Ecstasy Flashcards

1
Q

is ecstasy a stimulant or a depressant

A

stimulant

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2
Q

what was ecstasy originally patented for

A

to control bleeding from wounds

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3
Q

what two monoamines does MDMA increase the activity of

A

dopamine and serotonin

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4
Q

ecstasy has dose dependent effects, what is its effect in low doses

A

feelings of well-being, connection with others and heightened insight

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5
Q

what is its effect in high doses

A

hallucinogenic

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6
Q

name the 4 hormones that ecstasy increases the action of

A

serotonin, noradrenaline, dopamine and oxytocin

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7
Q

what is the effect of oxytocin

A

involved in affiliative behaviours - this is the love hormone which drives attachment between people

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8
Q

what is ecstasy’s effect on serotonin transmission

A

agonist of 5HT-2A receptors
blocks the serotonin transporter

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9
Q

what neurotransmitter does the feelings of fluidity of movement and increased happiness correspond with

A

dopamine

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10
Q

why is there a come down associated with MDMA

A

uptake pumps continue to remove serotonin from the synapse whilst MAO is breaking it down

therefore the number of serotonin receptors that are activated is reduced

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11
Q

which replenishes quicker: serotonin or dopamine

A

dopamine

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12
Q

what does the comedown facilitate

A

drug seeking behaviour - to life people out of this depressive state

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13
Q

name 3 acute behavioural effects of ecstasy

A

increased feelings of empathy
decreased aggressiveness
de-realisation

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14
Q

name 3 physiological effects of ecstasy use

A

jaw clenching
pupil dilation
increased BP and HR

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15
Q

how does hyperthermia and hypernatremia arise

A

ecstasy raises body temperatures by constricting blood vessels to slow heat loss

warm temperatures in the club and excessive dancing cause increase in body temperature

MDMA can mask the feelings of thirst - dehydration impairs sweating

however too much fluid is dangerous and can cause hypernatremia.

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16
Q

name 3 potential psychiatric problems associated with ecstasy use

A

psychosis
depression
depersonalisation