Exam 2 Flashcards
What happens when GABA is suppressed by alcohol?
the flow of chloride increases
What pathways are changed by alcohol?
AMP pathways
What specific neurotransmitters are more likely to be disturbed by alcohol?
GABA and Glutamate
What is a stimulant drug?
increases activity in your brain and nervous system. It also increases the circulation of chemicals such as cortisol and adrenaline in the body.
What does niacinamide adenine determine?
how much alcohol one can metabolize
_ to _ grams of alcohol can be metabolized per hour.
6 to 8 g
In what percent range would you likely have alcohol poisoning?
about 0.3% to 0.4%
Can the rate at which alcohol is metabolized be sped up?
no
Define “off label use”.
a drug that is not FDA approved
What are the 5 steps for treating alcohol dependency (pharmacotherapies)?
- reverse pharmacological effects
- prevent withdrawal
- maintenance of abstinence
- treat coexisting psych disorders and other related issues (depression, bipolar disorder, etc.)
- limit any neural-induced damage
What do reverse pharmacological effects mean?
detox
True or False: The use of caffeine is treated using various forms of therapy and drugs.
False, the use of caffeine is not treated.
What is the treatment of choice for treating alcohol dependency?
mixed approach
How is alcohol intervention handled (4)?
- prevent/treat some withdrawal symptoms
- use drugs to reduce relapse (combined with supportive therapy)
- treat complications
- reduce glutamate release and glutamate receptor regulation
What kind of treatment complications can come from treating alcohol dependency?
sleep issues and depression
How can glutamate receptors be regulated?
mood stabilizers and anticonvulsant
Toluene activates
the central reward systems in the brain
What did the rat study show about inhalants?
The rats showed an increase in stimulation in the hypothalamus as well as an increase in concentration levels. It also showed that there was an increase in depression after there was a crash in energy.
What are the different categories of inhalants?
anesthetics, solvents, office supplies (ex. white put, sharpies, etc.), gases (ex. butane lighters), household aerosol repellents (ex. hairspray, paints, cooking spray, cleaning products, etc.)
What age range is more likely to use and become addicted to inhalants?
mid-adolescents (13 to 15 million Americans)
Vapor is inhaled rapidly and as intoxication increases, the person becomes _.
disoriented
Why do some people die from inhalants?
the inhalants suppress O2
What is it called when a person dies from the usage of inhalants?
Sudden Sniffing Death Syndrome (SSDS)
True or False: It is not known exactly how inhalants work in the body.
True
What type of inhalant produces only light effects?
anesthetics
What is known about inhalant solvents?
they may slow brain activity
What are the effects of chronic use of inhalants?
damage to the liver, kidneys, parietal part of the brain, etc. chronic use can also cause dementia.
How is inhalant addiction treated?
through supportive/talk therapy
What are the “top two drugs of all time” according to Dr. Newell?
caffeine and nicotine
About how many Americans consume caffeine?
~80%
what are some pros to caffeine consumption?
mental alertness, dopaminergic effects, improvement in cognitive (when consumes in moderation) function, attention to detail, and reinforcement
How long does it take caffeine to reach its target?
~40 minutes
How long does the complete absorption of caffeine take?
~2 hours
Does caffeine get to the brain quickly or does it take a long time?
It gets to the brain fairly quickly
What percent of caffeine is left unchanged after it is metabolized?
about 10% is unchanged
What is the range of half-life for caffeine?
2 to 5 hours
What would cause caffeine half-life to be shortened?
smoking
What enzyme metabolizes caffeine?
