOM     28  O           0       6.956  -2.466  -1.811  0.00  0.00&lt;br /&gt;
ATOM     29  C           0       1.447  -0.268   1.850  0.00  0.00&lt;br /&gt;
ATOM     30  S           0      -0.373  -0.214   1.982  0.00  0.00&lt;br /&gt;
ATOM     31  C           0      -1.054   1.858  -0.721  0.00  0.00&lt;br /&gt;
ATOM     32  O           0      -1.267   2.231  -1.855  0.00  0.00&lt;br /&gt;
ATOM     33  H           0      -2.345  -0.438   0.549  0.00  0.00&lt;br /&gt;
ATOM     34  O           0      -4.585   1.634   0.074  0.00  0.00&lt;br /&gt;
ATOM     35  N           0      -4.368  -1.854   0.295  0.00  0.00&lt;br /&gt;
ATOM     36  O           0      -5.160  -3.023   0.179  0.00  0.00&lt;br /&gt;
ATOM     37  C           0      -4.288  -4.135   0.394  0.00  0.00&lt;br /&gt;
ATOM     38  C           0      -7.101  -1.670  -0.446  0.00  0.00&lt;br /&gt;
ATOM     39  S           0      -8.732  -0.953  -0.596  0.00  0.00&lt;br /&gt;
ATOM     40  H           0      -8.687   2.713   0.115  0.00  0.00&lt;br /&gt;
ATOM     41  H           0     -10.026   1.792  -0.311  0.00  0.00&lt;br /&gt;
ATOM     42  H           0       2.467   0.934  -3.458  0.00  0.00&lt;br /&gt;
ATOM     43  H           0       3.430  -1.310   0.369  0.00  0.00&lt;br /&gt;
ATOM     44  H           0       3.481  -0.087  -0.923  0.00  0.00&lt;br /&gt;
ATOM     45  H           0       9.226  -2.376  -1.639  0.00  0.00&lt;br /&gt;
ATOM     46  H           0       8.361   1.645   2.130  0.00  0.00&lt;br /&gt;
ATOM     47  H           0       6.851   2.340   1.494  0.00  0.00&lt;br /&gt;
ATOM     48  H           0       6.792   1.118   2.787  0.00  0.00&lt;br /&gt;
ATOM     49  H           0       1.781  -1.296   1.993  0.00  0.00&lt;br /&gt;
ATOM     50  H           0       1.868   0.349   2.644  0.00  0.00&lt;br /&gt;
ATOM     51  H           0      -4.855  -5.062   0.314  0.00  0.00&lt;br /&gt;
ATOM     52  H           0      -3.498  -4.127  -0.357  0.00  0.00&lt;br /&gt;
ATOM     53  H           0      -3.846  -4.064   1.387  0.00  0.00           &lt;br /&gt;
ATOM     54  H           0      -6.783  -2.693  -0.586  0.00  0.00          &lt;br /&gt;
TER&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot; | General&lt;br /&gt;
|- &lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/IUPAC_nomenclature Systematic name]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;|(6&#039;&#039;R&#039;&#039;,7&#039;&#039;R&#039;&#039;,&#039;&#039;Z&#039;&#039;)-7-(2-(2-aminothiazol-4-yl)-2-&amp;lt;br /&amp;gt;(methoxyimino)acetamido)-3-((6-hydroxy&amp;lt;br /&amp;gt;-2-methyl-5-oxo-2,5-dihydro-1,2,4-triazin&amp;lt;br /&amp;gt;-3-ylthio)methyl)-8-oxo-5-thia-1-aza-bicyclo&amp;lt;br /&amp;gt;[4.2.0]oct-2-ene-2-carboxylic acid&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Synonyms&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Rocephin&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Chemical_formula Molecular formula]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |C&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;8&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;7&amp;lt;/sub&amp;gt;S&amp;lt;sub&amp;gt;3&amp;lt;/sub&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Simplified_molecular_input_line_entry_specification SMILES]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |NC1=NC(/C(C(N([C@@H]([C@@H]3N2C&amp;lt;br /&amp;gt;(C(O)=O)=C(CSC4=NC(C(O)=NN4C)=O)&amp;lt;br /&amp;gt;CS3)C2=O)[H])=O)=N\OC)=CS1&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Molar_mass Molar mass]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |554.58 g/mol&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Appearance&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Yellow-orange crystalline powder&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/CAS_registry_number CAS number]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |63527-52-6&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/ATC_code ATC Code]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |J01DD01&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Properties&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Density Density] and [http://en.wikipedia.org/wiki/Phase_%28matter%29 Phase]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |g/cm&amp;lt;sup&amp;gt;3&amp;lt;/sup&amp;gt;, solid&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Solubility Solubility] in [http://en.wikipedia.org/wiki/Water_%28molecule%29 water]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |readily-soluble&lt;br /&gt;
|-&lt;br /&gt;
| Other solvents&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Methanol (sparingly)&amp;lt;br /&amp;gt;Ethanol (slightly)&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/pH p&#039;&#039;H&#039;&#039;] &amp;lt;!-- omit if not a base. If several values, be clear --&amp;gt;&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |6.7 (1% aqueous solution)&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Pharmacokinetic data&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Bioavailability Bioavailability]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |n/a&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Metabolism Metabolism]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |negligible&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Elimination_half-life Half life]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 5.8-8.7 hours&lt;br /&gt;
|- &lt;br /&gt;
| [http://en.wikipedia.org/wiki/Excretion Excretion]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | [http://en.wikipedia.org/wiki/biliary Biliary], [http://en.wikipedia.org/wiki/renal Renal]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| {{chembox header}} colspan=&amp;quot;3&amp;quot;| &amp;lt;small&amp;gt;Except where noted otherwise, data are given for&amp;lt;br&amp;gt; materials in their [http://en.wikipedia.org/wiki/Standard_state standard state (at 25 &amp;amp;deg;C, 100 kPa)]&amp;lt;br/&amp;gt;[http://en.wikipedia.org/wiki/Wikipedia:Chemical_infobox Infobox disclaimer and references]]&amp;lt;/small&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Ceftriaxone&#039;&#039;&#039; is a cephalosporin antibiotic which has been used in the treatment of pneumonia, bacterial meningitis, Lyme&#039;s Disease and gonorrhoea. It is a third-generation cephalosporin antibiotic which has a broad spectrum activity against Gram Positive and Gram negative Bacterias.&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone Sodium is marketed internationally by Hoffman-La Roche under the brand name Rocephin&lt;br /&gt;
== Routes of administration ==&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone is injected either intravenously or intramuscularly with a usual starting dose of between 1 and 2 grams every 12-24 hours.&lt;br /&gt;
&lt;br /&gt;
== Treatment of gonorrhoea ==&lt;br /&gt;
&lt;br /&gt;
In the treatment of gonorrhoea a single intramuscular dose of 250mg is administered, most commonly in combination with [[It:Azithromycin|azithromycin]], a treatment for [http://en.wikipedia.org/wiki/chlamydia chlamydia].&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Chemistry ==&lt;br /&gt;
Ceftriaxone is a yellowish-orange powder. It has readily-soluble in water, partly soluble in methanol and almost insoluble in ethanol. THe 1% aqueous solution has a pH of 6.7. &lt;br /&gt;
&lt;br /&gt;
== Microbiology ==&lt;br /&gt;
Ceftriaxone  works by interfering with the formation of cell walls in the bacteria causing the disease. This leaves the bacteria without a cell wall and only a membrance, making it very vulnerable and weak.  This causes it to break down and die in time, preventing the disease from developing any further.&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7822</id>
		<title>It:Ceftriaxone</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7822"/>
		<updated>2006-12-08T11:27:09Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Ceftriaxone&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[Image:Ceftriaxone.png|200px|Ceftriaxone]] &lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |3D structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | &amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;200&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 100; cpk off;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;REMARK   MSI WebLab Viewer PDB file&lt;br /&gt;
REMARK   Created:  Fri Oct 20 12:51:30 GMT Standard Time 2006&lt;br /&gt;
ATOM      1  N           0      -9.077   1.857  -0.122  0.00  0.00&lt;br /&gt;
ATOM      2  C           0      -8.278   0.728  -0.196  0.00  0.00&lt;br /&gt;
ATOM      3  N           0      -6.981   0.610   0.017  0.00  0.00&lt;br /&gt;
ATOM      4  C           0      -6.368  -0.567  -0.099  0.00  0.00&lt;br /&gt;
ATOM      5  C           0      -4.914  -0.681   0.144  0.00  0.00&lt;br /&gt;
ATOM      6  C           0      -4.077   0.540   0.215  0.00  0.00&lt;br /&gt;
ATOM      7  N           0      -2.751   0.436   0.436  0.00  0.00&lt;br /&gt;
ATOM      8  C           0      -1.924   1.643   0.507  0.00  0.00&lt;br /&gt;
ATOM      9  H           0      -2.488   2.527   0.804  0.00  0.00&lt;br /&gt;
ATOM     10  C           0      -0.628   1.452   1.290  0.00  0.00&lt;br /&gt;
ATOM     11  H           0      -0.366   2.265   1.966  0.00  0.00&lt;br /&gt;
ATOM     12  N           0       0.045   1.470  -0.046  0.00  0.00&lt;br /&gt;
ATOM     13  C           0       1.350   1.029  -0.326  0.00  0.00&lt;br /&gt;
ATOM     14  C           0       2.034   1.452  -1.561  0.00  0.00&lt;br /&gt;
ATOM     15  O           0       2.018   0.656  -2.648  0.00  0.00&lt;br /&gt;
ATOM     16  O           0       2.613   2.520  -1.599  0.00  0.00&lt;br /&gt;
ATOM     17  C           0       1.957   0.225   0.538  0.00  0.00&lt;br /&gt;
ATOM     18  C           0       3.333  -0.248   0.144  0.00  0.00&lt;br /&gt;
ATOM     19  S           0       4.579   0.682   1.072  0.00  0.00&lt;br /&gt;
ATOM     20  C           0       6.047  -0.054   0.434  0.00  0.00&lt;br /&gt;
ATOM     21  N           0       5.952  -1.008  -0.472  0.00  0.00&lt;br /&gt;
ATOM     22  C           0       7.050  -1.583  -0.973  0.00  0.00&lt;br /&gt;
ATOM     23  C           0       8.372  -1.143  -0.504  0.00  0.00&lt;br /&gt;
ATOM     24  O           0       9.504  -1.709  -0.996  0.00  0.00&lt;br /&gt;
ATOM     25  N           0       8.438  -0.194   0.395  0.00  0.00           &lt;br /&gt;
ATOM     26  N           0       7.253   0.376   0.880  0.00  0.00&lt;br /&gt;
ATOM     27  C           0       7.319   1.438   1.887  0.00  0.00&lt;br /&gt;
ATOM     28  O           0       6.956  -2.466  -1.811  0.00  0.00&lt;br /&gt;
ATOM     29  C           0       1.447  -0.268   1.850  0.00  0.00&lt;br /&gt;
ATOM     30  S           0      -0.373  -0.214   1.982  0.00  0.00&lt;br /&gt;
ATOM     31  C           0      -1.054   1.858  -0.721  0.00  0.00&lt;br /&gt;
ATOM     32  O           0      -1.267   2.231  -1.855  0.00  0.00&lt;br /&gt;
ATOM     33  H           0      -2.345  -0.438   0.549  0.00  0.00&lt;br /&gt;
ATOM     34  O           0      -4.585   1.634   0.074  0.00  0.00&lt;br /&gt;
ATOM     35  N           0      -4.368  -1.854   0.295  0.00  0.00&lt;br /&gt;
ATOM     36  O           0      -5.160  -3.023   0.179  0.00  0.00&lt;br /&gt;
ATOM     37  C           0      -4.288  -4.135   0.394  0.00  0.00&lt;br /&gt;
ATOM     38  C           0      -7.101  -1.670  -0.446  0.00  0.00&lt;br /&gt;
ATOM     39  S           0      -8.732  -0.953  -0.596  0.00  0.00&lt;br /&gt;
ATOM     40  H           0      -8.687   2.713   0.115  0.00  0.00&lt;br /&gt;
ATOM     41  H           0     -10.026   1.792  -0.311  0.00  0.00&lt;br /&gt;
ATOM     42  H           0       2.467   0.934  -3.458  0.00  0.00&lt;br /&gt;
ATOM     43  H           0       3.430  -1.310   0.369  0.00  0.00&lt;br /&gt;
ATOM     44  H           0       3.481  -0.087  -0.923  0.00  0.00&lt;br /&gt;
ATOM     45  H           0       9.226  -2.376  -1.639  0.00  0.00&lt;br /&gt;
ATOM     46  H           0       8.361   1.645   2.130  0.00  0.00&lt;br /&gt;
ATOM     47  H           0       6.851   2.340   1.494  0.00  0.00&lt;br /&gt;
ATOM     48  H           0       6.792   1.118   2.787  0.00  0.00&lt;br /&gt;
ATOM     49  H           0       1.781  -1.296   1.993  0.00  0.00&lt;br /&gt;
ATOM     50  H           0       1.868   0.349   2.644  0.00  0.00&lt;br /&gt;
ATOM     51  H           0      -4.855  -5.062   0.314  0.00  0.00&lt;br /&gt;
ATOM     52  H           0      -3.498  -4.127  -0.357  0.00  0.00&lt;br /&gt;
ATOM     53  H           0      -3.846  -4.064   1.387  0.00  0.00           &lt;br /&gt;
ATOM     54  H           0      -6.783  -2.693  -0.586  0.00  0.00          &lt;br /&gt;
TER&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot; | General&lt;br /&gt;
|- &lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/IUPAC_nomenclature Systematic name]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;|(6&#039;&#039;R&#039;&#039;,7&#039;&#039;R&#039;&#039;,&#039;&#039;Z&#039;&#039;)-7-(2-(2-aminothiazol-4-yl)-2-&amp;lt;br /&amp;gt;(methoxyimino)acetamido)-3-((6-hydroxy&amp;lt;br /&amp;gt;-2-methyl-5-oxo-2,5-dihydro-1,2,4-triazin&amp;lt;br /&amp;gt;-3-ylthio)methyl)-8-oxo-5-thia-1-aza-bicyclo&amp;lt;br /&amp;gt;[4.2.0]oct-2-ene-2-carboxylic acid&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Synonyms&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Rocephin&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Chemical_formula Molecular formula]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |C&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;8&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;7&amp;lt;/sub&amp;gt;S&amp;lt;sub&amp;gt;3&amp;lt;/sub&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Simplified_molecular_input_line_entry_specification SMILES]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |NC1=NC(/C(C(N([C@@H]([C@@H]3N2C&amp;lt;br /&amp;gt;(C(O)=O)=C(CSC4=NC(C(O)=NN4C)=O)&amp;lt;br /&amp;gt;CS3)C2=O)[H])=O)=N\OC)=CS1&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Molar_mass Molar mass]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |554.58 g/mol&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Appearance&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Yellow-orange crystalline powder&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/CAS_registry_number CAS number]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |63527-52-6&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/ATC_code ATC Code]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |J01DD01&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Properties&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Density Density] and [http://en.wikipedia.org/wiki/Phase_%28matter%29 Phase]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |g/cm&amp;lt;sup&amp;gt;3&amp;lt;/sup&amp;gt;, solid&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Solubility Solubility] in [http://en.wikipedia.org/wiki/Water_%28molecule%29 water]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |readily-soluble&lt;br /&gt;
|-&lt;br /&gt;
| Other solvents&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Methanol (sparingly)&amp;lt;br /&amp;gt;Ethanol (slightly)&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/pH p&#039;&#039;H&#039;&#039;] &amp;lt;!-- omit if not a base. If several values, be clear --&amp;gt;&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |6.7 (1% aqueous solution)&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Pharmacokinetic data&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Bioavailability Bioavailability]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |n/a&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Metabolism Metabolism]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |negligible&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Elimination_half-life Half life]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 5.8-8.7 hours&lt;br /&gt;
|- &lt;br /&gt;
| [http://en.wikipedia.org/wiki/Excretion Excretion]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | [http://en.wikipedia.org/wiki/biliary Biliary], [http://en.wikipedia.org/wiki/renal Renal]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| {{chembox header}} colspan=&amp;quot;3&amp;quot;| &amp;lt;small&amp;gt;Except where noted otherwise, data are given for&amp;lt;br&amp;gt; materials in their [http://en.wikipedia.org/wiki/Standard_state standard state (at 25 &amp;amp;deg;C, 100 kPa)]&amp;lt;br/&amp;gt;[http://en.wikipedia.org/wiki/Wikipedia:Chemical_infobox Infobox disclaimer and references]]&amp;lt;/small&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Ceftriaxone&#039;&#039;&#039; is a cephalosporin antibiotic which has been used in the treatment of pneumonia, bacterial meningitis, Lyme&#039;s Disease and gonorrhoea.&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone Sodium is marketed internationally by Hoffman-La Roche under the brand name Rocephin&lt;br /&gt;
== Routes of administration ==&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone is injected either intravenously or intramuscularly with a usual starting dose of between 1 and 2 grams every 12-24 hours.&lt;br /&gt;
&lt;br /&gt;
== Treatment of gonorrhoea ==&lt;br /&gt;
&lt;br /&gt;
In the treatment of gonorrhoea a single intramuscular dose of 250mg is administered, most commonly in combination with [[It:Azithromycin|azithromycin]], a treatment for [http://en.wikipedia.org/wiki/chlamydia chlamydia].&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Chemistry ==&lt;br /&gt;
Ceftriaxone is a yellowish-orange powder. It has readily-soluble in water, partly soluble in methanol and almost insoluble in ethanol. THe 1% aqueous solution has a pH of 6.7. &lt;br /&gt;
&lt;br /&gt;
== Microbiology ==&lt;br /&gt;
