Drugs Of Abuse Flashcards
Cycle of drug addiction
- Binge/intoxication
- Withdrawal/negative affect
- Preoccupation/anticipation
Binge/intoxication brain reward circuitry
- mesolimbic pathway
- basal ganglia
Binge/intoxication activation
Direct and/ or indirect DA activation
Binge/intoxication habit formation
Constant DA release can lead to increases in habit formation by basal ganglia alterations
Withdrawal/negative affect circuitry
Limbic circuitry
- amygdala
- extended amygdala
Corticotropin releasing factor (CRF)
- flight or fight HPA axis activation
- stress
- appetite
- negative affect
- withdrawal
Allostasis theory of addiction
Process of maintaining apparent reward function stability by changes in brain reward mechanisms
Preoccupation/anticipation circuitry
Executive control circuitry:
- prefrontal cortex (PFC)
- hippocampus
Preoccupation/anticipation
PFC: go and stop system
- PFC to basal ganglia circuits involved in incentive salience
- Diminished in addicts
Alcohol low doses symptoms
- euphoria
- analgesic
- socialbility
Alcohol high doses symptoms
- loss of coordination
- memory loss
- unconsciousness
- death
Alcohol withdrawal symptoms
- nausea/vomiting
- negative affect
- hallucinations
- delerium tremens
- death
Benzodiazepines class
- depressant
- GABAa agonist
Benzodiazepines types
Chlordiazepoxide, diazepam, alprazolam, zolpidem, clonazepam, lorazepam
Benzodiazepines route of administration
Ingestion, inhalation, sublingual
Benzodiazepine withdrawal symptoms
- sleep disturbances
- increased tension
- anxiety
- panic attacks
- difficulty concentrating
- excessive sweating
- heart palpitations
- headache
- muscular stiffness or discomfort
- cravings
- hand tremors
- hallucinations
- seizures
- psychosis/psychotic reactions
- increased risk of suicidal ideation
Marijuana class
- depressant
- hallucinogen
- stimulant
Marijuana mechanism of action
- lipid soluble
- binds to CB receptor widespread
Marijuana effects
- relaxation
- eye reddening
- mouth dryness
- reduction or increases in anxiety/panic
- hunger
Marijuana routes of administration
- smoking
- vaping
- food
- extract
Cocaine class
- stimulant
- DAT transporter (mesolimbic pathway)