alcohol + the nervous system Flashcards

1
Q

what does alcohol / ethanol do to dopamine release and what does this cause

A

enhances its release

rewarding brain effects

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2
Q

at doses <50mg/dL what does alcohol do

A

activates arousal mechanisms in the brain stem reticular formation

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3
Q

where is alcohol a positive allosteric modulator and what does it cause

A

at GABA receptors (low concentrations nM-uM)

depressive effect on the CNS

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4
Q

at higher doses >300-350mg/dL what does alcohol do

A

sedation / respiratory depression

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5
Q

at which concentration can death occur

A

400mg/dL

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6
Q

what is the mesocorticolimbic pathway

A
  1. increased ethanol
  2. ventral tegmental area - Glu + GABA –> morphine, ethanol firing decreases
    GABA + DA – increased ethanol firing
  3. nucleus accumbens - in DA increases
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7
Q

drink drive limit in Scotland

A

0.05%

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8
Q

drink drink limit in england

A

0.08%

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9
Q

0.16% =

A

nausea

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10
Q

0.2% =

A

confusion, blackouts

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11
Q

0.25%

A

severe impairment of cognitive, sensory and motor function

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12
Q

0.35%

A

sedation

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13
Q

0.4%

A

coma, death

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14
Q

alcohol interactions with anaesthetics

A

chronic alcohol consumptions = cross tolerance, increased doses are needed for same effect

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15
Q

alcohol interactions with tricyclic antidepressants

A

chronic alcohol consumption can increase bioavaliability can increase sedative side effects

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16
Q

alcohol interactions with opioids

A

increase in side effects and sedation

17
Q

alcohol interaction with NSAIDS

A

increased risk of GI ulceration

18
Q

alcohol interaction with insulin + SURs

A

increased hypoglycaemia risk

19
Q

alcohol interaction with anti epileptic drugs

A

acute alcohol = increased bioavaliablitity and side effects

chronic alcohol consumption = increased metabolism of AEDs = increased seizure frequency

20
Q

alcohol interaction with antibiotics

A

headaches, tachycardia + fainting

21
Q

alcohol interaction with warfrin

A

acute alcohol = increased bioavailability + risk of bleeding
chronic alcohol consumption = increased metabolism and lowered efficacy