Ceftriaxone  works by interfering with the formation of cell walls in the bacteria causing the disease. This leaves the bacteria without a cell wall and only a membrance, making it very vulnerable and weak.  This causes it to break down and die in time, preventing the disease from developing any further.&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7816</id>
		<title>It:Ceftriaxone</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7816"/>
		<updated>2006-12-08T11:23:44Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Ceftriaxone&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[Image:Ceftriaxone.png|200px|Ceftriaxone]] &lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |3D structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | &amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;200&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 100; cpk off;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;REMARK   MSI WebLab Viewer PDB file&lt;br /&gt;
REMARK   Created:  Fri Oct 20 12:51:30 GMT Standard Time 2006&lt;br /&gt;
ATOM      1  N           0      -9.077   1.857  -0.122  0.00  0.00&lt;br /&gt;
ATOM      2  C           0      -8.278   0.728  -0.196  0.00  0.00&lt;br /&gt;
ATOM      3  N           0      -6.981   0.610   0.017  0.00  0.00&lt;br /&gt;
ATOM      4  C           0      -6.368  -0.567  -0.099  0.00  0.00&lt;br /&gt;
ATOM      5  C           0      -4.914  -0.681   0.144  0.00  0.00&lt;br /&gt;
ATOM      6  C           0      -4.077   0.540   0.215  0.00  0.00&lt;br /&gt;
ATOM      7  N           0      -2.751   0.436   0.436  0.00  0.00&lt;br /&gt;
ATOM      8  C           0      -1.924   1.643   0.507  0.00  0.00&lt;br /&gt;
ATOM      9  H           0      -2.488   2.527   0.804  0.00  0.00&lt;br /&gt;
ATOM     10  C           0      -0.628   1.452   1.290  0.00  0.00&lt;br /&gt;
ATOM     11  H           0      -0.366   2.265   1.966  0.00  0.00&lt;br /&gt;
ATOM     12  N           0       0.045   1.470  -0.046  0.00  0.00&lt;br /&gt;
ATOM     13  C           0       1.350   1.029  -0.326  0.00  0.00&lt;br /&gt;
ATOM     14  C           0       2.034   1.452  -1.561  0.00  0.00&lt;br /&gt;
ATOM     15  O           0       2.018   0.656  -2.648  0.00  0.00&lt;br /&gt;
ATOM     16  O           0       2.613   2.520  -1.599  0.00  0.00&lt;br /&gt;
ATOM     17  C           0       1.957   0.225   0.538  0.00  0.00&lt;br /&gt;
ATOM     18  C           0       3.333  -0.248   0.144  0.00  0.00&lt;br /&gt;
ATOM     19  S           0       4.579   0.682   1.072  0.00  0.00&lt;br /&gt;
ATOM     20  C           0       6.047  -0.054   0.434  0.00  0.00&lt;br /&gt;
ATOM     21  N           0       5.952  -1.008  -0.472  0.00  0.00&lt;br /&gt;
ATOM     22  C           0       7.050  -1.583  -0.973  0.00  0.00&lt;br /&gt;
ATOM     23  C           0       8.372  -1.143  -0.504  0.00  0.00&lt;br /&gt;
ATOM     24  O           0       9.504  -1.709  -0.996  0.00  0.00&lt;br /&gt;
ATOM     25  N           0       8.438  -0.194   0.395  0.00  0.00           &lt;br /&gt;
ATOM     26  N           0       7.253   0.376   0.880  0.00  0.00&lt;br /&gt;
ATOM     27  C           0       7.319   1.438   1.887  0.00  0.00&lt;br /&gt;
ATOM     28  O           0       6.956  -2.466  -1.811  0.00  0.00&lt;br /&gt;
ATOM     29  C           0       1.447  -0.268   1.850  0.00  0.00&lt;br /&gt;
ATOM     30  S           0      -0.373  -0.214   1.982  0.00  0.00&lt;br /&gt;
ATOM     31  C           0      -1.054   1.858  -0.721  0.00  0.00&lt;br /&gt;
ATOM     32  O           0      -1.267   2.231  -1.855  0.00  0.00&lt;br /&gt;
ATOM     33  H           0      -2.345  -0.438   0.549  0.00  0.00&lt;br /&gt;
ATOM     34  O           0      -4.585   1.634   0.074  0.00  0.00&lt;br /&gt;
ATOM     35  N           0      -4.368  -1.854   0.295  0.00  0.00&lt;br /&gt;
ATOM     36  O           0      -5.160  -3.023   0.179  0.00  0.00&lt;br /&gt;
ATOM     37  C           0      -4.288  -4.135   0.394  0.00  0.00&lt;br /&gt;
ATOM     38  C           0      -7.101  -1.670  -0.446  0.00  0.00&lt;br /&gt;
ATOM     39  S           0      -8.732  -0.953  -0.596  0.00  0.00&lt;br /&gt;
ATOM     40  H           0      -8.687   2.713   0.115  0.00  0.00&lt;br /&gt;
ATOM     41  H           0     -10.026   1.792  -0.311  0.00  0.00&lt;br /&gt;
ATOM     42  H           0       2.467   0.934  -3.458  0.00  0.00&lt;br /&gt;
ATOM     43  H           0       3.430  -1.310   0.369  0.00  0.00&lt;br /&gt;
ATOM     44  H           0       3.481  -0.087  -0.923  0.00  0.00&lt;br /&gt;
ATOM     45  H           0       9.226  -2.376  -1.639  0.00  0.00&lt;br /&gt;
ATOM     46  H           0       8.361   1.645   2.130  0.00  0.00&lt;br /&gt;
ATOM     47  H           0       6.851   2.340   1.494  0.00  0.00&lt;br /&gt;
ATOM     48  H           0       6.792   1.118   2.787  0.00  0.00&lt;br /&gt;
ATOM     49  H           0       1.781  -1.296   1.993  0.00  0.00&lt;br /&gt;
ATOM     50  H           0       1.868   0.349   2.644  0.00  0.00&lt;br /&gt;
ATOM     51  H           0      -4.855  -5.062   0.314  0.00  0.00&lt;br /&gt;
ATOM     52  H           0      -3.498  -4.127  -0.357  0.00  0.00&lt;br /&gt;
ATOM     53  H           0      -3.846  -4.064   1.387  0.00  0.00           &lt;br /&gt;
ATOM     54  H           0      -6.783  -2.693  -0.586  0.00  0.00          &lt;br /&gt;
TER&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot; | General&lt;br /&gt;
|- &lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/IUPAC_nomenclature Systematic name]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;|(6&#039;&#039;R&#039;&#039;,7&#039;&#039;R&#039;&#039;,&#039;&#039;Z&#039;&#039;)-7-(2-(2-aminothiazol-4-yl)-2-&amp;lt;br /&amp;gt;(methoxyimino)acetamido)-3-((6-hydroxy&amp;lt;br /&amp;gt;-2-methyl-5-oxo-2,5-dihydro-1,2,4-triazin&amp;lt;br /&amp;gt;-3-ylthio)methyl)-8-oxo-5-thia-1-aza-bicyclo&amp;lt;br /&amp;gt;[4.2.0]oct-2-ene-2-carboxylic acid&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Synonyms&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Rocephin&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Chemical_formula Molecular formula]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |C&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;8&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;7&amp;lt;/sub&amp;gt;S&amp;lt;sub&amp;gt;3&amp;lt;/sub&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Simplified_molecular_input_line_entry_specification SMILES]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |NC1=NC(/C(C(N([C@@H]([C@@H]3N2C&amp;lt;br /&amp;gt;(C(O)=O)=C(CSC4=NC(C(O)=NN4C)=O)&amp;lt;br /&amp;gt;CS3)C2=O)[H])=O)=N\OC)=CS1&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Molar_mass Molar mass]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |554.58 g/mol&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Appearance&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Yellow-orange crystalline powder&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/CAS_registry_number CAS number]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |63527-52-6&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/ATC_code ATC Code]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |J01DD01&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Properties&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Density Density] and [http://en.wikipedia.org/wiki/Phase_%28matter%29 Phase]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |g/cm&amp;lt;sup&amp;gt;3&amp;lt;/sup&amp;gt;, solid&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Solubility Solubility] in [http://en.wikipedia.org/wiki/Water_%28molecule%29 water]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |readily-soluble&lt;br /&gt;
|-&lt;br /&gt;
| Other solvents&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Methanol (sparingly)&amp;lt;br /&amp;gt;Ethanol (slightly)&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/pH p&#039;&#039;H&#039;&#039;] &amp;lt;!-- omit if not a base. If several values, be clear --&amp;gt;&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |6.7 (1% aqueous solution)&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Pharmacokinetic data&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Bioavailability Bioavailability]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |n/a&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Metabolism Metabolism]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |negligible&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Elimination_half-life Half life]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 5.8-8.7 hours&lt;br /&gt;
|- &lt;br /&gt;
| [http://en.wikipedia.org/wiki/Excretion Excretion]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | [http://en.wikipedia.org/wiki/biliary Biliary], [http://en.wikipedia.org/wiki/renal Renal]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| {{chembox header}} colspan=&amp;quot;3&amp;quot;| &amp;lt;small&amp;gt;Except where noted otherwise, data are given for&amp;lt;br&amp;gt; materials in their [http://en.wikipedia.org/wiki/Standard_state standard state (at 25 &amp;amp;deg;C, 100 kPa)]&amp;lt;br/&amp;gt;[http://en.wikipedia.org/wiki/Wikipedia:Chemical_infobox Infobox disclaimer and references]]&amp;lt;/small&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Ceftriaxone&#039;&#039;&#039; is a cephalosporin antibiotic which has been used in the treatment of pneumonia, bacterial meningitis, Lyme&#039;s Disease and gonorrhoea.&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone Sodium is marketed internationally by Hoffman-La Roche under the brand name Rocephin&lt;br /&gt;
== Routes of administration ==&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone is injected either intravenously or intramuscularly witha usual starting dose of between 1 and 2 grams every 12-24 hours.&lt;br /&gt;
&lt;br /&gt;
== Treatment of gonorrhoea ==&lt;br /&gt;
&lt;br /&gt;
In the treatment of gonorrhoea a single intramuscular dose of 250mg is administered, most commonly in combination with [[It:Azithromycin|azithromycin]], a treatment for [http://en.wikipedia.org/wiki/chlamydia chlamydia].&lt;br /&gt;
&lt;br /&gt;
== Microbiology ==&lt;br /&gt;
Ceftriaxone  works by interfering with the formation of cell walls in the bacteria causing the disease. This leaves the bacteria without a cell wall and only a membrance, making it very vulnerable and weak.  This causes it to break down and die in time, preventing the disease from developing any further.&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7814</id>
		<title>It:Ceftriaxone</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Ceftriaxone&amp;diff=7814"/>
		<updated>2006-12-08T11:21:19Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Ceftriaxone&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[Image:Ceftriaxone.png|200px|Ceftriaxone]] &lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |3D structure&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | &amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;200&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 100; cpk off;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;REMARK   MSI WebLab Viewer PDB file&lt;br /&gt;
REMARK   Created:  Fri Oct 20 12:51:30 GMT Standard Time 2006&lt;br /&gt;
ATOM      1  N           0      -9.077   1.857  -0.122  0.00  0.00&lt;br /&gt;
ATOM      2  C           0      -8.278   0.728  -0.196  0.00  0.00&lt;br /&gt;
ATOM      3  N           0      -6.981   0.610   0.017  0.00  0.00&lt;br /&gt;
ATOM      4  C           0      -6.368  -0.567  -0.099  0.00  0.00&lt;br /&gt;
ATOM      5  C           0      -4.914  -0.681   0.144  0.00  0.00&lt;br /&gt;
ATOM      6  C           0      -4.077   0.540   0.215  0.00  0.00&lt;br /&gt;
ATOM      7  N           0      -2.751   0.436   0.436  0.00  0.00&lt;br /&gt;
ATOM      8  C           0      -1.924   1.643   0.507  0.00  0.00&lt;br /&gt;
ATOM      9  H           0      -2.488   2.527   0.804  0.00  0.00&lt;br /&gt;
ATOM     10  C           0      -0.628   1.452   1.290  0.00  0.00&lt;br /&gt;
ATOM     11  H           0      -0.366   2.265   1.966  0.00  0.00&lt;br /&gt;
ATOM     12  N           0       0.045   1.470  -0.046  0.00  0.00&lt;br /&gt;
ATOM     13  C           0       1.350   1.029  -0.326  0.00  0.00&lt;br /&gt;
ATOM     14  C           0       2.034   1.452  -1.561  0.00  0.00&lt;br /&gt;
ATOM     15  O           0       2.018   0.656  -2.648  0.00  0.00&lt;br /&gt;
ATOM     16  O           0       2.613   2.520  -1.599  0.00  0.00&lt;br /&gt;
ATOM     17  C           0       1.957   0.225   0.538  0.00  0.00&lt;br /&gt;
ATOM     18  C           0       3.333  -0.248   0.144  0.00  0.00&lt;br /&gt;
ATOM     19  S           0       4.579   0.682   1.072  0.00  0.00&lt;br /&gt;
ATOM     20  C           0       6.047  -0.054   0.434  0.00  0.00&lt;br /&gt;
ATOM     21  N           0       5.952  -1.008  -0.472  0.00  0.00&lt;br /&gt;
ATOM     22  C           0       7.050  -1.583  -0.973  0.00  0.00&lt;br /&gt;
ATOM     23  C           0       8.372  -1.143  -0.504  0.00  0.00&lt;br /&gt;
ATOM     24  O           0       9.504  -1.709  -0.996  0.00  0.00&lt;br /&gt;
ATOM     25  N           0       8.438  -0.194   0.395  0.00  0.00           &lt;br /&gt;
ATOM     26  N           0       7.253   0.376   0.880  0.00  0.00&lt;br /&gt;
ATOM     27  C           0       7.319   1.438   1.887  0.00  0.00&lt;br /&gt;
ATOM     28  O           0       6.956  -2.466  -1.811  0.00  0.00&lt;br /&gt;
ATOM     29  C           0       1.447  -0.268   1.850  0.00  0.00&lt;br /&gt;
ATOM     30  S           0      -0.373  -0.214   1.982  0.00  0.00&lt;br /&gt;
ATOM     31  C           0      -1.054   1.858  -0.721  0.00  0.00&lt;br /&gt;
ATOM     32  O           0      -1.267   2.231  -1.855  0.00  0.00&lt;br /&gt;
ATOM     33  H           0      -2.345  -0.438   0.549  0.00  0.00&lt;br /&gt;
ATOM     34  O           0      -4.585   1.634   0.074  0.00  0.00&lt;br /&gt;
ATOM     35  N           0      -4.368  -1.854   0.295  0.00  0.00&lt;br /&gt;
ATOM     36  O           0      -5.160  -3.023   0.179  0.00  0.00&lt;br /&gt;
ATOM     37  C           0      -4.288  -4.135   0.394  0.00  0.00&lt;br /&gt;
ATOM     38  C           0      -7.101  -1.670  -0.446  0.00  0.00&lt;br /&gt;
ATOM     39  S           0      -8.732  -0.953  -0.596  0.00  0.00&lt;br /&gt;
ATOM     40  H           0      -8.687   2.713   0.115  0.00  0.00&lt;br /&gt;
ATOM     41  H           0     -10.026   1.792  -0.311  0.00  0.00&lt;br /&gt;
ATOM     42  H           0       2.467   0.934  -3.458  0.00  0.00&lt;br /&gt;
ATOM     43  H           0       3.430  -1.310   0.369  0.00  0.00&lt;br /&gt;
ATOM     44  H           0       3.481  -0.087  -0.923  0.00  0.00&lt;br /&gt;
ATOM     45  H           0       9.226  -2.376  -1.639  0.00  0.00&lt;br /&gt;
ATOM     46  H           0       8.361   1.645   2.130  0.00  0.00&lt;br /&gt;
ATOM     47  H           0       6.851   2.340   1.494  0.00  0.00&lt;br /&gt;
ATOM     48  H           0       6.792   1.118   2.787  0.00  0.00&lt;br /&gt;
ATOM     49  H           0       1.781  -1.296   1.993  0.00  0.00&lt;br /&gt;
ATOM     50  H           0       1.868   0.349   2.644  0.00  0.00&lt;br /&gt;
ATOM     51  H           0      -4.855  -5.062   0.314  0.00  0.00&lt;br /&gt;
ATOM     52  H           0      -3.498  -4.127  -0.357  0.00  0.00&lt;br /&gt;
ATOM     53  H           0      -3.846  -4.064   1.387  0.00  0.00           &lt;br /&gt;
ATOM     54  H           0      -6.783  -2.693  -0.586  0.00  0.00          &lt;br /&gt;
TER&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot; | General&lt;br /&gt;
|- &lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/IUPAC_nomenclature Systematic name]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;|(6&#039;&#039;R&#039;&#039;,7&#039;&#039;R&#039;&#039;,&#039;&#039;Z&#039;&#039;)-7-(2-(2-aminothiazol-4-yl)-2-&amp;lt;br /&amp;gt;(methoxyimino)acetamido)-3-((6-hydroxy&amp;lt;br /&amp;gt;-2-methyl-5-oxo-2,5-dihydro-1,2,4-triazin&amp;lt;br /&amp;gt;-3-ylthio)methyl)-8-oxo-5-thia-1-aza-bicyclo&amp;lt;br /&amp;gt;[4.2.0]oct-2-ene-2-carboxylic acid&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Synonyms&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Rocephin&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Chemical_formula Molecular formula]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |C&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;18&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;8&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;7&amp;lt;/sub&amp;gt;S&amp;lt;sub&amp;gt;3&amp;lt;/sub&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Simplified_molecular_input_line_entry_specification SMILES]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |NC1=NC(/C(C(N([C@@H]([C@@H]3N2C&amp;lt;br /&amp;gt;(C(O)=O)=C(CSC4=NC(C(O)=NN4C)=O)&amp;lt;br /&amp;gt;CS3)C2=O)[H])=O)=N\OC)=CS1&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/Molar_mass Molar mass]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |554.58 g/mol&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |Appearance&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Yellow-orange crystalline powder&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/CAS_registry_number CAS number]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |63527-52-6&lt;br /&gt;
|-&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; |[http://en.wikipedia.org/wiki/ATC_code ATC Code]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |J01DD01&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Properties&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Density Density] and [http://en.wikipedia.org/wiki/Phase_%28matter%29 Phase]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |g/cm&amp;lt;sup&amp;gt;3&amp;lt;/sup&amp;gt;, solid&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Solubility Solubility] in [http://en.wikipedia.org/wiki/Water_%28molecule%29 water]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |readily-soluble&lt;br /&gt;
|-&lt;br /&gt;
