1. Begin with a six-membered, fully saturated ring (piperidine). Label its nitrogen as N1 and number the remaining atoms as carbons C2 through C6.
2. At C3, attach a quaternary carbon bearing three fluorine atoms (i.e., this carbon is bonded to C3 of the ring and to three fluorine atoms).
3. On the piperidine nitrogen (N1), attach a pyridine ring such that N1 bonds to what will be designated as C2' of the pyridine. Number the pyridine so that its own nitrogen is N1'. The ring then runs N1'-C2'-C3'-C4'-C5'-C6' back to N1'.
4. Place a nitro group at C5' of the pyridine. A nitro group consists of a nitrogen atom bonded to two oxygen atoms. One oxygen is double-bonded, while the other is single-bonded and carries a negative charge, with the nitrogen bearing a positive charge.
5. Place a primary amide group (-C(=O)-NH2) at C3' of the pyridine.