Drug impurities and similar and different pharmacological actions
It got me thinking though, what sort of pharmacologically active things will be in old pills, and above is a nice example of the active ingredient, impurities and degradation products for atorvastatin (which the eagle-eyed amongst you will spot that atorvastatin itself is the top left molecule). Most impurities look like they stand a fair chance of being HMGCoA reductase inhibitors too, and some look quite radically different, in fact heaven knows what they might interact with - but it is an interesting question to ask.
Of course, these are present in small quantities in the finished product, but their fractional occurrence is like a watermark, that can detect variations in process, storage conditions and so forth - even counterfeit drugs.
If anyone is aware of cases where there is a marked and profound activity for a degradation product, please put it in the comment section.
If anyone is aware of cases where there is a marked and profound activity for a degradation product, please put it in the comment section.