| Other solvents&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |Methanol (sparingly)&amp;lt;br /&amp;gt;Ethanol (slightly)&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/pH p&#039;&#039;H&#039;&#039;] &amp;lt;!-- omit if not a base. If several values, be clear --&amp;gt;&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |6.7 (1% aqueous solution)&lt;br /&gt;
|-&lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Pharmacokinetic data&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Bioavailability Bioavailability]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |n/a&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Metabolism Metabolism]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; |negligible&lt;br /&gt;
|-&lt;br /&gt;
| [http://en.wikipedia.org/wiki/Elimination_half-life Half life]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 5.8-8.7 hours&lt;br /&gt;
|- &lt;br /&gt;
| [http://en.wikipedia.org/wiki/Excretion Excretion]&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | [http://en.wikipedia.org/wiki/biliary Biliary], [http://en.wikipedia.org/wiki/renal Renal]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| {{chembox header}} colspan=&amp;quot;3&amp;quot;| &amp;lt;small&amp;gt;Except where noted otherwise, data are given for&amp;lt;br&amp;gt; materials in their [http://en.wikipedia.org/wiki/Standard_state standard state (at 25 &amp;amp;deg;C, 100 kPa)]&amp;lt;br/&amp;gt;[http://en.wikipedia.org/wiki/Wikipedia:Chemical_infobox Infobox disclaimer and references]]&amp;lt;/small&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Ceftriaxone&#039;&#039;&#039; is a cephalosporin antibiotic which has been used in the treatment of pneumonia, bacterial meningitis, Lyme&#039;s Disease and gonorrhoea.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Routes of administration ==&lt;br /&gt;
&lt;br /&gt;
Ceftriaxone is injected either intravenously or intramuscularly witha usual starting dose of between 1 and 2 grams every 12-24 hours.&lt;br /&gt;
&lt;br /&gt;
== Treatment of gonorrhoea ==&lt;br /&gt;
&lt;br /&gt;
In the treatment of gonorrhoea a single intramuscular dose of 250mg is administered, most commonly in combination with [[It:Azithromycin|azithromycin]], a treatment for [http://en.wikipedia.org/wiki/chlamydia chlamydia].&lt;br /&gt;
&lt;br /&gt;
== Microbiology ==&lt;br /&gt;
Ceftriaxone  works by interfering with the formation of cell walls in the bacteria causing the disease. This leaves the bacteria without a cell wall and only a membrance, making it very vulnerable and weak.  This causes it to break down and die in time, preventing the disease from developing any further.&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=6925</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=6925"/>
		<updated>2006-12-05T12:22:19Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Systematic IUPAC Name&lt;br /&gt;
|-&lt;br /&gt;
| Systematic Iupac Name&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;| [R-(R*, R*)]-2-(4-fluorophenyl)-beta,&amp;lt;br&amp;gt; delta-dihydroxy-5- &amp;lt;br&amp;gt;(1-methylethyl)-3-phenyl-4- &amp;lt;br&amp;gt;[(phenylamino)carbonyl]-1H-&amp;lt;br&amp;gt; pyrrole-1-heptanoic acid|- &lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Identifiers&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|CAS number&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 134523-00-5&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|ATC Code&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C10AA05&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Pub Chem&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 60823&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Drug Bank&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | APRD00055&lt;br /&gt;
|-&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Chemical Data&lt;br /&gt;
|- &lt;br /&gt;
| Chemical formula|Molecular formula&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C&amp;lt;sub&amp;gt;33&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;34&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;5&amp;lt;/sub&amp;gt;F &lt;br /&gt;
|-&lt;br /&gt;
| Molar mass&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 558.64 g/mol&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Lipitor (Atorvastatin also a type of chiral drug) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins. Lipitor is the most potent of all statins.It was introduced  in 1996. It is used to block the production of cholesterol in the human body. Lipitor is also used to increase levels of HDL (good) cholesterol in the blood. This is important as it reduces the risk of hardening arteries which can lead to heart attacks, strokes and peripheral vascular disease.&lt;br /&gt;
[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
Since 1996, Lipitor (lipitor marked jointly by Parke Davis and Pfizer, co-promoted by Warner-Lambert) had enormous growth in the international market of chiral drug. It has achieved sales up to $4 billion in 1999 (around 3 years of its market) which marked one of the best selling drug in US alone(41% of the US market). Lipitor has reached the worldwide market of cholesterol-reducing drug as the most potent drug in its class. &lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol is not water soluble thus it travels in the human body in the form of lipoprotein. Once it reaches the human artery, it can cause a buildup of plaque in the lumen wall, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will competitively inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol. &lt;br /&gt;
&lt;br /&gt;
== Synthesis ==&lt;br /&gt;
[[Image:atorvastatin synthesis.JPG]][http://organicdivision.org/essays_2001/schaus.pdf Synthesis]&lt;br /&gt;
&amp;lt;br&amp;gt;&lt;br /&gt;
An aldehyde is reacted with an enol ether to form alcohol &#039;&#039;&#039;15&#039;&#039;&#039;. The transesterification of the alcohol with NaOMe and methanol results in the methyl ester &#039;&#039;&#039;16&#039;&#039;&#039;. The enolate of tert-butylacetate (&#039;&#039;&#039;17&#039;&#039;&#039;) is added to the methyl ester furthered by directed reduction to form the syn-1,3-diol &#039;&#039;&#039;18&#039;&#039;&#039;. The resultant is treated with NaOH in refluxing Toluene to form the cycled hydroxylactone &#039;&#039;&#039;19&#039;&#039;&#039;. Lastly, acid is used to &#039;open&#039; the hydroxylactone thus forming a sodium salt which is treated with CaCl2.H2O to yield the atorvastatin (LIPITOR)&lt;br /&gt;
== Structure ==&lt;br /&gt;
&lt;br /&gt;
[[Image:lipitor3.gif|centre|100|image produced in chemdraw]]&lt;br /&gt;
&lt;br /&gt;
== 3D Structure ==&lt;br /&gt;
&lt;br /&gt;
&amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;500&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 80; cpk on;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;water.mol&lt;br /&gt;
title1&lt;br /&gt;
title2&lt;br /&gt;
ATOM      1  O           0      -4.424   1.493   1.749  0.00  0.00           O+0&lt;br /&gt;
ATOM      2  C           0      -4.300   0.218   1.115  0.00  0.00           C+0&lt;br /&gt;
ATOM      3  H           0      -4.644  -0.561   1.796  0.00  0.00           H+0&lt;br /&gt;
ATOM      4  C           0      -5.150   0.196  -0.157  0.00  0.00           C+0&lt;br /&gt;
ATOM      5  C           0      -6.629   0.321   0.216  0.00  0.00           C+0&lt;br /&gt;
ATOM      6  H           0      -6.891  -0.462   0.928  0.00  0.00           H+0&lt;br /&gt;
ATOM      7  O           0      -6.865   1.601   0.806  0.00  0.00           O+0&lt;br /&gt;
ATOM      8  C           0      -7.486   0.174  -1.043  0.00  0.00           C+0&lt;br /&gt;
ATOM      9  C           0      -8.944   0.174  -0.661  0.00  0.00           C+0&lt;br /&gt;
ATOM     10  O           0      -9.267   0.281   0.510  0.00  0.00           O-1&lt;br /&gt;
ATOM     11  O           0      -9.800   0.066  -1.522  0.00  0.00           O+0&lt;br /&gt;
ATOM     12  C           0      -2.834  -0.031   0.753  0.00  0.00           C+0&lt;br /&gt;
ATOM     13  C           0      -2.003  -0.133   2.034  0.00  0.00           C+0&lt;br /&gt;
ATOM     14  N           0      -0.600  -0.372   1.688  0.00  0.00           N+0&lt;br /&gt;
ATOM     15  C           0       0.314   0.596   1.478  0.00  0.00           C+0&lt;br /&gt;
ATOM     16  C           0       1.511   0.010   1.177  0.00  0.00           C+0&lt;br /&gt;
ATOM     17  C           0       2.779   0.692   0.877  0.00  0.00           C+0&lt;br /&gt;
ATOM     18  N           0       2.820   2.037   0.803  0.00  0.00           N+0&lt;br /&gt;
ATOM     19  C           0       4.044   2.691   0.633  0.00  0.00           C+0&lt;br /&gt;
ATOM     20  C           0       4.117   3.842  -0.142  0.00  0.00           C+0&lt;br /&gt;
ATOM     21  C           0       5.328   4.485  -0.307  0.00  0.00           C+0&lt;br /&gt;
ATOM     22  C           0       6.467   3.986   0.297  0.00  0.00           C+0&lt;br /&gt;
ATOM     23  C           0       6.398   2.841   1.069  0.00  0.00           C+0&lt;br /&gt;
ATOM     24  C           0       5.189   2.196   1.244  0.00  0.00           C+0&lt;br /&gt;
ATOM     25  O           0       3.791   0.042   0.696  0.00  0.00           O+0&lt;br /&gt;
ATOM     26  C           0      -0.036  -1.603   1.539  0.00  0.00           C+0&lt;br /&gt;
ATOM     27  C           0       1.274  -1.445   1.215  0.00  0.00           C+0&lt;br /&gt;
ATOM     28  C           0       2.265  -2.516   0.962  0.00  0.00           C+0&lt;br /&gt;
ATOM     29  C           0       2.666  -3.357   1.997  0.00  0.00           C+0&lt;br /&gt;
ATOM     30  C           0       3.590  -4.354   1.756  0.00  0.00           C+0&lt;br /&gt;
ATOM     31  C           0       4.122  -4.525   0.489  0.00  0.00           C+0&lt;br /&gt;
ATOM     32  C           0       3.735  -3.700  -0.548  0.00  0.00           C+0&lt;br /&gt;
ATOM     33  C           0       2.800  -2.693  -0.325  0.00  0.00           C+0&lt;br /&gt;
ATOM     34  C           0       2.381  -1.806  -1.435  0.00  0.00           C+0&lt;br /&gt;
ATOM     35  C           0       3.336  -1.099  -2.164  0.00  0.00           C+0&lt;br /&gt;
ATOM     36  C           0       2.941  -0.274  -3.197  0.00  0.00           C+0&lt;br /&gt;
ATOM     37  C           0       1.597  -0.146  -3.510  0.00  0.00           C+0&lt;br /&gt;
ATOM     38  F           0       1.215   0.663  -4.522  0.00  0.00           F+0&lt;br /&gt;
ATOM     39  C           0       0.644  -0.847  -2.788  0.00  0.00           C+0&lt;br /&gt;
ATOM     40  C           0       1.030  -1.679  -1.757  0.00  0.00           C+0&lt;br /&gt;
ATOM     41  H           0      -4.110   2.152   1.115  0.00  0.00           H+0&lt;br /&gt;
ATOM     42  H           0      -4.865   1.030  -0.798  0.00  0.00           H+0&lt;br /&gt;
ATOM     43  H           0      -4.987  -0.742  -0.687  0.00  0.00           H+0&lt;br /&gt;
ATOM     44  H           0      -6.621   2.263   0.145  0.00  0.00           H+0&lt;br /&gt;
ATOM     45  H           0      -7.287   1.007  -1.717  0.00  0.00           H+0&lt;br /&gt;
ATOM     46  H           0      -7.241  -0.764  -1.542  0.00  0.00           H+0&lt;br /&gt;
ATOM     47  H           0      -2.752  -0.961   0.192  0.00  0.00           H+0&lt;br /&gt;
ATOM     48  H           0      -2.465   0.795   0.145  0.00  0.00           H+0&lt;br /&gt;
ATOM     49  H           0      -2.086   0.798   2.596  0.00  0.00           H+0&lt;br /&gt;
ATOM     50  H           0      -2.373  -0.958   2.642  0.00  0.00           H+0&lt;br /&gt;
ATOM     51  H           0       0.130   1.659   1.537  0.00  0.00           H+0&lt;br /&gt;
ATOM     52  H           0       2.000   2.551   0.867  0.00  0.00           H+0&lt;br /&gt;
ATOM     53  H           0       3.228   4.232  -0.615  0.00  0.00           H+0&lt;br /&gt;
ATOM     54  H           0       5.385   5.380  -0.910  0.00  0.00           H+0&lt;br /&gt;
ATOM     55  H           0       7.412   4.491   0.166  0.00  0.00           H+0&lt;br /&gt;
ATOM     56  H           0       7.289   2.453   1.540  0.00  0.00           H+0&lt;br /&gt;
ATOM     57  H           0       5.136   1.301   1.847  0.00  0.00           H+0&lt;br /&gt;
ATOM     58  H           0      -0.546  -2.547   1.656  0.00  0.00           H+0&lt;br /&gt;
ATOM     59  H           0       2.256  -3.229   2.987  0.00  0.00           H+0&lt;br /&gt;
ATOM     60  H           0       3.900  -5.005   2.560  0.00  0.00           H+0&lt;br /&gt;
ATOM     61  H           0       4.845  -5.308   0.311  0.00  0.00           H+0&lt;br /&gt;
ATOM     62  H           0       4.154  -3.838  -1.534  0.00  0.00           H+0&lt;br /&gt;
ATOM     63  H           0       4.384  -1.197  -1.921  0.00  0.00           H+0&lt;br /&gt;
ATOM     64  H           0       3.681   0.274  -3.762  0.00  0.00           H+0&lt;br /&gt;
ATOM     65  H           0      -0.402  -0.744  -3.035  0.00  0.00           H+0&lt;br /&gt;
ATOM     66  H           0       0.286  -2.224  -1.195  0.00  0.00           H+0&lt;br /&gt;
CONECT    1    2   41    0    0                                         NONE  71&lt;br /&gt;
CONECT    2    1    3    4   12                                         NONE  72&lt;br /&gt;
CONECT    4    2    5   42   43                                         NONE  73&lt;br /&gt;
CONECT    5    4    6    7    8                                         NONE  74&lt;br /&gt;
CONECT    7    5   44    0    0                                         NONE  75&lt;br /&gt;
CONECT    8    5    9   45   46                                         NONE  76&lt;br /&gt;
CONECT    9    8   10   11    0                                         NONE  77&lt;br /&gt;
CONECT   10    9    0    0    0                                         NONE  78&lt;br /&gt;
CONECT   11    9    0    0    0                                         NONE  79&lt;br /&gt;
CONECT   12    2   13   47   48                                         NONE  80&lt;br /&gt;
CONECT   13   12   14   49   50                                         NONE  81&lt;br /&gt;
CONECT   14   13   15   26    0                                         NONE  82&lt;br /&gt;
CONECT   15   14   16   51    0                                         NONE  83&lt;br /&gt;
CONECT   16   15   27   17    0                                         NONE  84&lt;br /&gt;
CONECT   17   16   18   25    0                                         NONE  85&lt;br /&gt;
CONECT   18   17   19   52    0                                         NONE  86&lt;br /&gt;
CONECT   19   18   24   20    0                                         NONE  87&lt;br /&gt;
CONECT   20   19   21   53    0                                         NONE  88&lt;br /&gt;
CONECT   21   20   22   54    0                                         NONE  89&lt;br /&gt;
CONECT   22   21   23   55    0                                         NONE  90&lt;br /&gt;
CONECT   23   22   24   56    0                                         NONE  91&lt;br /&gt;
CONECT   24   23   19   57    0                                         NONE  92&lt;br /&gt;
CONECT   25   17    0    0    0                                         NONE  93&lt;br /&gt;
CONECT   26   14   27   58    0                                         NONE  94&lt;br /&gt;
CONECT   27   26   16   28    0                                         NONE  95&lt;br /&gt;
CONECT   28   27   33   29    0                                         NONE  96&lt;br /&gt;
CONECT   29   28   30   59    0                                         NONE  97&lt;br /&gt;
CONECT   30   29   31   60    0                                         NONE  98&lt;br /&gt;
CONECT   31   30   32   61    0                                         NONE  99&lt;br /&gt;
CONECT   32   31   33   62    0                                         NONE 100&lt;br /&gt;
CONECT   33   32   28   34    0                                         NONE 101&lt;br /&gt;
CONECT   34   33   40   35    0                                         NONE 102&lt;br /&gt;
CONECT   35   34   36   63    0                                         NONE 103&lt;br /&gt;
CONECT   36   35   37   64    0                                         NONE 104&lt;br /&gt;
CONECT   37   36   38   39    0                                         NONE 105&lt;br /&gt;
CONECT   38   37    0    0    0                                         NONE 106&lt;br /&gt;
CONECT   39   37   40   65    0                                         NONE 107&lt;br /&gt;
CONECT   40   39   34   66    0                                         NONE 108&lt;br /&gt;
END                                                                     NONE 109&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*itching&lt;br /&gt;
*difficulty with memory/ thinking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;br /&gt;
&lt;br /&gt;
== Reference Link ==&lt;br /&gt;
&lt;br /&gt;
*[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop Lipitor Main Page]&lt;br /&gt;
*http://www.drugs.com/lipitor.html&lt;br /&gt;
*http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm&lt;br /&gt;
*http://organicdivision.org/essays_2001/schaus.pdf&lt;br /&gt;
*http://www.molecular-networks.com/online_demos/corina_demo.html&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=6923</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=6923"/>
		<updated>2006-12-05T12:12:33Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Systematic IUPAC Name&lt;br /&gt;
|-&lt;br /&gt;
| Systematic Iupac Name&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;| [R-(R*, R*)]-2-(4-fluorophenyl)-beta,&amp;lt;br&amp;gt; delta-dihydroxy-5- &amp;lt;br&amp;gt;(1-methylethyl)-3-phenyl-4- &amp;lt;br&amp;gt;[(phenylamino)carbonyl]-1H-&amp;lt;br&amp;gt; pyrrole-1-heptanoic acid|- &lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Identifiers&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|CAS number&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 134523-00-5&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|ATC Code&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C10AA05&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Pub Chem&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 60823&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Drug Bank&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | APRD00055&lt;br /&gt;
