Drugs of Abuse Flashcards
Mechanism of Action: Cocaine
Inhibit DAT (+SERT-NET) = blocks DA uptake
Mechanism of Action: Methamphetamine
Reverses DAT (+SERT-NET, VMAT) = releases DA
Mechanism of Action: Nicotine
Nicotinic receptor agonist = DA excitation
Mechanism of Action: MDMA (Ecstasy)
Reverses SERT > DAT, NET = 5HT releaser
Mechanism of Action: Opioids
meu receptor agonist (Gi/o) = disinhibition of DA neurons
Mechanism of Action: Alcohol
Facilitates GABA-A and inhibits NMDA receptors = excitation & disinhibition of DA neurons
Mechanism of Action: Benzodiazepines
Facilitates GABA-A = disinhibition of DA neurons
Mechanism of Action: Cannabinoids
CB1 receptor (Gi/o) agonist = disinhibition of DA neurons
Mechanism of Action: Hallucinogens (LSD, psilocybin)
5 HT2A (Gq) partial agonist
Mechanism of Action: Dissociative Anesthetics (Phencyclidine, Ketamine)
NMDA antagonist
Naloxone
Treatment of Opioid toxicity
Clonidine
Treatment of opioid withdrawal
Methadone
Treatment of opioid withdrawal
Long acting opioid agonist
Buprenorphine
Medication for opioid relapse, +/- naloxone
Mixed partial opioid agonist+naloxone
Disulfram
Medication for ethanol relapse
Inhibits acetalaldehyde dehydrogenase