This document summarizes key concepts from a lecture on medicinal chemistry including receptor down-regulation and up-regulation, affinity and efficacy of drugs, potency and tolerance. It also discusses how stereochemistry can influence the absorption, distribution, metabolism and extraction of drugs. Specifically, it provides examples of how the enantiomers of norgestrel, L-dopa, and indacrinone differ in their absorption, plasma half-lives and binding to plasma proteins. The document concludes with an overview of the next lecture topic on drug metabolism.