|-&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Chemical Data&lt;br /&gt;
|- &lt;br /&gt;
| Chemical formula|Molecular formula&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C&amp;lt;sub&amp;gt;33&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;34&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;5&amp;lt;/sub&amp;gt;F &lt;br /&gt;
|-&lt;br /&gt;
| Molar mass&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 558.64 g/mol&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Lipitor (Atorvastatin) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins. Lipitor is the most potent of all statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. Lipitor is also used to increase levels of HDL (good) cholesterol in the blood. This is important as it reduces the risk of hardening arteries which can lead to heart attacks, strokes and peripheral vascular disease.&lt;br /&gt;
[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol is not water soluble thus it travels in the human body in the form of lipoprotein. Once it reaches the human artery, it can cause a buildup of plaque in the lumen wall, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will competitively inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol. &lt;br /&gt;
&lt;br /&gt;
== Synthesis ==&lt;br /&gt;
[[Image:atorvastatin synthesis.JPG]][http://organicdivision.org/essays_2001/schaus.pdf Synthesis]&lt;br /&gt;
&amp;lt;br&amp;gt;&lt;br /&gt;
An aldehyde is reacted with an enol ether to form alcohol &#039;&#039;&#039;15&#039;&#039;&#039;. The transesterification of the alcohol with NaOMe and methanol results in the methyl ester &#039;&#039;&#039;16&#039;&#039;&#039;. The enolate of tert-butylacetate (&#039;&#039;&#039;17&#039;&#039;&#039;) is added to the methyl ester furthered by directed reduction to form the syn-1,3-diol &#039;&#039;&#039;18&#039;&#039;&#039;. The resultant is treated with NaOH in refluxing Toluene to form the cycled hydroxylactone &#039;&#039;&#039;19&#039;&#039;&#039;. Lastly, acid is used to &#039;open&#039; the hydroxylactone thus forming a sodium salt which is treated with CaCl2.H2O to yield the atorvastatin (LIPITOR)&lt;br /&gt;
== Structure ==&lt;br /&gt;
&lt;br /&gt;
[[Image:lipitor3.gif|centre|100|image produced in chemdraw]]&lt;br /&gt;
&lt;br /&gt;
== 3D Structure ==&lt;br /&gt;
&lt;br /&gt;
&amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;500&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 80; cpk on;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;water.mol&lt;br /&gt;
title1&lt;br /&gt;
title2&lt;br /&gt;
ATOM      1  O           0      -4.424   1.493   1.749  0.00  0.00           O+0&lt;br /&gt;
ATOM      2  C           0      -4.300   0.218   1.115  0.00  0.00           C+0&lt;br /&gt;
ATOM      3  H           0      -4.644  -0.561   1.796  0.00  0.00           H+0&lt;br /&gt;
ATOM      4  C           0      -5.150   0.196  -0.157  0.00  0.00           C+0&lt;br /&gt;
ATOM      5  C           0      -6.629   0.321   0.216  0.00  0.00           C+0&lt;br /&gt;
ATOM      6  H           0      -6.891  -0.462   0.928  0.00  0.00           H+0&lt;br /&gt;
ATOM      7  O           0      -6.865   1.601   0.806  0.00  0.00           O+0&lt;br /&gt;
ATOM      8  C           0      -7.486   0.174  -1.043  0.00  0.00           C+0&lt;br /&gt;
ATOM      9  C           0      -8.944   0.174  -0.661  0.00  0.00           C+0&lt;br /&gt;
ATOM     10  O           0      -9.267   0.281   0.510  0.00  0.00           O-1&lt;br /&gt;
ATOM     11  O           0      -9.800   0.066  -1.522  0.00  0.00           O+0&lt;br /&gt;
ATOM     12  C           0      -2.834  -0.031   0.753  0.00  0.00           C+0&lt;br /&gt;
ATOM     13  C           0      -2.003  -0.133   2.034  0.00  0.00           C+0&lt;br /&gt;
ATOM     14  N           0      -0.600  -0.372   1.688  0.00  0.00           N+0&lt;br /&gt;
ATOM     15  C           0       0.314   0.596   1.478  0.00  0.00           C+0&lt;br /&gt;
ATOM     16  C           0       1.511   0.010   1.177  0.00  0.00           C+0&lt;br /&gt;
ATOM     17  C           0       2.779   0.692   0.877  0.00  0.00           C+0&lt;br /&gt;
ATOM     18  N           0       2.820   2.037   0.803  0.00  0.00           N+0&lt;br /&gt;
ATOM     19  C           0       4.044   2.691   0.633  0.00  0.00           C+0&lt;br /&gt;
ATOM     20  C           0       4.117   3.842  -0.142  0.00  0.00           C+0&lt;br /&gt;
ATOM     21  C           0       5.328   4.485  -0.307  0.00  0.00           C+0&lt;br /&gt;
ATOM     22  C           0       6.467   3.986   0.297  0.00  0.00           C+0&lt;br /&gt;
ATOM     23  C           0       6.398   2.841   1.069  0.00  0.00           C+0&lt;br /&gt;
ATOM     24  C           0       5.189   2.196   1.244  0.00  0.00           C+0&lt;br /&gt;
ATOM     25  O           0       3.791   0.042   0.696  0.00  0.00           O+0&lt;br /&gt;
ATOM     26  C           0      -0.036  -1.603   1.539  0.00  0.00           C+0&lt;br /&gt;
ATOM     27  C           0       1.274  -1.445   1.215  0.00  0.00           C+0&lt;br /&gt;
ATOM     28  C           0       2.265  -2.516   0.962  0.00  0.00           C+0&lt;br /&gt;
ATOM     29  C           0       2.666  -3.357   1.997  0.00  0.00           C+0&lt;br /&gt;
ATOM     30  C           0       3.590  -4.354   1.756  0.00  0.00           C+0&lt;br /&gt;
ATOM     31  C           0       4.122  -4.525   0.489  0.00  0.00           C+0&lt;br /&gt;
ATOM     32  C           0       3.735  -3.700  -0.548  0.00  0.00           C+0&lt;br /&gt;
ATOM     33  C           0       2.800  -2.693  -0.325  0.00  0.00           C+0&lt;br /&gt;
ATOM     34  C           0       2.381  -1.806  -1.435  0.00  0.00           C+0&lt;br /&gt;
ATOM     35  C           0       3.336  -1.099  -2.164  0.00  0.00           C+0&lt;br /&gt;
ATOM     36  C           0       2.941  -0.274  -3.197  0.00  0.00           C+0&lt;br /&gt;
ATOM     37  C           0       1.597  -0.146  -3.510  0.00  0.00           C+0&lt;br /&gt;
ATOM     38  F           0       1.215   0.663  -4.522  0.00  0.00           F+0&lt;br /&gt;
ATOM     39  C           0       0.644  -0.847  -2.788  0.00  0.00           C+0&lt;br /&gt;
ATOM     40  C           0       1.030  -1.679  -1.757  0.00  0.00           C+0&lt;br /&gt;
ATOM     41  H           0      -4.110   2.152   1.115  0.00  0.00           H+0&lt;br /&gt;
ATOM     42  H           0      -4.865   1.030  -0.798  0.00  0.00           H+0&lt;br /&gt;
ATOM     43  H           0      -4.987  -0.742  -0.687  0.00  0.00           H+0&lt;br /&gt;
ATOM     44  H           0      -6.621   2.263   0.145  0.00  0.00           H+0&lt;br /&gt;
ATOM     45  H           0      -7.287   1.007  -1.717  0.00  0.00           H+0&lt;br /&gt;
ATOM     46  H           0      -7.241  -0.764  -1.542  0.00  0.00           H+0&lt;br /&gt;
ATOM     47  H           0      -2.752  -0.961   0.192  0.00  0.00           H+0&lt;br /&gt;
ATOM     48  H           0      -2.465   0.795   0.145  0.00  0.00           H+0&lt;br /&gt;
ATOM     49  H           0      -2.086   0.798   2.596  0.00  0.00           H+0&lt;br /&gt;
ATOM     50  H           0      -2.373  -0.958   2.642  0.00  0.00           H+0&lt;br /&gt;
ATOM     51  H           0       0.130   1.659   1.537  0.00  0.00           H+0&lt;br /&gt;
ATOM     52  H           0       2.000   2.551   0.867  0.00  0.00           H+0&lt;br /&gt;
ATOM     53  H           0       3.228   4.232  -0.615  0.00  0.00           H+0&lt;br /&gt;
ATOM     54  H           0       5.385   5.380  -0.910  0.00  0.00           H+0&lt;br /&gt;
ATOM     55  H           0       7.412   4.491   0.166  0.00  0.00           H+0&lt;br /&gt;
ATOM     56  H           0       7.289   2.453   1.540  0.00  0.00           H+0&lt;br /&gt;
ATOM     57  H           0       5.136   1.301   1.847  0.00  0.00           H+0&lt;br /&gt;
ATOM     58  H           0      -0.546  -2.547   1.656  0.00  0.00           H+0&lt;br /&gt;
ATOM     59  H           0       2.256  -3.229   2.987  0.00  0.00           H+0&lt;br /&gt;
ATOM     60  H           0       3.900  -5.005   2.560  0.00  0.00           H+0&lt;br /&gt;
ATOM     61  H           0       4.845  -5.308   0.311  0.00  0.00           H+0&lt;br /&gt;
ATOM     62  H           0       4.154  -3.838  -1.534  0.00  0.00           H+0&lt;br /&gt;
ATOM     63  H           0       4.384  -1.197  -1.921  0.00  0.00           H+0&lt;br /&gt;
ATOM     64  H           0       3.681   0.274  -3.762  0.00  0.00           H+0&lt;br /&gt;
ATOM     65  H           0      -0.402  -0.744  -3.035  0.00  0.00           H+0&lt;br /&gt;
ATOM     66  H           0       0.286  -2.224  -1.195  0.00  0.00           H+0&lt;br /&gt;
CONECT    1    2   41    0    0                                         NONE  71&lt;br /&gt;
CONECT    2    1    3    4   12                                         NONE  72&lt;br /&gt;
CONECT    4    2    5   42   43                                         NONE  73&lt;br /&gt;
CONECT    5    4    6    7    8                                         NONE  74&lt;br /&gt;
CONECT    7    5   44    0    0                                         NONE  75&lt;br /&gt;
CONECT    8    5    9   45   46                                         NONE  76&lt;br /&gt;
CONECT    9    8   10   11    0                                         NONE  77&lt;br /&gt;
CONECT   10    9    0    0    0                                         NONE  78&lt;br /&gt;
CONECT   11    9    0    0    0                                         NONE  79&lt;br /&gt;
CONECT   12    2   13   47   48                                         NONE  80&lt;br /&gt;
CONECT   13   12   14   49   50                                         NONE  81&lt;br /&gt;
CONECT   14   13   15   26    0                                         NONE  82&lt;br /&gt;
CONECT   15   14   16   51    0                                         NONE  83&lt;br /&gt;
CONECT   16   15   27   17    0                                         NONE  84&lt;br /&gt;
CONECT   17   16   18   25    0                                         NONE  85&lt;br /&gt;
CONECT   18   17   19   52    0                                         NONE  86&lt;br /&gt;
CONECT   19   18   24   20    0                                         NONE  87&lt;br /&gt;
CONECT   20   19   21   53    0                                         NONE  88&lt;br /&gt;
CONECT   21   20   22   54    0                                         NONE  89&lt;br /&gt;
CONECT   22   21   23   55    0                                         NONE  90&lt;br /&gt;
CONECT   23   22   24   56    0                                         NONE  91&lt;br /&gt;
CONECT   24   23   19   57    0                                         NONE  92&lt;br /&gt;
CONECT   25   17    0    0    0                                         NONE  93&lt;br /&gt;
CONECT   26   14   27   58    0                                         NONE  94&lt;br /&gt;
CONECT   27   26   16   28    0                                         NONE  95&lt;br /&gt;
CONECT   28   27   33   29    0                                         NONE  96&lt;br /&gt;
CONECT   29   28   30   59    0                                         NONE  97&lt;br /&gt;
CONECT   30   29   31   60    0                                         NONE  98&lt;br /&gt;
CONECT   31   30   32   61    0                                         NONE  99&lt;br /&gt;
CONECT   32   31   33   62    0                                         NONE 100&lt;br /&gt;
CONECT   33   32   28   34    0                                         NONE 101&lt;br /&gt;
CONECT   34   33   40   35    0                                         NONE 102&lt;br /&gt;
CONECT   35   34   36   63    0                                         NONE 103&lt;br /&gt;
CONECT   36   35   37   64    0                                         NONE 104&lt;br /&gt;
CONECT   37   36   38   39    0                                         NONE 105&lt;br /&gt;
CONECT   38   37    0    0    0                                         NONE 106&lt;br /&gt;
CONECT   39   37   40   65    0                                         NONE 107&lt;br /&gt;
CONECT   40   39   34   66    0                                         NONE 108&lt;br /&gt;
END                                                                     NONE 109&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*itching&lt;br /&gt;
*difficulty with memory/ thinking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;br /&gt;
&lt;br /&gt;
== Reference Link ==&lt;br /&gt;
&lt;br /&gt;
*[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop Lipitor Main Page]&lt;br /&gt;
*http://www.drugs.com/lipitor.html&lt;br /&gt;
*http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm&lt;br /&gt;
*http://organicdivision.org/essays_2001/schaus.pdf&lt;br /&gt;
*http://www.molecular-networks.com/online_demos/corina_demo.html&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=6490</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=6490"/>
		<updated>2006-12-01T12:17:54Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Systematic IUPAC Name&lt;br /&gt;
|-&lt;br /&gt;
| Systematic Iupac Name&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;| [R-(R*, R*)]-2-(4-fluorophenyl)-beta,&amp;lt;br&amp;gt; delta-dihydroxy-5- &amp;lt;br&amp;gt;(1-methylethyl)-3-phenyl-4- &amp;lt;br&amp;gt;[(phenylamino)carbonyl]-1H-&amp;lt;br&amp;gt; pyrrole-1-heptanoic acid|- &lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Identifiers&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|CAS number&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 134523-00-5&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|ATC Code&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C10AA05&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Pub Chem&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 60823&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Drug Bank&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | APRD00055&lt;br /&gt;
|-&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Chemical Data&lt;br /&gt;
|- &lt;br /&gt;
| Chemical formula|Molecular formula&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C&amp;lt;sub&amp;gt;33&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;34&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;5&amp;lt;/sub&amp;gt;F &lt;br /&gt;
|-&lt;br /&gt;
| Molar mass&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 558.64 g/mol&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Lipitor (Atorvastatin) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. Lipitor is also used to increase levels of HDL (good) cholesterol in the blood. This is important as it reduces the risk of hardening arteries which can lead to heart attacks, strokes and peripheral vascular disease.&lt;br /&gt;
[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol is not water soluble thus it travels in the human body in the form of lipoprotein. Once it reaches the human artery, it can cause a buildup of plaque in the lumen wall, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will competitively inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol. &lt;br /&gt;
&lt;br /&gt;
== Synthesis ==&lt;br /&gt;
[[Image:atorvastatin synthesis.JPG]][http://organicdivision.org/essays_2001/schaus.pdf Synthesis]&lt;br /&gt;
&lt;br /&gt;
== Structure ==&lt;br /&gt;
&lt;br /&gt;
[[Image:lipitor3.gif|centre|100|image produced in chemdraw]]&lt;br /&gt;
&lt;br /&gt;
== 3D Structure ==&lt;br /&gt;
&lt;br /&gt;
&amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;500&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 80; cpk on;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;water.mol&lt;br /&gt;
title1&lt;br /&gt;
title2&lt;br /&gt;
ATOM      1  O           0      -4.424   1.493   1.749  0.00  0.00           O+0&lt;br /&gt;
ATOM      2  C           0      -4.300   0.218   1.115  0.00  0.00           C+0&lt;br /&gt;
ATOM      3  H           0      -4.644  -0.561   1.796  0.00  0.00           H+0&lt;br /&gt;
ATOM      4  C           0      -5.150   0.196  -0.157  0.00  0.00           C+0&lt;br /&gt;
ATOM      5  C           0      -6.629   0.321   0.216  0.00  0.00           C+0&lt;br /&gt;
ATOM      6  H           0      -6.891  -0.462   0.928  0.00  0.00           H+0&lt;br /&gt;
ATOM      7  O           0      -6.865   1.601   0.806  0.00  0.00           O+0&lt;br /&gt;
ATOM      8  C           0      -7.486   0.174  -1.043  0.00  0.00           C+0&lt;br /&gt;
ATOM      9  C           0      -8.944   0.174  -0.661  0.00  0.00           C+0&lt;br /&gt;
ATOM     10  O           0      -9.267   0.281   0.510  0.00  0.00           O-1&lt;br /&gt;
ATOM     11  O           0      -9.800   0.066  -1.522  0.00  0.00           O+0&lt;br /&gt;
ATOM     12  C           0      -2.834  -0.031   0.753  0.00  0.00           C+0&lt;br /&gt;
ATOM     13  C           0      -2.003  -0.133   2.034  0.00  0.00           C+0&lt;br /&gt;
ATOM     14  N           0      -0.600  -0.372   1.688  0.00  0.00           N+0&lt;br /&gt;
ATOM     15  C           0       0.314   0.596   1.478  0.00  0.00           C+0&lt;br /&gt;
ATOM     16  C           0       1.511   0.010   1.177  0.00  0.00           C+0&lt;br /&gt;
ATOM     17  C           0       2.779   0.692   0.877  0.00  0.00           C+0&lt;br /&gt;
ATOM     18  N           0       2.820   2.037   0.803  0.00  0.00           N+0&lt;br /&gt;
ATOM     19  C           0       4.044   2.691   0.633  0.00  0.00           C+0&lt;br /&gt;
ATOM     20  C           0       4.117   3.842  -0.142  0.00  0.00           C+0&lt;br /&gt;
ATOM     21  C           0       5.328   4.485  -0.307  0.00  0.00           C+0&lt;br /&gt;
