Drugs of Dependence and Antidepressants Flashcards

1
Q

What is drug dependence?

A

Addiction

Drug use becomes compulsive and takes precedence over other needs

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2
Q

What is drug abuse?

A

Use of illicit substances (or illicit use of illegal ones) characterised by recurrent & chronically significant adverse consequences

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3
Q

Important site of the reward pathway…1… mediated by the release of …2..

A

1 Nucleus Accumbens

2 Dopamine

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4
Q

People who become addicted to drugs tend to have lower levels of —– in the nucleus accumbens to start with

A

Dopamine

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5
Q

What are some examples of 1st generation antidepressants?

A

Tryciclic AntiD

MAO inh

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6
Q

Tryciclic AntiD mechanism of action

A

inhibit neuronal uptake of NA and serotonin

narrow therapeutic window, side effects come first

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7
Q

MAO inh mechanism of action

A

increases levels of NA, Dopamine and serotonin by inhibiting the enzyme that breaks them down

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8
Q

2 generation of antidepressants include

A

Selective Serotonin Uptake Inhibitors (SSRI)

Selective Serotonin/Noradrenaline Uptake Inhibitors (SSNRI)

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9
Q

Caffeine belongs to the drug group…

A

Methylxanthine

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10
Q

MDMA (ecstacy) prolonged use causes

A

death of hyppocampal neurons

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11
Q

Site of action for LSD

A

5HT2 R

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12
Q

Why does LSD tend to be less addictive?

A

BAd trips

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13
Q

is alcohol a depressant or stimulant? why?

A

Depressant, inhibits Ca+2 channels in the CNS. inhibits glutamate R and enhances GABA activity

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14
Q

Active compound found in Marijuana

A

D9 THC

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15
Q

D9 THC mechanism of action?

A

acts on G protein coupled receptors blocking the activity of adenylate cyclase (inhibits the inhibition of inhibitory pathway —> more inhibition)

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16
Q

NMDA causes the release of

A

Serotonin and Dopamine

17
Q

LSD use causes the…

A

Confuses sensory modalities, hallucinations