5 Flashcards
type of dependence
physical and psychological
Physical dependence : dependence that involves physical–somatic withdrawal symptoms (e.g., tremor, fatigue)
Pyschological dependence : dependence that involves emotional–motivational withdrawal symptoms (e.g., dysphoria and anhedonia)
cardinol symptoms of dependance ?
Tolerance: Does the patient tend to need more of the drug over time to get the same effect?
Withdrawal symptoms: Does the patient experience withdrawal symptoms when does not use the drug?
other symptoms of dependance ?
Continued use of drug despite harm: Is the patient experiencing physical or psychological harm from drug?
Loss of control: Does the patient take the drug in larger amounts, or for longer than planned?
Attempts to cut down: Has the patient made a conscious, but unsuccessful, effort to reduce its drug use?
Salience: Does the patient spend significant time obtaining or thinking about the drug, or recovering from its effects?
Reduced involvement: Has the patient given up or reduced his or her involvement in social, occupational or recreational activities due to the drug?
main structure involved
The medial forebrain bundle (MFB), Mesocorticale and Mesolimbic dopaminergic neurones
NAc : Nucleus Accumbens
PFC : Prefrontal Cortex
VTA : Ventral Tegmental Area
types of drugs
stimulant, sedatifs et dissociatif
mice models to test drug
Injections : acute, chronic. Conditioning response. Stereotype
Withdrawal (spontaneous / precipitation), we can precipitate by injecting an agonist (cf, morphin/malloxan)
Conditioning place preference or aversion. Also used for spontaneous pain with an analgesic
Self-administration (oral ; i.v. ; intra-cerebral; lever vs nose poke) : Acquisition, maintenance, dose-response, progressive-ratio, relapse
Auto-stimulation
Opiates
morphine and Heroin
pleasure analgesia
Amphetamines
MDMA, D-amphétamine (AMPH), Methamphetamine (METH)
cannabinoid ?
CB1 : metabotropic, coupled with Gi/o (inhibition of adenylate cyclase). Act on cerebral structures.
Augmentation of DA in the nucleus accumbens in mu-dependent manner