ATOM     22  C           0       6.467   3.986   0.297  0.00  0.00           C+0&lt;br /&gt;
ATOM     23  C           0       6.398   2.841   1.069  0.00  0.00           C+0&lt;br /&gt;
ATOM     24  C           0       5.189   2.196   1.244  0.00  0.00           C+0&lt;br /&gt;
ATOM     25  O           0       3.791   0.042   0.696  0.00  0.00           O+0&lt;br /&gt;
ATOM     26  C           0      -0.036  -1.603   1.539  0.00  0.00           C+0&lt;br /&gt;
ATOM     27  C           0       1.274  -1.445   1.215  0.00  0.00           C+0&lt;br /&gt;
ATOM     28  C           0       2.265  -2.516   0.962  0.00  0.00           C+0&lt;br /&gt;
ATOM     29  C           0       2.666  -3.357   1.997  0.00  0.00           C+0&lt;br /&gt;
ATOM     30  C           0       3.590  -4.354   1.756  0.00  0.00           C+0&lt;br /&gt;
ATOM     31  C           0       4.122  -4.525   0.489  0.00  0.00           C+0&lt;br /&gt;
ATOM     32  C           0       3.735  -3.700  -0.548  0.00  0.00           C+0&lt;br /&gt;
ATOM     33  C           0       2.800  -2.693  -0.325  0.00  0.00           C+0&lt;br /&gt;
ATOM     34  C           0       2.381  -1.806  -1.435  0.00  0.00           C+0&lt;br /&gt;
ATOM     35  C           0       3.336  -1.099  -2.164  0.00  0.00           C+0&lt;br /&gt;
ATOM     36  C           0       2.941  -0.274  -3.197  0.00  0.00           C+0&lt;br /&gt;
ATOM     37  C           0       1.597  -0.146  -3.510  0.00  0.00           C+0&lt;br /&gt;
ATOM     38  F           0       1.215   0.663  -4.522  0.00  0.00           F+0&lt;br /&gt;
ATOM     39  C           0       0.644  -0.847  -2.788  0.00  0.00           C+0&lt;br /&gt;
ATOM     40  C           0       1.030  -1.679  -1.757  0.00  0.00           C+0&lt;br /&gt;
ATOM     41  H           0      -4.110   2.152   1.115  0.00  0.00           H+0&lt;br /&gt;
ATOM     42  H           0      -4.865   1.030  -0.798  0.00  0.00           H+0&lt;br /&gt;
ATOM     43  H           0      -4.987  -0.742  -0.687  0.00  0.00           H+0&lt;br /&gt;
ATOM     44  H           0      -6.621   2.263   0.145  0.00  0.00           H+0&lt;br /&gt;
ATOM     45  H           0      -7.287   1.007  -1.717  0.00  0.00           H+0&lt;br /&gt;
ATOM     46  H           0      -7.241  -0.764  -1.542  0.00  0.00           H+0&lt;br /&gt;
ATOM     47  H           0      -2.752  -0.961   0.192  0.00  0.00           H+0&lt;br /&gt;
ATOM     48  H           0      -2.465   0.795   0.145  0.00  0.00           H+0&lt;br /&gt;
ATOM     49  H           0      -2.086   0.798   2.596  0.00  0.00           H+0&lt;br /&gt;
ATOM     50  H           0      -2.373  -0.958   2.642  0.00  0.00           H+0&lt;br /&gt;
ATOM     51  H           0       0.130   1.659   1.537  0.00  0.00           H+0&lt;br /&gt;
ATOM     52  H           0       2.000   2.551   0.867  0.00  0.00           H+0&lt;br /&gt;
ATOM     53  H           0       3.228   4.232  -0.615  0.00  0.00           H+0&lt;br /&gt;
ATOM     54  H           0       5.385   5.380  -0.910  0.00  0.00           H+0&lt;br /&gt;
ATOM     55  H           0       7.412   4.491   0.166  0.00  0.00           H+0&lt;br /&gt;
ATOM     56  H           0       7.289   2.453   1.540  0.00  0.00           H+0&lt;br /&gt;
ATOM     57  H           0       5.136   1.301   1.847  0.00  0.00           H+0&lt;br /&gt;
ATOM     58  H           0      -0.546  -2.547   1.656  0.00  0.00           H+0&lt;br /&gt;
ATOM     59  H           0       2.256  -3.229   2.987  0.00  0.00           H+0&lt;br /&gt;
ATOM     60  H           0       3.900  -5.005   2.560  0.00  0.00           H+0&lt;br /&gt;
ATOM     61  H           0       4.845  -5.308   0.311  0.00  0.00           H+0&lt;br /&gt;
ATOM     62  H           0       4.154  -3.838  -1.534  0.00  0.00           H+0&lt;br /&gt;
ATOM     63  H           0       4.384  -1.197  -1.921  0.00  0.00           H+0&lt;br /&gt;
ATOM     64  H           0       3.681   0.274  -3.762  0.00  0.00           H+0&lt;br /&gt;
ATOM     65  H           0      -0.402  -0.744  -3.035  0.00  0.00           H+0&lt;br /&gt;
ATOM     66  H           0       0.286  -2.224  -1.195  0.00  0.00           H+0&lt;br /&gt;
CONECT    1    2   41    0    0                                         NONE  71&lt;br /&gt;
CONECT    2    1    3    4   12                                         NONE  72&lt;br /&gt;
CONECT    4    2    5   42   43                                         NONE  73&lt;br /&gt;
CONECT    5    4    6    7    8                                         NONE  74&lt;br /&gt;
CONECT    7    5   44    0    0                                         NONE  75&lt;br /&gt;
CONECT    8    5    9   45   46                                         NONE  76&lt;br /&gt;
CONECT    9    8   10   11    0                                         NONE  77&lt;br /&gt;
CONECT   10    9    0    0    0                                         NONE  78&lt;br /&gt;
CONECT   11    9    0    0    0                                         NONE  79&lt;br /&gt;
CONECT   12    2   13   47   48                                         NONE  80&lt;br /&gt;
CONECT   13   12   14   49   50                                         NONE  81&lt;br /&gt;
CONECT   14   13   15   26    0                                         NONE  82&lt;br /&gt;
CONECT   15   14   16   51    0                                         NONE  83&lt;br /&gt;
CONECT   16   15   27   17    0                                         NONE  84&lt;br /&gt;
CONECT   17   16   18   25    0                                         NONE  85&lt;br /&gt;
CONECT   18   17   19   52    0                                         NONE  86&lt;br /&gt;
CONECT   19   18   24   20    0                                         NONE  87&lt;br /&gt;
CONECT   20   19   21   53    0                                         NONE  88&lt;br /&gt;
CONECT   21   20   22   54    0                                         NONE  89&lt;br /&gt;
CONECT   22   21   23   55    0                                         NONE  90&lt;br /&gt;
CONECT   23   22   24   56    0                                         NONE  91&lt;br /&gt;
CONECT   24   23   19   57    0                                         NONE  92&lt;br /&gt;
CONECT   25   17    0    0    0                                         NONE  93&lt;br /&gt;
CONECT   26   14   27   58    0                                         NONE  94&lt;br /&gt;
CONECT   27   26   16   28    0                                         NONE  95&lt;br /&gt;
CONECT   28   27   33   29    0                                         NONE  96&lt;br /&gt;
CONECT   29   28   30   59    0                                         NONE  97&lt;br /&gt;
CONECT   30   29   31   60    0                                         NONE  98&lt;br /&gt;
CONECT   31   30   32   61    0                                         NONE  99&lt;br /&gt;
CONECT   32   31   33   62    0                                         NONE 100&lt;br /&gt;
CONECT   33   32   28   34    0                                         NONE 101&lt;br /&gt;
CONECT   34   33   40   35    0                                         NONE 102&lt;br /&gt;
CONECT   35   34   36   63    0                                         NONE 103&lt;br /&gt;
CONECT   36   35   37   64    0                                         NONE 104&lt;br /&gt;
CONECT   37   36   38   39    0                                         NONE 105&lt;br /&gt;
CONECT   38   37    0    0    0                                         NONE 106&lt;br /&gt;
CONECT   39   37   40   65    0                                         NONE 107&lt;br /&gt;
CONECT   40   39   34   66    0                                         NONE 108&lt;br /&gt;
END                                                                     NONE 109&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*itching&lt;br /&gt;
*difficulty with memory/ thinking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;br /&gt;
&lt;br /&gt;
== Reference Link ==&lt;br /&gt;
&lt;br /&gt;
*[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop Lipitor Main Page]&lt;br /&gt;
*http://www.drugs.com/lipitor.html&lt;br /&gt;
*http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm&lt;br /&gt;
*http://organicdivision.org/essays_2001/schaus.pdf&lt;br /&gt;
*http://www.molecular-networks.com/online_demos/corina_demo.html&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5695</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5695"/>
		<updated>2006-11-20T16:06:51Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Systematic IUPAC Name&lt;br /&gt;
|-&lt;br /&gt;
| Systematic Iupac Name&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;| [R-(R*, R*)]-2-(4-fluorophenyl)-beta, delta-dihydroxy-5- (1-methylethyl)-3-phenyl-4- [(phenylamino)carbonyl]-1H- pyrrole-1-heptanoic acid|- &lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Identifiers&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|CAS number&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 134523-00-5&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|ATC Code&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C10AA05&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Pub Chem&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 60823&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Drug Bank&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | APRD00055&lt;br /&gt;
|-&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Chemical Data&lt;br /&gt;
|- &lt;br /&gt;
| Chemical formula|Molecular formula&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C&amp;lt;sub&amp;gt;33&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;34&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;5&amp;lt;/sub&amp;gt;F &lt;br /&gt;
|-&lt;br /&gt;
| Molar mass&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 558.64 g/mol&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Lipitor (Atorvastatin) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. Lipitor is also used to increase levels of HDL (good) cholesterol in the blood. This is important as it reduces the risk of hardening arteries which can lead to heart attacks, strokes and peripheral vascular disease.&lt;br /&gt;
[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol is not water soluble thus it travels in the human body in the form of lipoprotein. Once it reaches the human artery, it can cause a buildup of plaque in the lumen wall, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will competitively inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol. &lt;br /&gt;
&lt;br /&gt;
== Synthesis ==&lt;br /&gt;
[[Image:atorvastatin synthesis.JPG]][http://organicdivision.org/essays_2001/schaus.pdf Synthesis]&lt;br /&gt;
&lt;br /&gt;
== Structure ==&lt;br /&gt;
&lt;br /&gt;
[[Image:lipitor3.gif|centre|100|image produced in chemdraw]]&lt;br /&gt;
&lt;br /&gt;
== 3D Structure ==&lt;br /&gt;
&lt;br /&gt;
&amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;500&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 80; cpk on;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;water.mol&lt;br /&gt;
title1&lt;br /&gt;
title2&lt;br /&gt;
ATOM      1  O           0      -4.424   1.493   1.749  0.00  0.00           O+0&lt;br /&gt;
ATOM      2  C           0      -4.300   0.218   1.115  0.00  0.00           C+0&lt;br /&gt;
ATOM      3  H           0      -4.644  -0.561   1.796  0.00  0.00           H+0&lt;br /&gt;
ATOM      4  C           0      -5.150   0.196  -0.157  0.00  0.00           C+0&lt;br /&gt;
ATOM      5  C           0      -6.629   0.321   0.216  0.00  0.00           C+0&lt;br /&gt;
ATOM      6  H           0      -6.891  -0.462   0.928  0.00  0.00           H+0&lt;br /&gt;
ATOM      7  O           0      -6.865   1.601   0.806  0.00  0.00           O+0&lt;br /&gt;
ATOM      8  C           0      -7.486   0.174  -1.043  0.00  0.00           C+0&lt;br /&gt;
ATOM      9  C           0      -8.944   0.174  -0.661  0.00  0.00           C+0&lt;br /&gt;
ATOM     10  O           0      -9.267   0.281   0.510  0.00  0.00           O-1&lt;br /&gt;
ATOM     11  O           0      -9.800   0.066  -1.522  0.00  0.00           O+0&lt;br /&gt;
ATOM     12  C           0      -2.834  -0.031   0.753  0.00  0.00           C+0&lt;br /&gt;
ATOM     13  C           0      -2.003  -0.133   2.034  0.00  0.00           C+0&lt;br /&gt;
ATOM     14  N           0      -0.600  -0.372   1.688  0.00  0.00           N+0&lt;br /&gt;
ATOM     15  C           0       0.314   0.596   1.478  0.00  0.00           C+0&lt;br /&gt;
ATOM     16  C           0       1.511   0.010   1.177  0.00  0.00           C+0&lt;br /&gt;
ATOM     17  C           0       2.779   0.692   0.877  0.00  0.00           C+0&lt;br /&gt;
ATOM     18  N           0       2.820   2.037   0.803  0.00  0.00           N+0&lt;br /&gt;
ATOM     19  C           0       4.044   2.691   0.633  0.00  0.00           C+0&lt;br /&gt;
ATOM     20  C           0       4.117   3.842  -0.142  0.00  0.00           C+0&lt;br /&gt;
ATOM     21  C           0       5.328   4.485  -0.307  0.00  0.00           C+0&lt;br /&gt;
ATOM     22  C           0       6.467   3.986   0.297  0.00  0.00           C+0&lt;br /&gt;
ATOM     23  C           0       6.398   2.841   1.069  0.00  0.00           C+0&lt;br /&gt;
ATOM     24  C           0       5.189   2.196   1.244  0.00  0.00           C+0&lt;br /&gt;
ATOM     25  O           0       3.791   0.042   0.696  0.00  0.00           O+0&lt;br /&gt;
ATOM     26  C           0      -0.036  -1.603   1.539  0.00  0.00           C+0&lt;br /&gt;
ATOM     27  C           0       1.274  -1.445   1.215  0.00  0.00           C+0&lt;br /&gt;
ATOM     28  C           0       2.265  -2.516   0.962  0.00  0.00           C+0&lt;br /&gt;
ATOM     29  C           0       2.666  -3.357   1.997  0.00  0.00           C+0&lt;br /&gt;
ATOM     30  C           0       3.590  -4.354   1.756  0.00  0.00           C+0&lt;br /&gt;
ATOM     31  C           0       4.122  -4.525   0.489  0.00  0.00           C+0&lt;br /&gt;
ATOM     32  C           0       3.735  -3.700  -0.548  0.00  0.00           C+0&lt;br /&gt;
ATOM     33  C           0       2.800  -2.693  -0.325  0.00  0.00           C+0&lt;br /&gt;
ATOM     34  C           0       2.381  -1.806  -1.435  0.00  0.00           C+0&lt;br /&gt;
ATOM     35  C           0       3.336  -1.099  -2.164  0.00  0.00           C+0&lt;br /&gt;
ATOM     36  C           0       2.941  -0.274  -3.197  0.00  0.00           C+0&lt;br /&gt;
ATOM     37  C           0       1.597  -0.146  -3.510  0.00  0.00           C+0&lt;br /&gt;
ATOM     38  F           0       1.215   0.663  -4.522  0.00  0.00           F+0&lt;br /&gt;
ATOM     39  C           0       0.644  -0.847  -2.788  0.00  0.00           C+0&lt;br /&gt;
ATOM     40  C           0       1.030  -1.679  -1.757  0.00  0.00           C+0&lt;br /&gt;
ATOM     41  H           0      -4.110   2.152   1.115  0.00  0.00           H+0&lt;br /&gt;
ATOM     42  H           0      -4.865   1.030  -0.798  0.00  0.00           H+0&lt;br /&gt;
ATOM     43  H           0      -4.987  -0.742  -0.687  0.00  0.00           H+0&lt;br /&gt;
ATOM     44  H           0      -6.621   2.263   0.145  0.00  0.00           H+0&lt;br /&gt;
ATOM     45  H           0      -7.287   1.007  -1.717  0.00  0.00           H+0&lt;br /&gt;
ATOM     46  H           0      -7.241  -0.764  -1.542  0.00  0.00           H+0&lt;br /&gt;
ATOM     47  H           0      -2.752  -0.961   0.192  0.00  0.00           H+0&lt;br /&gt;
ATOM     48  H           0      -2.465   0.795   0.145  0.00  0.00           H+0&lt;br /&gt;
ATOM     49  H           0      -2.086   0.798   2.596  0.00  0.00           H+0&lt;br /&gt;
ATOM     50  H           0      -2.373  -0.958   2.642  0.00  0.00           H+0&lt;br /&gt;
ATOM     51  H           0       0.130   1.659   1.537  0.00  0.00           H+0&lt;br /&gt;
ATOM     52  H           0       2.000   2.551   0.867  0.00  0.00           H+0&lt;br /&gt;
ATOM     53  H           0       3.228   4.232  -0.615  0.00  0.00           H+0&lt;br /&gt;
ATOM     54  H           0       5.385   5.380  -0.910  0.00  0.00           H+0&lt;br /&gt;
ATOM     55  H           0       7.412   4.491   0.166  0.00  0.00           H+0&lt;br /&gt;
ATOM     56  H           0       7.289   2.453   1.540  0.00  0.00           H+0&lt;br /&gt;
ATOM     57  H           0       5.136   1.301   1.847  0.00  0.00           H+0&lt;br /&gt;
ATOM     58  H           0      -0.546  -2.547   1.656  0.00  0.00           H+0&lt;br /&gt;
ATOM     59  H           0       2.256  -3.229   2.987  0.00  0.00           H+0&lt;br /&gt;
ATOM     60  H           0       3.900  -5.005   2.560  0.00  0.00           H+0&lt;br /&gt;
ATOM     61  H           0       4.845  -5.308   0.311  0.00  0.00           H+0&lt;br /&gt;
ATOM     62  H           0       4.154  -3.838  -1.534  0.00  0.00           H+0&lt;br /&gt;
ATOM     63  H           0       4.384  -1.197  -1.921  0.00  0.00           H+0&lt;br /&gt;
ATOM     64  H           0       3.681   0.274  -3.762  0.00  0.00           H+0&lt;br /&gt;
ATOM     65  H           0      -0.402  -0.744  -3.035  0.00  0.00           H+0&lt;br /&gt;
ATOM     66  H           0       0.286  -2.224  -1.195  0.00  0.00           H+0&lt;br /&gt;
CONECT    1    2   41    0    0                                         NONE  71&lt;br /&gt;
CONECT    2    1    3    4   12                                         NONE  72&lt;br /&gt;
CONECT    4    2    5   42   43                                         NONE  73&lt;br /&gt;
CONECT    5    4    6    7    8                                         NONE  74&lt;br /&gt;
CONECT    7    5   44    0    0                                         NONE  75&lt;br /&gt;
CONECT    8    5    9   45   46                                         NONE  76&lt;br /&gt;
CONECT    9    8   10   11    0                                         NONE  77&lt;br /&gt;
CONECT   10    9    0    0    0                                         NONE  78&lt;br /&gt;
