Drugs of abuse Flashcards

1
Q

What results in a large degree of conditioning?

A

Mesolimbic dopaminergic activation

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2
Q

What is the active substance in tobacco smoke?

A

CNS nACHRs

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3
Q

What does nACHRs act on?

A

a4B2

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4
Q

What is the overall effect due to a balance of?

A

Neuronal excitation (activation of nACHRs) and desensitisation (blocking os synapses).

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5
Q

Where are inhibitory Renshaw cells?

A

Ventral horn of the spinal cord

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6
Q

What is the difference between 2 doses of nACHR?

A

Small dose - arousal

Large dose - calming

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7
Q

What are the peripheral effects of smoking?

A

Stimulation of autonomic ganglia and sensory receptors.

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8
Q

What are the two main ways of drugs treatment for cigarette dependence?

A

Nicotine replacement therapy with psychotherapy

Buproprion NA/DA reuptake blocker

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9
Q

What are the 5 main theories of ethanol action?

A
  1. Enhancement of GABA-mediated inhibition on GABAa
  2. Inhibition of Ca2+ entry
  3. INhibition of NMDAR function
  4. Inhibition of adenosine transport
  5. Endogenous opioids due to action of naltrexone reducing the reward effects
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10
Q

Why do many chronic alcoholics develop irreversible dementia?

A

Thinning of the cerebral cortex

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11
Q

Give 3 major sites of damage from alcohol consumption other than the CNS

A
  1. Increased fat accumulation
  2. Hepatitis
  3. Irreversible hepatic necrosis
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12
Q

What is alcohol metabolised to in the liver?

A

Acetaldehyde and acetic acid

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