Addiction Flashcards

1
Q

where is the addiction centre in the brain?

A

nucleus accumbens and medial forebrain.

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2
Q

which neurotransmitters are largely responsible for addiction?

A

dopamine, serotonin, noradrenalin

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3
Q

which characteristics of drugs contribute to addiction?

A
rapid onset
potency
short duration
tolerance
withdrawal effects
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4
Q

the 4 Cs of addiction?

A

Consequences ignored
inability to Cut down
Cravings
Compulsive use

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5
Q

which neurotransmitters are responsible for alcohol’s effects?

A

NMDA inhibition

GABA enhanced

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6
Q

which system does alcohol affect in the brain?

A

inhibition of reticular activating system

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7
Q

what neurotransmitter effects are seen in alcohol withdrawal

A

unopposed NMDA + autonomic hyperactivity

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8
Q

symptoms of alcohol withdrawal?

A

cerebellar tremor, sweating, tachycardia, vomiting, seizures, tachyarrhythmias, hallucinations

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9
Q

drug to treat alcohol withdrawal?

A

benzodiazepine

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10
Q

chronic alcohol effects on the GI?

A

gastritis, esophagitis, pancreatitis

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11
Q

chronic alcohol effects on CV system?

A

hypertension, arrhythmias, stroke

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12
Q

drugs to reduce drinking?

A

naltrexone (competitive opiod antagonist)
acamprosate (GABA enhancer)
disulfiram (acetaldehyde dehydrogenase inhibitor)

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13
Q

effects of nicotine withdrawal?

A

fatigue, irritability, craving

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14
Q

which receptors do opiods act on?

A

endorphin (mu) receptors

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15
Q

opioid withdrawal symptoms?

A

myalgia, chills, vomiting, depression, insomnia

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16
Q

effect of cocaine on neurotransmitters?

A

blocks dopamine, norepinephrine, epinephrine

17
Q

withdrawal effectsof GHB?

A

similar to alcohol: tremor seizures, hallucinations, delirium

18
Q

neurotransmitter effect of MDMA?

A

release of serotonin

19
Q

MDMA adverse effects?

A

long-term memory impairment, serotonergic syndrome (altered mental status, agitation, fever, myoclonus)