CONECT   11    9    0    0    0                                         NONE  79&lt;br /&gt;
CONECT   12    2   13   47   48                                         NONE  80&lt;br /&gt;
CONECT   13   12   14   49   50                                         NONE  81&lt;br /&gt;
CONECT   14   13   15   26    0                                         NONE  82&lt;br /&gt;
CONECT   15   14   16   51    0                                         NONE  83&lt;br /&gt;
CONECT   16   15   27   17    0                                         NONE  84&lt;br /&gt;
CONECT   17   16   18   25    0                                         NONE  85&lt;br /&gt;
CONECT   18   17   19   52    0                                         NONE  86&lt;br /&gt;
CONECT   19   18   24   20    0                                         NONE  87&lt;br /&gt;
CONECT   20   19   21   53    0                                         NONE  88&lt;br /&gt;
CONECT   21   20   22   54    0                                         NONE  89&lt;br /&gt;
CONECT   22   21   23   55    0                                         NONE  90&lt;br /&gt;
CONECT   23   22   24   56    0                                         NONE  91&lt;br /&gt;
CONECT   24   23   19   57    0                                         NONE  92&lt;br /&gt;
CONECT   25   17    0    0    0                                         NONE  93&lt;br /&gt;
CONECT   26   14   27   58    0                                         NONE  94&lt;br /&gt;
CONECT   27   26   16   28    0                                         NONE  95&lt;br /&gt;
CONECT   28   27   33   29    0                                         NONE  96&lt;br /&gt;
CONECT   29   28   30   59    0                                         NONE  97&lt;br /&gt;
CONECT   30   29   31   60    0                                         NONE  98&lt;br /&gt;
CONECT   31   30   32   61    0                                         NONE  99&lt;br /&gt;
CONECT   32   31   33   62    0                                         NONE 100&lt;br /&gt;
CONECT   33   32   28   34    0                                         NONE 101&lt;br /&gt;
CONECT   34   33   40   35    0                                         NONE 102&lt;br /&gt;
CONECT   35   34   36   63    0                                         NONE 103&lt;br /&gt;
CONECT   36   35   37   64    0                                         NONE 104&lt;br /&gt;
CONECT   37   36   38   39    0                                         NONE 105&lt;br /&gt;
CONECT   38   37    0    0    0                                         NONE 106&lt;br /&gt;
CONECT   39   37   40   65    0                                         NONE 107&lt;br /&gt;
CONECT   40   39   34   66    0                                         NONE 108&lt;br /&gt;
END                                                                     NONE 109&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*itching&lt;br /&gt;
*difficulty with memory/ thinking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;br /&gt;
&lt;br /&gt;
== Reference Link ==&lt;br /&gt;
&lt;br /&gt;
*[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop Lipitor Main Page]&lt;br /&gt;
*http://www.drugs.com/lipitor.html&lt;br /&gt;
*http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm&lt;br /&gt;
*http://organicdivision.org/essays_2001/schaus.pdf&lt;br /&gt;
*http://www.molecular-networks.com/online_demos/corina_demo.html&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5694</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5694"/>
		<updated>2006-11-20T16:05:40Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Systematic IUPAC Name&lt;br /&gt;
|-&lt;br /&gt;
| Systematic Iupac Name&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;| [R-(R*, R*)]-2-(4-fluorophenyl)-beta, delta-dihydroxy-5- (1-methylethyl)-3-phenyl-4- [(phenylamino)carbonyl]-1H- pyrrole-1-heptanoic acid|- &lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Identifiers&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|CAS number&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 134523-00-5&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|ATC Code&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C10AA05&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Pub Chem&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 60823&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Drug Bank&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | APRD00055&lt;br /&gt;
|-&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Chemical Data&lt;br /&gt;
|- &lt;br /&gt;
| Chemical formula|Molecular formula&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C&amp;lt;sub&amp;gt;33&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;34&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;5&amp;lt;/sub&amp;gt;F &lt;br /&gt;
|-&lt;br /&gt;
| Molar mass&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 558.64 g/mol&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Lipitor (Atorvastatin) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. Lipitor is also used to increase levels of HDL (good) cholesterol in the blood. This is important as it reduces the risk of hardening arteries which can lead to heart attacks, strokes and peripheral vascular disease.&lt;br /&gt;
[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol is not water soluble thus it travels in the human body in the form of lipoprotein. Once it reaches the human artery, it can cause a buildup of plaque in the lumen wall, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol. &lt;br /&gt;
&lt;br /&gt;
== Synthesis ==&lt;br /&gt;
[[Image:atorvastatin synthesis.JPG]][http://organicdivision.org/essays_2001/schaus.pdf Synthesis]&lt;br /&gt;
&lt;br /&gt;
== Structure ==&lt;br /&gt;
&lt;br /&gt;
[[Image:lipitor3.gif|centre|100|image produced in chemdraw]]&lt;br /&gt;
&lt;br /&gt;
== 3D Structure ==&lt;br /&gt;
&lt;br /&gt;
&amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;500&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 80; cpk on;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;water.mol&lt;br /&gt;
title1&lt;br /&gt;
title2&lt;br /&gt;
ATOM      1  O           0      -4.424   1.493   1.749  0.00  0.00           O+0&lt;br /&gt;
ATOM      2  C           0      -4.300   0.218   1.115  0.00  0.00           C+0&lt;br /&gt;
ATOM      3  H           0      -4.644  -0.561   1.796  0.00  0.00           H+0&lt;br /&gt;
ATOM      4  C           0      -5.150   0.196  -0.157  0.00  0.00           C+0&lt;br /&gt;
ATOM      5  C           0      -6.629   0.321   0.216  0.00  0.00           C+0&lt;br /&gt;
ATOM      6  H           0      -6.891  -0.462   0.928  0.00  0.00           H+0&lt;br /&gt;
ATOM      7  O           0      -6.865   1.601   0.806  0.00  0.00           O+0&lt;br /&gt;
ATOM      8  C           0      -7.486   0.174  -1.043  0.00  0.00           C+0&lt;br /&gt;
ATOM      9  C           0      -8.944   0.174  -0.661  0.00  0.00           C+0&lt;br /&gt;
ATOM     10  O           0      -9.267   0.281   0.510  0.00  0.00           O-1&lt;br /&gt;
ATOM     11  O           0      -9.800   0.066  -1.522  0.00  0.00           O+0&lt;br /&gt;
ATOM     12  C           0      -2.834  -0.031   0.753  0.00  0.00           C+0&lt;br /&gt;
ATOM     13  C           0      -2.003  -0.133   2.034  0.00  0.00           C+0&lt;br /&gt;
ATOM     14  N           0      -0.600  -0.372   1.688  0.00  0.00           N+0&lt;br /&gt;
ATOM     15  C           0       0.314   0.596   1.478  0.00  0.00           C+0&lt;br /&gt;
ATOM     16  C           0       1.511   0.010   1.177  0.00  0.00           C+0&lt;br /&gt;
ATOM     17  C           0       2.779   0.692   0.877  0.00  0.00           C+0&lt;br /&gt;
ATOM     18  N           0       2.820   2.037   0.803  0.00  0.00           N+0&lt;br /&gt;
ATOM     19  C           0       4.044   2.691   0.633  0.00  0.00           C+0&lt;br /&gt;
ATOM     20  C           0       4.117   3.842  -0.142  0.00  0.00           C+0&lt;br /&gt;
ATOM     21  C           0       5.328   4.485  -0.307  0.00  0.00           C+0&lt;br /&gt;
ATOM     22  C           0       6.467   3.986   0.297  0.00  0.00           C+0&lt;br /&gt;
ATOM     23  C           0       6.398   2.841   1.069  0.00  0.00           C+0&lt;br /&gt;
ATOM     24  C           0       5.189   2.196   1.244  0.00  0.00           C+0&lt;br /&gt;
ATOM     25  O           0       3.791   0.042   0.696  0.00  0.00           O+0&lt;br /&gt;
ATOM     26  C           0      -0.036  -1.603   1.539  0.00  0.00           C+0&lt;br /&gt;
ATOM     27  C           0       1.274  -1.445   1.215  0.00  0.00           C+0&lt;br /&gt;
ATOM     28  C           0       2.265  -2.516   0.962  0.00  0.00           C+0&lt;br /&gt;
ATOM     29  C           0       2.666  -3.357   1.997  0.00  0.00           C+0&lt;br /&gt;
ATOM     30  C           0       3.590  -4.354   1.756  0.00  0.00           C+0&lt;br /&gt;
ATOM     31  C           0       4.122  -4.525   0.489  0.00  0.00           C+0&lt;br /&gt;
ATOM     32  C           0       3.735  -3.700  -0.548  0.00  0.00           C+0&lt;br /&gt;
ATOM     33  C           0       2.800  -2.693  -0.325  0.00  0.00           C+0&lt;br /&gt;
ATOM     34  C           0       2.381  -1.806  -1.435  0.00  0.00           C+0&lt;br /&gt;
ATOM     35  C           0       3.336  -1.099  -2.164  0.00  0.00           C+0&lt;br /&gt;
ATOM     36  C           0       2.941  -0.274  -3.197  0.00  0.00           C+0&lt;br /&gt;
ATOM     37  C           0       1.597  -0.146  -3.510  0.00  0.00           C+0&lt;br /&gt;
ATOM     38  F           0       1.215   0.663  -4.522  0.00  0.00           F+0&lt;br /&gt;
ATOM     39  C           0       0.644  -0.847  -2.788  0.00  0.00           C+0&lt;br /&gt;
ATOM     40  C           0       1.030  -1.679  -1.757  0.00  0.00           C+0&lt;br /&gt;
ATOM     41  H           0      -4.110   2.152   1.115  0.00  0.00           H+0&lt;br /&gt;
ATOM     42  H           0      -4.865   1.030  -0.798  0.00  0.00           H+0&lt;br /&gt;
ATOM     43  H           0      -4.987  -0.742  -0.687  0.00  0.00           H+0&lt;br /&gt;
ATOM     44  H           0      -6.621   2.263   0.145  0.00  0.00           H+0&lt;br /&gt;
ATOM     45  H           0      -7.287   1.007  -1.717  0.00  0.00           H+0&lt;br /&gt;
ATOM     46  H           0      -7.241  -0.764  -1.542  0.00  0.00           H+0&lt;br /&gt;
ATOM     47  H           0      -2.752  -0.961   0.192  0.00  0.00           H+0&lt;br /&gt;
ATOM     48  H           0      -2.465   0.795   0.145  0.00  0.00           H+0&lt;br /&gt;
ATOM     49  H           0      -2.086   0.798   2.596  0.00  0.00           H+0&lt;br /&gt;
ATOM     50  H           0      -2.373  -0.958   2.642  0.00  0.00           H+0&lt;br /&gt;
ATOM     51  H           0       0.130   1.659   1.537  0.00  0.00           H+0&lt;br /&gt;
ATOM     52  H           0       2.000   2.551   0.867  0.00  0.00           H+0&lt;br /&gt;
ATOM     53  H           0       3.228   4.232  -0.615  0.00  0.00           H+0&lt;br /&gt;
ATOM     54  H           0       5.385   5.380  -0.910  0.00  0.00           H+0&lt;br /&gt;
ATOM     55  H           0       7.412   4.491   0.166  0.00  0.00           H+0&lt;br /&gt;
ATOM     56  H           0       7.289   2.453   1.540  0.00  0.00           H+0&lt;br /&gt;
ATOM     57  H           0       5.136   1.301   1.847  0.00  0.00           H+0&lt;br /&gt;
ATOM     58  H           0      -0.546  -2.547   1.656  0.00  0.00           H+0&lt;br /&gt;
ATOM     59  H           0       2.256  -3.229   2.987  0.00  0.00           H+0&lt;br /&gt;
ATOM     60  H           0       3.900  -5.005   2.560  0.00  0.00           H+0&lt;br /&gt;
ATOM     61  H           0       4.845  -5.308   0.311  0.00  0.00           H+0&lt;br /&gt;
ATOM     62  H           0       4.154  -3.838  -1.534  0.00  0.00           H+0&lt;br /&gt;
ATOM     63  H           0       4.384  -1.197  -1.921  0.00  0.00           H+0&lt;br /&gt;
ATOM     64  H           0       3.681   0.274  -3.762  0.00  0.00           H+0&lt;br /&gt;
ATOM     65  H           0      -0.402  -0.744  -3.035  0.00  0.00           H+0&lt;br /&gt;
ATOM     66  H           0       0.286  -2.224  -1.195  0.00  0.00           H+0&lt;br /&gt;
CONECT    1    2   41    0    0                                         NONE  71&lt;br /&gt;
CONECT    2    1    3    4   12                                         NONE  72&lt;br /&gt;
CONECT    4    2    5   42   43                                         NONE  73&lt;br /&gt;
CONECT    5    4    6    7    8                                         NONE  74&lt;br /&gt;
CONECT    7    5   44    0    0                                         NONE  75&lt;br /&gt;
CONECT    8    5    9   45   46                                         NONE  76&lt;br /&gt;
CONECT    9    8   10   11    0                                         NONE  77&lt;br /&gt;
CONECT   10    9    0    0    0                                         NONE  78&lt;br /&gt;
CONECT   11    9    0    0    0                                         NONE  79&lt;br /&gt;
CONECT   12    2   13   47   48                                         NONE  80&lt;br /&gt;
CONECT   13   12   14   49   50                                         NONE  81&lt;br /&gt;
CONECT   14   13   15   26    0                                         NONE  82&lt;br /&gt;
CONECT   15   14   16   51    0                                         NONE  83&lt;br /&gt;
CONECT   16   15   27   17    0                                         NONE  84&lt;br /&gt;
CONECT   17   16   18   25    0                                         NONE  85&lt;br /&gt;
CONECT   18   17   19   52    0                                         NONE  86&lt;br /&gt;
CONECT   19   18   24   20    0                                         NONE  87&lt;br /&gt;
CONECT   20   19   21   53    0                                         NONE  88&lt;br /&gt;
CONECT   21   20   22   54    0                                         NONE  89&lt;br /&gt;
CONECT   22   21   23   55    0                                         NONE  90&lt;br /&gt;
CONECT   23   22   24   56    0                                         NONE  91&lt;br /&gt;
CONECT   24   23   19   57    0                                         NONE  92&lt;br /&gt;
CONECT   25   17    0    0    0                                         NONE  93&lt;br /&gt;
CONECT   26   14   27   58    0                                         NONE  94&lt;br /&gt;
CONECT   27   26   16   28    0                                         NONE  95&lt;br /&gt;
CONECT   28   27   33   29    0                                         NONE  96&lt;br /&gt;
CONECT   29   28   30   59    0                                         NONE  97&lt;br /&gt;
CONECT   30   29   31   60    0                                         NONE  98&lt;br /&gt;
CONECT   31   30   32   61    0                                         NONE  99&lt;br /&gt;
CONECT   32   31   33   62    0                                         NONE 100&lt;br /&gt;
CONECT   33   32   28   34    0                                         NONE 101&lt;br /&gt;
CONECT   34   33   40   35    0                                         NONE 102&lt;br /&gt;
CONECT   35   34   36   63    0                                         NONE 103&lt;br /&gt;
CONECT   36   35   37   64    0                                         NONE 104&lt;br /&gt;
CONECT   37   36   38   39    0                                         NONE 105&lt;br /&gt;
CONECT   38   37    0    0    0                                         NONE 106&lt;br /&gt;
CONECT   39   37   40   65    0                                         NONE 107&lt;br /&gt;
CONECT   40   39   34   66    0                                         NONE 108&lt;br /&gt;
END                                                                     NONE 109&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*itching&lt;br /&gt;
*difficulty with memory/ thinking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;br /&gt;
&lt;br /&gt;
== Reference Link ==&lt;br /&gt;
&lt;br /&gt;
*[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop Lipitor Main Page]&lt;br /&gt;
*http://www.drugs.com/lipitor.html&lt;br /&gt;
*http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm&lt;br /&gt;
*http://organicdivision.org/essays_2001/schaus.pdf&lt;br /&gt;
*http://www.molecular-networks.com/online_demos/corina_demo.html&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5682</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5682"/>
		<updated>2006-11-20T15:58:41Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Systematic IUPAC Name&lt;br /&gt;
|-&lt;br /&gt;
| Systematic Iupac Name&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;| [R-(R*, R*)]-2-(4-fluorophenyl)-beta, delta-dihydroxy-5- (1-methylethyl)-3-phenyl-4- [(phenylamino)carbonyl]-1H- pyrrole-1-heptanoic acid|- &lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Identifiers&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|CAS number&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 134523-00-5&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|ATC Code&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C10AA05&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Pub Chem&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 60823&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Drug Bank&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | APRD00055&lt;br /&gt;
|-&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Chemical Data&lt;br /&gt;
|- &lt;br /&gt;
| Chemical formula|Molecular formula&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C&amp;lt;sub&amp;gt;33&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;34&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;5&amp;lt;/sub&amp;gt;F &lt;br /&gt;
|-&lt;br /&gt;
