Biopsychology Exam 3 Flashcards
What are 5 things necessary for a drug to be a drug?
- must be exogenous
- must be not necessary
- must be able to be given in relatively low doses
- must have an effect
- must have a site of action
What does it mean for a drug to have a site of action?
The locations at which molecules of drugs interact with molecules locatedon or in cells of the body, thus affecting some biochemical processes of these cells
What is pharmacokinetics
what the body does with the drug
what is pharmacodynamics
what the drug does to the body
The understanding and use of pharmacokinetic
principles can
increase the probability of therapeutic success and reduce the occurrence of adverse drug effects in the body
Routes of Drug Adminastration
Intravenous (IV) injection — into a vein
* Intraperitoneal (IP) injection — into space surrounding stomach, liver etc.; esp animals
* Intramuscular injection (IM) — COVID, flu vaccines
* Subcutaneous injection (SC) — into the space beneath the skin
* Orally — swallow pill
* Sublingual — under the tongue
* Inhalation — smoked
* Intranasal — snort
* Topical — into skin
Which routes of adminastration are quick
IV and smoking
What are two ways that Cyclobenzaprine can be given?
Can be given via swallowing a pill or sublingual oral dose (dissolving under tongue)
Is swallowing an oral dose or a siblingual oral dose quicker?
Sublingual is much quicker because they travel through capillaries of mouth and right to brain and not through stomach
After absorption, the drug distributes to
interstitial and intracellular fluids
Which organs recieve most of the drug
Liver, kidneys, brain, and other well-irrigated organs
Is the drug release to muscles and fat tissue slow or fast?
slow
What is the blood brain barrier
Barrier that restricts the indiscriminate access of certain
substances in the bloodstream to the CNS
Layer of astrocytes that prevents substances in the
circulating blood from freely entering the extracellular fluid
of the brain (i.e., blocks things from passing through
capillaries in the brain)
There’s a lack of the blood brain barrier in
Pituitary gland
Pineal gland (day/night cycle)
Area postrema (vomit toxic substances)
Metabolism Definition
Set of reactions and transformations that drugs undergo in the body
Excretion Definition
Elimination by the body of residues of drug metabolism.
what is the most important excretory organ
kidney
Excretion Pathways
Renal (kidneys)
Biliary (bile) and fecal
Pulmonary (lungs)
Sweat, saliva and tears
Breast milk
what is the margin of safety between
the dose response curve for the analgesic effect and the dose response curve for the depressive effect
Tolerance Definition
A decrease in the effectiveness of a drug that is administered repeatedly
Once someone has developed a tolerance, they will likely show ____ if they stop taking the drug suddenly
withdrawal symptoms
How is tolerance associated with receptors and binding?
- decrease in effectiveness of binding
- receptors become less sensitive
- receptors decrease in overall numbers
- coupling can become less effective
Sensitization definition
An increase in the effectiveness of a drug that is administered repeatedly
Is sensitization or tolerance more common?
tolerance
How can cocaine show both tolerance and sensitization?
movement effects are sensitization
euphoric effects are tolerance
2 categories of drugs
antagonists and agonists
Agonist definition
A drug that mimics or facilitates the effects of a neurotransmitter on the postsynaptic cell
Antagonist definition
A drug that opposes or inhibits the effects of a neurotransmitter on the postsynaptic cell
Two different types of binding
competitive and non-competitive binding
Competitive binding definition
when the receptor only has one site and either the neurotransmitter or the drug will get there first
non-competitive binding definition
when there are two receptor sites and both the neurotransmitter and the drug can bind
BUT two neurotransmitters could bind and two drugs could bind
If the drug serves as a precursor would it be an agonist or antagonist?
agonist
If the prevents storage of NT in vesicles, would it be an agonist or antagonist?
antagonist
If the drug inhibits release of NT, would it be an agonist or antagonist?
antagonist
If the drug stimulates postsynaptic receptors, would it be an agonist or antagonist?
agonist
If the drug stimulates autoreceptors, would it be an agonist or antagonist?
antagonist
If the drug blocks autoreceptots, would it be an agonist or antagonist?
agonists
If the drug inactivates acetylcholinestaerase, would it be an agonist or antagonist?
agonist
3 types of small molecules
Acetylcholine, Amines, Amino Acids
3 types of catecholamines
Dopamine, Norepinephrine, Epinephrine,
What is serotonin involved with
Mood, aggression, respiration, appetite
Which Neurotransmitters are really important for learning and memory?
Glutamate and GABA
5 Types of Medications
- Antidepressants
- Mood stabilizers
- Anti-anxiety medications
- Stimulants
- Anti-psychotics
Antidepressants are used to
LIFT mood out of a depressive episode
Besides depression, what are anti depressants used for?
