Drugs Flashcards
Prefrontal cortex functions
Logic
Reason
Personality
Amygdala functions
Fear
Emotion
Nucleus accumbens functions
Reward centre
Dopamine dependent
Heroin dependence time
8-12 wks
EtOH dependence time
4 wks
Opioid actions
Mu opioid receptor agonist
Morphine / codeine
Opiate
Full agonists
Tramadol
Opioid
Full agonist
Fentanyl
Opioid
Full agonist
Methadone
Opioid
Full agonist
Used to wean addiction
Buprenorphine
Opioid
Partial agonist
Used to wean addiction
Opioid effects as dose increases (and opposite as decreases hence withdrawal)
Analgesia N and V, Constipation, Pruritis Euphoria Sedation Respiratory depression Death
Alcohol
GABA agonist
Benzodiazepines
GABA agonist
Pregabalin / Gabapentin
GABA agonist
Why must GABA agonists be gradually reduced and not suddenly stopped
Can cause seizures due sudden influx
Amphetamines
DA agonist
Cocaine
DA agonist
Base (Crack) Cocaine
DA agonist
MDMA / ecstasy
5HT, DA, NA agonist
Nicotine action
ACh agonist
Psychedelic drug examples
LSD (acid)
Psilocybin (magic mushrooms)
Psychedelic drug action
5HT-2a agonist
Ketamine
NMDA antagonist
Cannabis action
Cannabinoid receptor 1/2 agonist
Why is cannabis particularly bad for children < 20 years old?
Prevents dendritic pruning process