Alcohol and the CNS Flashcards

1
Q

How does alcohol create rewarding effects?

A

It enhances dopamine release

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2
Q

How does alcohol affect the brain at lower doses (<50mg/dL)

A

It activates arousal mechanisms in the brain stem reticular

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3
Q

What effect does the GABA system have?

A

It has an inhibitory effect

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4
Q

How does alcohol work on the GABA system?

A

It is a positive allosteric modulator

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5
Q

How does alcohol affect the CNS?

A

It has a depressive effect on the CNS

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6
Q

At what dose does alcohol cause sedation?

A

Blood concentrations of 300-350mg/dL

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7
Q

What is the result of concentrations between 350-400mg/dL?

A

Respiratory depression

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8
Q

At what blood concentration can death occur?

A

400 mg/dL or higher

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9
Q

How does alcohol affect the Mesocorticolimbic Dopamine Pathway?

A

Decreases firing in the pre-frontal cortex, which decreases firing of GABA receptors in the Ventral Tegmental area and increases the firing of Glutamate receptors, causing a release of dopamine in the Nucleus Accumbens

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10
Q

What is the GABAa receptor?

A

An ion channel

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11
Q

How does alcohol effect the GABAa receptors?

A

It prolongs the length of time the channels are open for

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12
Q

How does the GABAa receptor work?

A

It opens and chlorine enters, which causes hyperpolarisation in the CNS

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13
Q

What is benzodiazepine?

A

Drug class that works in a similar way to alcohol (increases the influx of chlorine); used to treat alcohol withdrawl

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14
Q

How does chlorine effect the GABA system?

A

It causes inhibition once released

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15
Q

Where does GABA bind?

A

Post-synaptic GABAa receptors

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16
Q

What happens with chronic alcohol use?

A

There are fewer GABAa receptors as they are internalised

17
Q

How does alcohol tolerance arise?

A

Alcohol keeps channels open for longer and compensates for the fewer number which maintains normal inhibition

18
Q

What happens when alcohol is removed in someone who has developed tolerance?

A

There is no longer sufficient inhibitory signalling so there is increased susceptibility to seizures

19
Q

What is Lorazepam used for?

A

Alleviates seizures

20
Q

Why does cross-tolerance develop?

A

Both alcohol and the drugs used to treat it have the same targets