| Molar mass&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 558.64 g/mol&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Lipitor (Atorvastatin) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. Lipitor is also used to increase levels of HDL (good) cholesterol in the blood. This is important as it reduces the risk of hardening arteries which can lead to heart attacks, strokes and peripheral vascular disease.&lt;br /&gt;
[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol. &lt;br /&gt;
&lt;br /&gt;
== Synthesis ==&lt;br /&gt;
[[Image:atorvastatin synthesis.JPG]][http://organicdivision.org/essays_2001/schaus.pdf Synthesis]&lt;br /&gt;
&lt;br /&gt;
== Structure ==&lt;br /&gt;
&lt;br /&gt;
[[Image:lipitor3.gif|centre|100|image produced in chemdraw]]&lt;br /&gt;
&lt;br /&gt;
== 3D Structure ==&lt;br /&gt;
&lt;br /&gt;
&amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;800&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 80; cpk on;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;water.mol&lt;br /&gt;
title1&lt;br /&gt;
title2&lt;br /&gt;
ATOM      1  O           0      -3.927   1.335   1.405  0.00  0.00           O+0&lt;br /&gt;
ATOM      2  C           0      -3.862   0.102   0.685  0.00  0.00           C+0&lt;br /&gt;
ATOM      3  H           0      -4.179  -0.714   1.333  0.00  0.00           H+0&lt;br /&gt;
ATOM      4  C           0      -4.784   0.174  -0.534  0.00  0.00           C+0&lt;br /&gt;
ATOM      5  C           0      -6.236   0.294  -0.068  0.00  0.00           C+0&lt;br /&gt;
ATOM      6  H           0      -6.471  -0.530   0.607  0.00  0.00           H+0&lt;br /&gt;
ATOM      7  O           0      -6.416   1.536   0.616  0.00  0.00           O+0&lt;br /&gt;
ATOM      8  C           0      -7.167   0.240  -1.281  0.00  0.00           C+0&lt;br /&gt;
ATOM      9  C           0      -8.600   0.234  -0.815  0.00  0.00           C+0&lt;br /&gt;
ATOM     10  O           0      -8.854   0.270   0.378  0.00  0.00           O-1&lt;br /&gt;
ATOM     11  O           0      -9.507   0.194  -1.630  0.00  0.00           O+0&lt;br /&gt;
ATOM     12  C           0      -2.424  -0.143   0.223  0.00  0.00           C+0&lt;br /&gt;
ATOM     13  C           0      -1.522  -0.338   1.443  0.00  0.00           C+0&lt;br /&gt;
ATOM     14  N           0      -0.145  -0.573   1.001  0.00  0.00           N+0&lt;br /&gt;
ATOM     15  C           0       0.771   0.394   0.800  0.00  0.00           C+0&lt;br /&gt;
ATOM     16  C           0       1.938  -0.188   0.393  0.00  0.00           C+0&lt;br /&gt;
ATOM     17  C           0       3.199   0.495   0.063  0.00  0.00           C+0&lt;br /&gt;
ATOM     18  N           0       3.282   1.837   0.150  0.00  0.00           N+0&lt;br /&gt;
ATOM     19  C           0       4.509   2.477  -0.052  0.00  0.00           C+0&lt;br /&gt;
ATOM     20  C           0       4.550   3.735  -0.638  0.00  0.00           C+0&lt;br /&gt;
ATOM     21  C           0       5.763   4.364  -0.836  0.00  0.00           C+0&lt;br /&gt;
ATOM     22  C           0       6.937   3.742  -0.451  0.00  0.00           C+0&lt;br /&gt;
ATOM     23  C           0       6.900   2.489   0.133  0.00  0.00           C+0&lt;br /&gt;
ATOM     24  C           0       5.689   1.858   0.340  0.00  0.00           C+0&lt;br /&gt;
ATOM     25  O           0       4.168  -0.153  -0.288  0.00  0.00           O+0&lt;br /&gt;
ATOM     26  C           0       0.388  -1.799   0.741  0.00  0.00           C+0&lt;br /&gt;
ATOM     27  C           0       1.678  -1.638   0.352  0.00  0.00           C+0&lt;br /&gt;
ATOM     28  C           0       2.635  -2.705  -0.028  0.00  0.00           C+0&lt;br /&gt;
ATOM     29  C           0       2.815  -3.812   0.800  0.00  0.00           C+0&lt;br /&gt;
ATOM     30  C           0       3.706  -4.802   0.442  0.00  0.00           C+0&lt;br /&gt;
ATOM     31  C           0       4.421  -4.698  -0.738  0.00  0.00           C+0&lt;br /&gt;
ATOM     32  C           0       4.247  -3.602  -1.564  0.00  0.00           C+0&lt;br /&gt;
ATOM     33  C           0       3.354  -2.609  -1.219  0.00  0.00           C+0&lt;br /&gt;
ATOM     34  H           0      -3.639   2.030   0.797  0.00  0.00           H+0&lt;br /&gt;
ATOM     35  H           0      -4.523   1.044  -1.137  0.00  0.00           H+0&lt;br /&gt;
ATOM     36  H           0      -4.667  -0.731  -1.131  0.00  0.00           H+0&lt;br /&gt;
ATOM     37  H           0      -6.199   2.236  -0.015  0.00  0.00           H+0&lt;br /&gt;
ATOM     38  H           0      -6.993   1.112  -1.911  0.00  0.00           H+0&lt;br /&gt;
ATOM     39  H           0      -6.967  -0.667  -1.852  0.00  0.00           H+0&lt;br /&gt;
ATOM     40  H           0      -2.390  -1.036  -0.401  0.00  0.00           H+0&lt;br /&gt;
ATOM     41  H           0      -2.076   0.716  -0.352  0.00  0.00           H+0&lt;br /&gt;
ATOM     42  H           0      -1.556   0.555   2.067  0.00  0.00           H+0&lt;br /&gt;
ATOM     43  H           0      -1.870  -1.196   2.018  0.00  0.00           H+0&lt;br /&gt;
ATOM     44  H           0       0.610   1.453   0.937  0.00  0.00           H+0&lt;br /&gt;
ATOM     45  H           0       2.490   2.359   0.352  0.00  0.00           H+0&lt;br /&gt;
ATOM     46  H           0       3.633   4.221  -0.940  0.00  0.00           H+0&lt;br /&gt;
ATOM     47  H           0       5.796   5.343  -1.292  0.00  0.00           H+0&lt;br /&gt;
ATOM     48  H           0       7.884   4.236  -0.607  0.00  0.00           H+0&lt;br /&gt;
ATOM     49  H           0       7.818   2.006   0.432  0.00  0.00           H+0&lt;br /&gt;
ATOM     50  H           0       5.661   0.879   0.796  0.00  0.00           H+0&lt;br /&gt;
ATOM     51  H           0      -0.131  -2.742   0.827  0.00  0.00           H+0&lt;br /&gt;
ATOM     52  H           0       2.257  -3.893   1.722  0.00  0.00           H+0&lt;br /&gt;
ATOM     53  H           0       3.846  -5.659   1.083  0.00  0.00           H+0&lt;br /&gt;
ATOM     54  H           0       5.118  -5.475  -1.015  0.00  0.00           H+0&lt;br /&gt;
ATOM     55  H           0       4.809  -3.526  -2.484  0.00  0.00           H+0&lt;br /&gt;
ATOM     56  H           0       3.219  -1.754  -1.865  0.00  0.00           H+0&lt;br /&gt;
CONECT    1    2   34    0    0                                         NONE  61&lt;br /&gt;
CONECT    2    1    3    4   12                                         NONE  62&lt;br /&gt;
CONECT    4    2    5   35   36                                         NONE  63&lt;br /&gt;
CONECT    5    4    6    7    8                                         NONE  64&lt;br /&gt;
CONECT    7    5   37    0    0                                         NONE  65&lt;br /&gt;
CONECT    8    5    9   38   39                                         NONE  66&lt;br /&gt;
CONECT    9    8   10   11    0                                         NONE  67&lt;br /&gt;
CONECT   10    9    0    0    0                                         NONE  68&lt;br /&gt;
CONECT   11    9    0    0    0                                         NONE  69&lt;br /&gt;
CONECT   12    2   13   40   41                                         NONE  70&lt;br /&gt;
CONECT   13   12   14   42   43                                         NONE  71&lt;br /&gt;
CONECT   14   13   15   26    0                                         NONE  72&lt;br /&gt;
CONECT   15   14   16   44    0                                         NONE  73&lt;br /&gt;
CONECT   16   15   27   17    0                                         NONE  74&lt;br /&gt;
CONECT   17   16   18   25    0                                         NONE  75&lt;br /&gt;
CONECT   18   17   19   45    0                                         NONE  76&lt;br /&gt;
CONECT   19   18   24   20    0                                         NONE  77&lt;br /&gt;
CONECT   20   19   21   46    0                                         NONE  78&lt;br /&gt;
CONECT   21   20   22   47    0                                         NONE  79&lt;br /&gt;
CONECT   22   21   23   48    0                                         NONE  80&lt;br /&gt;
CONECT   23   22   24   49    0                                         NONE  81&lt;br /&gt;
CONECT   24   23   19   50    0                                         NONE  82&lt;br /&gt;
CONECT   25   17    0    0    0                                         NONE  83&lt;br /&gt;
CONECT   26   14   27   51    0                                         NONE  84&lt;br /&gt;
CONECT   27   26   16   28    0                                         NONE  85&lt;br /&gt;
CONECT   28   27   33   29    0                                         NONE  86&lt;br /&gt;
CONECT   29   28   30   52    0                                         NONE  87&lt;br /&gt;
CONECT   30   29   31   53    0                                         NONE  88&lt;br /&gt;
CONECT   31   30   32   54    0                                         NONE  89&lt;br /&gt;
CONECT   32   31   33   55    0                                         NONE  90&lt;br /&gt;
CONECT   33   32   28   56    0                                         NONE  91&lt;br /&gt;
END                                                                     NONE  92&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*itching&lt;br /&gt;
*difficulty with memory/ thinking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;br /&gt;
&lt;br /&gt;
== Reference Link ==&lt;br /&gt;
&lt;br /&gt;
*[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop Lipitor Main Page]&lt;br /&gt;
*http://www.drugs.com/lipitor.html&lt;br /&gt;
*http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm&lt;br /&gt;
*http://organicdivision.org/essays_2001/schaus.pdf&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5672</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5672"/>
		<updated>2006-11-20T15:52:42Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Systematic IUPAC Name&lt;br /&gt;
|-&lt;br /&gt;
| Systematic Iupac Name&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;| [R-(R*, R*)]-2-(4-fluorophenyl)-beta, delta-dihydroxy-5- (1-methylethyl)-3-phenyl-4- [(phenylamino)carbonyl]-1H- pyrrole-1-heptanoic acid|- &lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Identifiers&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|CAS number&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 134523-00-5&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|ATC Code&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C10AA05&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Pub Chem&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 60823&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Drug Bank&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | APRD00055&lt;br /&gt;
|-&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Chemical Data&lt;br /&gt;
|- &lt;br /&gt;
| Chemical formula|Molecular formula&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C&amp;lt;sub&amp;gt;33&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;34&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;5&amp;lt;/sub&amp;gt;F &lt;br /&gt;
|-&lt;br /&gt;
| Molar mass&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 558.64 g/mol&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Lipitor (Atorvastatin) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. Lipitor is also used to increase levels of HDL (good) cholesterol in the blood. This is important as it reduces the risk of hardening arteries which can lead to heart attacks, strokes and peripheral vascular disease.&lt;br /&gt;
[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol. &lt;br /&gt;
&lt;br /&gt;
== Synthesis ==&lt;br /&gt;
[[Image:atorvastatin synthesis.JPG]][http://organicdivision.org/essays_2001/schaus.pdf Synthesis]&lt;br /&gt;
&lt;br /&gt;
== Structure ==&lt;br /&gt;
&lt;br /&gt;
[[Image:lipitor2.gif|centre|100|image produced in chemdraw]]&lt;br /&gt;
&lt;br /&gt;
== 3D Structure ==&lt;br /&gt;
&lt;br /&gt;
&amp;lt;jmol&amp;gt;&lt;br /&gt;
&amp;lt;jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;size&amp;gt;800&amp;lt;/size&amp;gt;&lt;br /&gt;
&amp;lt;color&amp;gt;white&amp;lt;/color&amp;gt;&lt;br /&gt;
&amp;lt;script&amp;gt;zoom 80; cpk on;frame 1; move 10 -20 10 0 0 0 0 0 3; delay 1;&amp;lt;/script&amp;gt;&lt;br /&gt;
&amp;lt;inlineContents&amp;gt;water.mol&lt;br /&gt;
title1&lt;br /&gt;
title2&lt;br /&gt;
ATOM      1  O           0      -3.927   1.335   1.405  0.00  0.00           O+0&lt;br /&gt;
ATOM      2  C           0      -3.862   0.102   0.685  0.00  0.00           C+0&lt;br /&gt;
ATOM      3  H           0      -4.179  -0.714   1.333  0.00  0.00           H+0&lt;br /&gt;
ATOM      4  C           0      -4.784   0.174  -0.534  0.00  0.00           C+0&lt;br /&gt;
ATOM      5  C           0      -6.236   0.294  -0.068  0.00  0.00           C+0&lt;br /&gt;
ATOM      6  H           0      -6.471  -0.530   0.607  0.00  0.00           H+0&lt;br /&gt;
ATOM      7  O           0      -6.416   1.536   0.616  0.00  0.00           O+0&lt;br /&gt;
ATOM      8  C           0      -7.167   0.240  -1.281  0.00  0.00           C+0&lt;br /&gt;
ATOM      9  C           0      -8.600   0.234  -0.815  0.00  0.00           C+0&lt;br /&gt;
ATOM     10  O           0      -8.854   0.270   0.378  0.00  0.00           O-1&lt;br /&gt;
ATOM     11  O           0      -9.507   0.194  -1.630  0.00  0.00           O+0&lt;br /&gt;
ATOM     12  C           0      -2.424  -0.143   0.223  0.00  0.00           C+0&lt;br /&gt;
ATOM     13  C           0      -1.522  -0.338   1.443  0.00  0.00           C+0&lt;br /&gt;
ATOM     14  N           0      -0.145  -0.573   1.001  0.00  0.00           N+0&lt;br /&gt;
ATOM     15  C           0       0.771   0.394   0.800  0.00  0.00           C+0&lt;br /&gt;
ATOM     16  C           0       1.938  -0.188   0.393  0.00  0.00           C+0&lt;br /&gt;
ATOM     17  C           0       3.199   0.495   0.063  0.00  0.00           C+0&lt;br /&gt;
ATOM     18  N           0       3.282   1.837   0.150  0.00  0.00           N+0&lt;br /&gt;
ATOM     19  C           0       4.509   2.477  -0.052  0.00  0.00           C+0&lt;br /&gt;
ATOM     20  C           0       4.550   3.735  -0.638  0.00  0.00           C+0&lt;br /&gt;
ATOM     21  C           0       5.763   4.364  -0.836  0.00  0.00           C+0&lt;br /&gt;
ATOM     22  C           0       6.937   3.742  -0.451  0.00  0.00           C+0&lt;br /&gt;
ATOM     23  C           0       6.900   2.489   0.133  0.00  0.00           C+0&lt;br /&gt;
ATOM     24  C           0       5.689   1.858   0.340  0.00  0.00           C+0&lt;br /&gt;
ATOM     25  O           0       4.168  -0.153  -0.288  0.00  0.00           O+0&lt;br /&gt;
ATOM     26  C           0       0.388  -1.799   0.741  0.00  0.00           C+0&lt;br /&gt;
ATOM     27  C           0       1.678  -1.638   0.352  0.00  0.00           C+0&lt;br /&gt;
ATOM     28  C           0       2.635  -2.705  -0.028  0.00  0.00           C+0&lt;br /&gt;
ATOM     29  C           0       2.815  -3.812   0.800  0.00  0.00           C+0&lt;br /&gt;
ATOM     30  C           0       3.706  -4.802   0.442  0.00  0.00           C+0&lt;br /&gt;
ATOM     31  C           0       4.421  -4.698  -0.738  0.00  0.00           C+0&lt;br /&gt;
ATOM     32  C           0       4.247  -3.602  -1.564  0.00  0.00           C+0&lt;br /&gt;
ATOM     33  C           0       3.354  -2.609  -1.219  0.00  0.00           C+0&lt;br /&gt;
ATOM     34  H           0      -3.639   2.030   0.797  0.00  0.00           H+0&lt;br /&gt;
ATOM     35  H           0      -4.523   1.044  -1.137  0.00  0.00           H+0&lt;br /&gt;
ATOM     36  H           0      -4.667  -0.731  -1.131  0.00  0.00           H+0&lt;br /&gt;
ATOM     37  H           0      -6.199   2.236  -0.015  0.00  0.00           H+0&lt;br /&gt;
ATOM     38  H           0      -6.993   1.112  -1.911  0.00  0.00           H+0&lt;br /&gt;
ATOM     39  H           0      -6.967  -0.667  -1.852  0.00  0.00           H+0&lt;br /&gt;
ATOM     40  H           0      -2.390  -1.036  -0.401  0.00  0.00           H+0&lt;br /&gt;
ATOM     41  H           0      -2.076   0.716  -0.352  0.00  0.00           H+0&lt;br /&gt;
ATOM     42  H           0      -1.556   0.555   2.067  0.00  0.00           H+0&lt;br /&gt;
ATOM     43  H           0      -1.870  -1.196   2.018  0.00  0.00           H+0&lt;br /&gt;
ATOM     44  H           0       0.610   1.453   0.937  0.00  0.00           H+0&lt;br /&gt;
ATOM     45  H           0       2.490   2.359   0.352  0.00  0.00           H+0&lt;br /&gt;
ATOM     46  H           0       3.633   4.221  -0.940  0.00  0.00           H+0&lt;br /&gt;
ATOM     47  H           0       5.796   5.343  -1.292  0.00  0.00           H+0&lt;br /&gt;
ATOM     48  H           0       7.884   4.236  -0.607  0.00  0.00           H+0&lt;br /&gt;
ATOM     49  H           0       7.818   2.006   0.432  0.00  0.00           H+0&lt;br /&gt;
ATOM     50  H           0       5.661   0.879   0.796  0.00  0.00           H+0&lt;br /&gt;
ATOM     51  H           0      -0.131  -2.742   0.827  0.00  0.00           H+0&lt;br /&gt;
ATOM     52  H           0       2.257  -3.893   1.722  0.00  0.00           H+0&lt;br /&gt;
ATOM     53  H           0       3.846  -5.659   1.083  0.00  0.00           H+0&lt;br /&gt;
ATOM     54  H           0       5.118  -5.475  -1.015  0.00  0.00           H+0&lt;br /&gt;
ATOM     55  H           0       4.809  -3.526  -2.484  0.00  0.00           H+0&lt;br /&gt;
ATOM     56  H           0       3.219  -1.754  -1.865  0.00  0.00           H+0&lt;br /&gt;
CONECT    1    2   34    0    0                                         NONE  61&lt;br /&gt;
CONECT    2    1    3    4   12                                         NONE  62&lt;br /&gt;
CONECT    4    2    5   35   36                                         NONE  63&lt;br /&gt;
CONECT    5    4    6    7    8                                         NONE  64&lt;br /&gt;
CONECT    7    5   37    0    0                                         NONE  65&lt;br /&gt;
CONECT    8    5    9   38   39                                         NONE  66&lt;br /&gt;