CYP (1A2) enzyme
What is caffeine metabolized to?
paraxanthine (84%), theobromine (12%), and theophylline (4%)
After the __ metabolizes caffeine, the __ excrete what’s remaining into urine.
liver; kidneys
Which metabolites behave like caffeine?
theophylline and paraxanthine
Which metabolite of caffeine is inactive and can also be used to treat asthma?
theophylline
What may cause toxicity or intolerance to caffeine?
cross metabolism with SSRI’s
Caffeine stimulates the _ system.
nervous
What is a diuretic (also known as “water pills”)?
a drug that increases your frequency of urination to help rid your body of salt (sodium) and water
Caffeine is what type of drug?
a stimulant
Caffeine can be used to treat what?
migraines and narcolepsy
What are some behavioral effects of caffeine?
reduces fatigue, keeps you awake, alertness
How many cups of coffee per day is considered a heavy consumption of caffeine?
about 12 cups or more per day
How many cups of coffee per day is considered lethal? What is it called when you consume this amount or near this amount per day?
100 cups per day; caffeine intoxication
Caffeine adversely affects __ at how many milligrams?
muscle control; about 100 milligrams
What are the primary symptoms for caffeine withdraw?
headaches, increased agitation, and a crash
Caffeine exasperates _ disorder.
anxiety
Caffeinism
a complaint encompassing a variety of unpleasant mental and physical symptoms associated with the consumption of excessive amounts of caffeine; produces CNS and PNS stimulation
What are the symptoms of caffeinism?
restlessness, nervousness, insomnia, increased anxiety, gastrointestinal issues
What issues can caffeinism cause in the PNS?
tachycardia, hypertension, arrhythmias, GI issues
How does caffeine effect panic disorders?
symptoms are exaggerated
Caffeine can increase chances of getting _ disease.
heart
Caffeine can decrease flow as well as pressure in the _.
brain
Caffeine blocks which two adenosine receptors?
A1 and A2A
What happens when caffeine blocks A2A receptors?
the is an increase in dopamine (D2) in the frontal cortex which is where the reward effects of caffeine come from
Adenosine Receptors
neuromodulators; influence the release of neurotransmitters; exerts a depressant effect
What happens when adenosine receptors are blocked?
there will be an increase in the release of neurotransmitters in the brain; the activity of dopamine, acetylcholine, glutamate, and norepinephrine increases
What effects are seen when A1 is blocked by caffeine?
the release of dopamine and glutamate are inhibited, and sometimes acetylcholine is blocked
__ and __ are responsible for reward (pleasurable feeling) and the increase in alertness from caffeine.
dopamine and glutamate
__ accounts for the behavioral affects of caffeine.
acetylcholine
What is the addictive aspect of cigarettes?
nicotine
True or False: There is no medical use for nicotine.
True
In the U.S., when do most people begin smoking/become addicted to cigarettes.
teen years (15 to 16)
Most early cigarette use is related to what?
other drug use and psychoactive issues
Cigarette use in the U.S. has decreased by __ in the last 20 to 30 years.
half
What is the difference between smoking cigarettes, cigars, and pipes.
Cigar and pipe smoke is not inhaled like cigarette smoke
What is the most common way nicotine is consumed?
inhalation via cigarettes
In what way is nicotine used via patches? Why is this used?
Nicotine is used via patches as a slow drip. This is typically used for those who are trying to discontinue the use of cigarettes.
Nicotine is easily absorbed through __.
the lungs and skin
Nicotine smoke= ?
tar
Nicotine rapidly saturates the __.
blood
When nicotine leaves the lungs…
there isn’t as much nicotine in the blood as you’d think.
Cigarettes have different nicotine levels ranging from _ to _.
0.5 mg to 2 mg
~__ % of nicotine is inhaled and absorbed, the rest being absorbed by __.
20; CYP2A6
At what rate is nicotine metabolized?
quickly
What percent of nicotine is metabolized by the liver?
80 to 90%
What is the metabolite of nicotine?
cotinine
A higher level of cotinine is found in what demographic, making them more susceptible to addiction.
Black people
What is the half-life for chronic smokers?
~2 hours
What are the early symptoms of cigarette use?
nausea and feelings of sickness
Nicotine stimulates the __.
thalamus