1 Pharmacology of the Central Nervous System Flashcards

1
Q

Blood brain barrier

A

Refers to the unique structure and function of the CNS capillaries.

Certain substances are not able to pass from the blood stream into the CNS

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2
Q

The blood brain barrier effect is caused primarily by…

A

the tight junction that
occurs between capillary
endothelial cells.

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3
Q

______ cells in the CNS and the ________________ contribute to the impermeability of the blood brain barrier

A

Nonneural cells and the capillary basement membrane

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4
Q

__________ drugs are able to cross the blood-brain barrier by ________ ________.

A

Lipid-soluble drugs are able to cross the blood-brain barrier by passive diffusion.

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5
Q

What happens if a drug that “will not benefit the CNS” diffuse through the blood brain barrier?

A

these drugs are then rapidly and efficiently transported out of the brain and back into systemic circulation.

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6
Q

Acetylcholine

A
  • cognition and memory

- excitatory

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7
Q

Dopamine

A

Important in regulating motor control.
Influences mood and emotions.

Inhibitory

Monoamine

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8
Q

Norepinephrine

A

important in alertness,
fight or flight.

Inhibitory

Monoamine

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9
Q

Serotonin

A

important in the inhibition of painful stimuli, and controlling mood and behavior.

Inhibitory

Monoamine

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10
Q

Monoamines

A

Dopamine
Norepinephrine
Serotonin

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11
Q

Amino acids that are neurotransmitters

A

Glycine
GABA
Aspartate
Glutamate

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12
Q

Glycine

A

Inhibitory in spinal cord

Amino acid

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13
Q

GABA

A

Inhibitory in presynaptic and postsynaptic neurons

Amino acid

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14
Q

Aspartate and glutamate

A

Produce neurotoxic effects when release during CNS injury

Excitatory

Amino acid

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15
Q

Peptides

A

Peptides relate to pain*

Substance P

Enkephalins

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16
Q

Substance P

A

Peptide

Transmits pain

Excitatory

17
Q

Enkephalins

A

Peptide

Excitatory

Decrease pain perception

18
Q

Specific ways a drug may modify synaptic transmission: (9)

A
  • Presynaptic action potential
  • Synthesis of neurotransmitter
  • Storage of neurotransmitter
  • Release
  • Reuptake
  • Degradation
  • Postsynaptic receptors
  • Presynaptic autoreceptors
  • Membrane effect