CONECT    9    8   10   11    0                                         NONE  67&lt;br /&gt;
CONECT   10    9    0    0    0                                         NONE  68&lt;br /&gt;
CONECT   11    9    0    0    0                                         NONE  69&lt;br /&gt;
CONECT   12    2   13   40   41                                         NONE  70&lt;br /&gt;
CONECT   13   12   14   42   43                                         NONE  71&lt;br /&gt;
CONECT   14   13   15   26    0                                         NONE  72&lt;br /&gt;
CONECT   15   14   16   44    0                                         NONE  73&lt;br /&gt;
CONECT   16   15   27   17    0                                         NONE  74&lt;br /&gt;
CONECT   17   16   18   25    0                                         NONE  75&lt;br /&gt;
CONECT   18   17   19   45    0                                         NONE  76&lt;br /&gt;
CONECT   19   18   24   20    0                                         NONE  77&lt;br /&gt;
CONECT   20   19   21   46    0                                         NONE  78&lt;br /&gt;
CONECT   21   20   22   47    0                                         NONE  79&lt;br /&gt;
CONECT   22   21   23   48    0                                         NONE  80&lt;br /&gt;
CONECT   23   22   24   49    0                                         NONE  81&lt;br /&gt;
CONECT   24   23   19   50    0                                         NONE  82&lt;br /&gt;
CONECT   25   17    0    0    0                                         NONE  83&lt;br /&gt;
CONECT   26   14   27   51    0                                         NONE  84&lt;br /&gt;
CONECT   27   26   16   28    0                                         NONE  85&lt;br /&gt;
CONECT   28   27   33   29    0                                         NONE  86&lt;br /&gt;
CONECT   29   28   30   52    0                                         NONE  87&lt;br /&gt;
CONECT   30   29   31   53    0                                         NONE  88&lt;br /&gt;
CONECT   31   30   32   54    0                                         NONE  89&lt;br /&gt;
CONECT   32   31   33   55    0                                         NONE  90&lt;br /&gt;
CONECT   33   32   28   56    0                                         NONE  91&lt;br /&gt;
END                                                                     NONE  92&lt;br /&gt;
&amp;lt;/inlineContents&amp;gt;&lt;br /&gt;
&amp;lt;/jmolApplet&amp;gt;&lt;br /&gt;
&amp;lt;/jmol&amp;gt;&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*itching&lt;br /&gt;
*difficulty with memory/ thinking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=File:Atorvastatin_synthesis.JPG&amp;diff=5665</id>
		<title>File:Atorvastatin synthesis.JPG</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=File:Atorvastatin_synthesis.JPG&amp;diff=5665"/>
		<updated>2006-11-20T15:48:01Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5638</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5638"/>
		<updated>2006-11-20T15:30:03Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |Systematic IUPAC Name&lt;br /&gt;
|-&lt;br /&gt;
| Systematic Iupac Name&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;| [R-(R*, R*)]-2-(4-fluorophenyl)-beta, delta-dihydroxy-5- (1-methylethyl)-3-phenyl-4- [(phenylamino)carbonyl]-1H- pyrrole-1-heptanoic acid|- &lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Identifiers&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|CAS number&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 134523-00-5&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|ATC Code&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C10AA05&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Pub Chem&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 60823&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Drug Bank&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | APRD00055&lt;br /&gt;
|-&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Chemical Data&lt;br /&gt;
|- &lt;br /&gt;
| Chemical formula|Molecular formula&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C&amp;lt;sub&amp;gt;33&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;34&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;5&amp;lt;/sub&amp;gt;F &lt;br /&gt;
|-&lt;br /&gt;
| Molar mass&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 558.64 g/mol&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Lipitor (Atorvastatin) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Structure ==&lt;br /&gt;
&lt;br /&gt;
[[Image:lipitor2.gif|centre|100|image produced in chemdraw]]&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*itching&lt;br /&gt;
*difficulty with memory/ thinking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5632</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5632"/>
		<updated>2006-11-20T15:25:41Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |2D Structure of Lipitor(Atorvastatin)&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[ ]] &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| Systematic Iupac Name&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;| [R-(R*, R*)]-2-(4-fluorophenyl)-beta, delta-dihydroxy-5- (1-methylethyl)-3-phenyl-4- [(phenylamino)carbonyl]-1H- pyrrole-1-heptanoic acid|- &lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Identifiers&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|CAS number&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 134523-00-5&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|ATC Code&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C10AA05&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Pub Chem&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 60823&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Drug Bank&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | APRD00055&lt;br /&gt;
|-&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Chemical Data&lt;br /&gt;
|- &lt;br /&gt;
| Chemical formula|Molecular formula&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C&amp;lt;sub&amp;gt;33&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;34&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;5&amp;lt;/sub&amp;gt;F &lt;br /&gt;
|-&lt;br /&gt;
| Molar mass&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 558.64 g/mol&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Lipitor (Atorvastatin) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*itching&lt;br /&gt;
*difficulty with memory/ thinking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5627</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5627"/>
		<updated>2006-11-20T15:19:22Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |2D Structure of Lipitor(Atorvastatin)&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[ ]] &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| Systematic Iupac Name&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;| [R-(R*, R*)]-2-(4-fluorophenyl)-beta, delta-dihydroxy-5- (1-methylethyl)-3-phenyl-4- [(phenylamino)carbonyl]-1H- pyrrole-1-heptanoic acid|- &lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Identifiers&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|CAS number&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 134523-00-5&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|ATC Code&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C10AA05&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Pub Chem&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 60823&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Drug Bank&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | APRD00055&lt;br /&gt;
|-&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Chemical Data&lt;br /&gt;
|- &lt;br /&gt;
| Chemical formula|Molecular formula&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C&amp;lt;sub&amp;gt;33&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;34&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;5&amp;lt;/sub&amp;gt;F &lt;br /&gt;
|-&lt;br /&gt;
| Molar mass&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 558.64 g/mol&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Lipitor (Atorvastatin) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.[http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*Bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*Itching&lt;br /&gt;
*difficulty with memory/ thingking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5626</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5626"/>
		<updated>2006-11-20T15:18:10Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{| class=&amp;quot;toccolours&amp;quot; border=&amp;quot;1&amp;quot; style=&amp;quot;float: right; clear: right; margin: 0 0 1em 1em; border-collapse: collapse;&amp;quot;&lt;br /&gt;
! {{chembox header}}  colspan=&amp;quot;3&amp;quot; |2D Structure of Lipitor(Atorvastatin)&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; | [[ ]] &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| align=&amp;quot;center&amp;quot; colspan=&amp;quot;3&amp;quot; bgcolor=&amp;quot;#ffffff&amp;quot; |&lt;br /&gt;
|- &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| Systematic Iupac Name&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot;| [R-(R*, R*)]-2-(4-fluorophenyl)-beta, delta-dihydroxy-5- (1-methylethyl)-3-phenyl-4- [(phenylamino)carbonyl]-1H- pyrrole-1-heptanoic acid|- &lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Identifiers&lt;br /&gt;
|- &lt;br /&gt;
| CAS registry number|CAS number&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 134523-00-5&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|ATC Code&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C10AA05&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Pub Chem&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 60823&lt;br /&gt;
|-&lt;br /&gt;
| CAS registry number|Drug Bank&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | APRD00055&lt;br /&gt;
|-&lt;br /&gt;
|- &lt;br /&gt;
! {{chembox header}} colspan=&amp;quot;3&amp;quot;| Chemical Data&lt;br /&gt;
|- &lt;br /&gt;
| Chemical formula|Molecular formula&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | C&amp;lt;sub&amp;gt;33&amp;lt;/sub&amp;gt;H&amp;lt;sub&amp;gt;34&amp;lt;/sub&amp;gt;N&amp;lt;sub&amp;gt;2&amp;lt;/sub&amp;gt;O&amp;lt;sub&amp;gt;5&amp;lt;/sub&amp;gt;F &lt;br /&gt;
|-&lt;br /&gt;
| Molar mass&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | 558.64 g/mol&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
Lipitor (Atorvastatin) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.[http://http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*Bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*Itching&lt;br /&gt;
*difficulty with memory/ thingking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5604</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5604"/>
		<updated>2006-11-20T14:52:21Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Lipitor (Atorvastatin) is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.[http://http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will inhibit an enzyme in the liver (hepatic tissue) which is used to produce the LDL cholesterol.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*Bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*Itching&lt;br /&gt;
*difficulty with memory/ thingking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5602</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5602"/>
		<updated>2006-11-20T14:47:11Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Lipitor is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.[http://http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will block an enzyme in the liver which is used to produce the LDL cholesterol.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:[http://http://medguides.medicines.org.uk/displaypage.aspx?i=69&amp;amp;t=medicine side effect]&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*Bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*Itching&lt;br /&gt;
*difficulty with memory/ thingking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5600</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5600"/>
		<updated>2006-11-20T14:46:27Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Lipitor is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.[http://http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will block an enzyme in the liver which is used to produce the LDL cholesterol.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:&lt;br /&gt;
*allergic reaction&lt;br /&gt;
*loss of appetite&lt;br /&gt;
*Bruising&lt;br /&gt;
*chest pain&lt;br /&gt;
*headache&lt;br /&gt;
*Itching&lt;br /&gt;
*difficulty with memory/ thingking&lt;br /&gt;
*numbness in hand and feet&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5599</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5599"/>
		<updated>2006-11-20T14:43:16Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Lipitor is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor) which belongs to a lass of medicine called statins.It was introduced  in 1997. It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.[http://http://www.lipitor.com/cwp/appmanager/lipitor/lipitorDesktop 1]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will block an enzyme in the liver which is used to produce the LDL cholesterol.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated to some with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
Lipitor can cause a number of side effect:&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)[http://http://www.newmediaexplorer.org/sepp/2004/03/18/lipitor_side_effects_and_natural_remedy.htm 2]&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5595</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5595"/>
		<updated>2006-11-20T14:36:13Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Lipitor is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor).It was introduced  in 1997. It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will block an enzyme in the liver which is used to produce the LDL cholesterol.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
There have been numerous adverse side effect reports that lipitor could have been the cause of neuromuscular degeneration (losing control of muscle movement)&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5593</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5593"/>
		<updated>2006-11-20T14:26:24Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Lipitor is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor).It was introduced  in 1997. It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will block an enzyme in the liver which is used to produce the LDL cholesterol.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5592</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5592"/>
		<updated>2006-11-20T14:22:05Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Lipitor is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor). It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== How does it works ==&lt;br /&gt;
&lt;br /&gt;
LDL (low density lipoprotein) cholesterol can cause a buildup of plaque in the human artery, constricting the blood flow, thus induces atherosclerosis (thickening of the arteries). Lipitor will block an enzyme in the liver which is used to produce the LDL cholesterol.&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5589</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5589"/>
		<updated>2006-11-20T14:13:03Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Lipitor is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor). It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated with muscle pain and Liver problems. The symptoms occuring due to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5588</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5588"/>
		<updated>2006-11-20T14:11:44Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Lipitor is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor). It is used to block the production of cholesterol in the human body. It lowers your cholesterol level and reduces the risk of heart attacks and strokes.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated with muscle pain and Liver problems. The symptoms occuring duce to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5587</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5587"/>
		<updated>2006-11-20T14:08:34Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Lipitor is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor). It is used to block the production of cholesterol in the human body.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
== Health Complication ==&lt;br /&gt;
&lt;br /&gt;
Lipitor have been associated with muscle pain and Liver problems. The symptoms occuring duce to these health issues includes muscle pain, feverlike symptoms, abdominal pain, fatique, or dark coloured urine&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5584</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5584"/>
		<updated>2006-11-20T14:02:15Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Lipitor is a cholesterol-lowering medication (a type of HMG CoA reductase inhibitor). It is used to block the production of cholesterol in the human body.&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
	<entry>
		<id>https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5581</id>
		<title>It:Lipitor</title>
		<link rel="alternate" type="text/html" href="https://chemwiki.ch.ic.ac.uk/index.php?title=It:Lipitor&amp;diff=5581"/>
		<updated>2006-11-20T14:00:21Z</updated>

		<summary type="html">&lt;p&gt;Mha05: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Lipitor is a type of HMG CoA reductase inhibitor. It is used to block the production of cholesterol in the human body.&lt;/div&gt;</summary>
		<author><name>Mha05</name></author>
	</entry>
</feed>