Drugs of abuse Flashcards
What results in a large degree of conditioning?
Mesolimbic dopaminergic activation
What is the active substance in tobacco smoke?
CNS nACHRs
What does nACHRs act on?
a4B2
What is the overall effect due to a balance of?
Neuronal excitation (activation of nACHRs) and desensitisation (blocking os synapses).
Where are inhibitory Renshaw cells?
Ventral horn of the spinal cord
What is the difference between 2 doses of nACHR?
Small dose - arousal
Large dose - calming
What are the peripheral effects of smoking?
Stimulation of autonomic ganglia and sensory receptors.
What are the two main ways of drugs treatment for cigarette dependence?
Nicotine replacement therapy with psychotherapy
Buproprion NA/DA reuptake blocker
What are the 5 main theories of ethanol action?
- Enhancement of GABA-mediated inhibition on GABAa
- Inhibition of Ca2+ entry
- INhibition of NMDAR function
- Inhibition of adenosine transport
- Endogenous opioids due to action of naltrexone reducing the reward effects
Why do many chronic alcoholics develop irreversible dementia?
Thinning of the cerebral cortex
Give 3 major sites of damage from alcohol consumption other than the CNS
- Increased fat accumulation
- Hepatitis
- Irreversible hepatic necrosis
What is alcohol metabolised to in the liver?
Acetaldehyde and acetic acid