Chapter 4: Psychopharmacology Flashcards
Study of the effects of drugs on the nervous system and behavior.
Psychopharmacology
An exogenous chemical not necessary for normal cellular functioning that significantly alters the functions of certain cells of the body when taken in relatively low doses.
Drug
The changes we can observe in an individual’s physiological processes and behavior.
Drug effects
The points at which molecules of drugs interact with molecules located on or in cells of the body, thus affecting some biochemical processes of these cells.
Sites of action
Study of all drugs.
Pharmacology
Examples of drug abuse.
Heroin
Cocaine
Examples of therapeutic drugs.
Antidepressants
Antipsychotics
Includes the steps by which drugs are (1)
absorbed, (2) distributed within the body, (3) metabolized, and (4) excreted.
Pharmacokinetics
4 steps involved in pharmacokinetics.
Absorption
Distribution
Metabolism
Excretion
Injection into a vein; fastest route.
Intravenous (IV) injection
Drug is injected through the abdominal wall into the peritoneal cavity; rapid but not as rapid as an IV injection.
Intraperitoneal (IP) injection
The space that surrounds the stomach, intestines, liver, and other abdominal
organs.
Peritoneal cavity
Made directly into a large muscle, such as those found in the upper arm, thigh, or buttocks; drug is absorbed into the bloodstream through the capillaries that supply the muscle.
Intramuscular (IM) injection
Drug is injected into the space beneath the skin.
Subcutaneous (SC) injection
Most common form of administering therapeutic drugs to humans.
Oral administration
Accomplished by placing drugs beneath the tongue; drug is absorbed into the bloodstream by the capillaries that supply the mucous membrane that lines the mouth.
Sublingual administration
Drugs are inhaled through the route from the lungs; has very rapid effects.
Inhalation
Drugs are absorbed directly through the skin.
Topical administration
Drugs are sniffed; drugs enter circulation through the mucous membrane of the nasal passages.
Insufflation
Drugs are injected directly to the brain.
Intracerebral administration
Drug is injected to the cerebral ventricle.
Intracerebroventricular (IVC) administration
Drug is administered and absorbed through tissues.
Absorption
Drug is distributed throughout the body and blood.
Distribution
Drug is changed to an inactive form by enzymes (usually in liver).
Metabolism
Drug is excreted in urine by kidneys.
Excretion
The ability of fat-based molecules to pass through cell membranes.
Lipid solubility
Best way to measure the effectiveness of a drug by plotting effects of the drug on the vertical axis and dose of the drug on the horizontal axis.
Dose-response curve
One measure of a drug’s margin of safety; obtained by administering varying doses of the drug to a group of laboratory animals or human
volunteers.
Therapeutic index
2 reasons drugs vary in their effectiveness.
Sites of action
Affinity/ Affinity of the drug with its site of action
The readiness with which the two molecules
join together.
Affinity
Effects will diminish when a drug is administered repeatedly.
Tolerance
Repeated doses of a drug produce greater and greater effects; opposite of tolerance.
Sensitization
The opposite of the effects of the drug itself.
Withdrawal symptoms
When a person has repeatedly used a drug enough to produce withdrawal symptoms when they stop using it.
Physical dependence
Involves a decrease in the effectiveness of binding with receptors; receptors become less sensitive to the drug and their affinity for the drug decreases, or the receptors decrease in number.
First compensatory mechanism
Involves the process that couples the receptors to
ion channels in the membrane or to the production of second messengers; After prolonged stimulation of the receptors, one or more steps in the coupling process become less effective.
Second compensatory mechanism
An inactive substance that can produce a physiological or psychological effect.
Placebo
The points at which molecules of drugs
interact with molecules located on or in cells of the body.
Sites of action
Drugs that block or inhibit the postsynaptic effects.
Antagonists
Drugs that facilitate postsynaptic effects.
Agonists
Drugs that are considered agonists because administering them increases activity of the neurotransmitter system.
Precursor drugs
Pump molecules of the neurotransmitter across the vesicle membrane, filling the vesicles.
Vesicle transporters
An example of a drug that blocks vesicle transporters for monoamine neurotransmitter systems.
Reserpine
The neurotransmitter responsible for signaling muscle contractions in the PNS
Acetylcholine
A drug that mimics the effects of a neurotransmitter.
Direct agonist
Drugs that prevent the neurotransmitter from activating the receptor.
Receptor blocker/ Direct antagonists
Binding of a molecule with one of the alternative sites; molecule does not compete with molecules of the neurotransmitter for the same binding site.
Noncompetitive binding
Drug attaches to one of these alternative sites and prevents the ion channel from opening.
Indirect antagonist
Drug attaches to one of the alternative sites and facilitates the opening of the ion channel.
Indirect agonist
Used to treat the symptoms of anxiety; an indirect agonist and requires concurrent binding of GABA to produce its antianxiety effects.
Diazepam (Valium)
Used for protein synthesis by all cells of the brain.
Amino acids
The main excitatory neurotransmitter in the brain and spinal cord.
Glutamate
Package glutamate into vesicles.
Vesicle glutamate transporters
4 major types of glutamate receptors.
NMDA receptor
AMPA receptor
Kainate receptor
Metabotropic glutamate receptor
The most common glutamate receptor; controls a sodium channel, so when glutamate attaches to the binding site, it produces EPSPs.
AMPA receptor
Has similar effects with AMPA receptor.
Kainate receptor
Contains at least 6 different binding sites:4 located on the exterior of the receptor and 2 located deep within the ion channel; when open, the ion channel controlled by this receptor permits both sodium and calcium ions to enter the cell.
NMDA receptor
2 amino acid neurotransmitters.
Glutamate
GABA (gamma-aminobutyric acid)
Amino acid with inhibitory effects.
GABA (gamma-aminobutyric acid)
Secondary inhibitory amino acid neurotransmitter.
Glycine
Blocks the glutamate binding site on the NMDA receptor and impairs synaptic plasticity and certain forms of learning.
AP5 (2-amino-5-phosphonopentanoate)
Serves as an indirect antagonist; when it attaches to its binding site, calcium ions cannot pass through the ion channel.
PCP (phencyclidine)