Anxiety Disorders
OCD
Panic Disorders
Phobias
Bulimia
PTSD
is loss of energy an example of reduced positive affect or increased negative affect
reduced positive affect
Is serotonin dysfunction associated with increased negative affect or reduced positive affect?
increased negative affect
Is dopamine dysfunction associated with increased negative affect or reduced positive affect?
decreased positive affect
5 types of anti-depressants
SSRIs
SNRIs
NDRIs
MAOIs
Tricyclis
What is the difference between antidepressants and mood stablizers?
Antidepressants are used to LIFT
mood out of a depressive episode
Mood stabilizers are used to
REGULATE mood so that it
doesn’t get too low (depression)
or too high (mania)
3 types of Mood Stablizers
Lithium
Anticonvulsants (anti-epileptic)
Atypical antipsychotics
What is lithium helpful for?
mechanism of action isn’t quite known; effective for manic
episodes & maintaining remission; helpful for suicide prevention
What are anticonvulsants helpful for
uncertain mechanism of action; effective
for acute manic phases of bipolar disorder; inconclusive for bipolar
depression; a tonnnnnn of side effects
Types of Anti-anxiety medications
SSRIs
SNRIs
Anticonvulsants
Benzodiazepines
Characteristics of Benzodiazepines
Depressants/sedatives — feelings of calm, drowsiness, etc.
Generally these are GABA agonists
Inhibits arousal systems
People tolerate this well, but there is a real risk of dependence, abuse, and
withdrawal reactions
What are Xanax, Valium, and Ativan all examples of?
Benzodiazepines
What should Benzodiazapines not be taken with?
Alcohol
What does Aderall do?
It blocks the reuptake of norepinephrine and dopamine
What does Ritalin do?
non-competitively blocks the reuptake of dopamine and noradrenaline
What is psychosis?
A condition where people lose touch with reality
Thoughts/perceptions are disturbed
Hard to tell what is real and what is not real
Delusions & hallucinations
What are some characteristics of Typical Antipsychotics?
- “First generation”; 1950s
- Generally, these are blocking
dopamine at D2 receptors; tight
binding - They are still useful and prescribed
out of desperation - High risk of side effects
- Haldol & Thorazine
What are some characteristics of Atypical Antipsychotics?
*“Second generation”; 1990s
* Generally, these are blocking
dopamine at D2 receptors; loose
binding
* Very useful!
* Side effects not as bad as typical
antipsychotics
* Risperdal, Olanzapine
What is the order of operations for drug administration?
alcohol/stimulant/substance abuse –> mood disorders –> anxiety disorders –> ADHD –> nicotine dependance
What makes something a substance abuse disorder?
- Compulsion to seek out and take the drug (escalation)
- Impaired control in limiting intake
- Persistent despite very clear evidence of overtly harmful consequences
- Progressive neglect of alternative pleasures or interests
- [Relapse]
What is an example of negative reinforcement with drug use?
Feeling of alleviated pain after drug taking will increase drug taking behavior
What type of reinforcement typically establishes an addiction?
positive reinforcement
Where does positive reinforcement take place?
Synaptic
strengthening in
the ventral
tegmental area
* Sits next to the
substantia nigra; also
dopaminergic
* Mesolimbic
pathway (from VTA
to ventral striatum)
What is the ventral striatum involved with?
Initial stages of
addictive
behaviors
What is the dorsal striatum involved with?
Habit formation;
cue-induced
Negative Reinforcement Definiton
Negative reinforcement is when a
response/behavior is strengthened by
removing/avoiding the aversive thing
What is wanting in terms of drug abuse?
some salient incentive; form of motivation; CUES
The wanting dopaminergic systems becomes hyper-reactive; there’s an increase in wanting over time due to sensitization of mesolimbic pathway
What is liking in terms of drug use?
actual pleasurable impact of the reward consumption; fragile
Does the liking of a drug increase with time?
no it typically stays the same or even decreases
What are 3 risk factors of Addiction
Age, Genetics, Environment
Neurological disorders definition
Neurological disorders are “…diseases of the central and peripheral nervous
system. In other words, the brain, spinal cord, cranial nerves, peripheral
nerves, nerve roots, autonomic nervous system, neuromuscular junction, and
muscles
Mental Disorders are
Mental disorders are “…generally characterized by a combination of abnormal thoughts, perceptions, emotions, behavior and relationships with others
What do psychologists use to diagnose things?
DSM-5
What are the pros of the checkbox approach?
“Measuring the invisible”
Standardization
Can help rule things out
What are the cons of the checkbox approach?
- maybe we’re measuring wrong
- different clinical presentation earns the same diagnosis
- is it actually helpful for understanding the disorder