Exam 2 Flashcards

1
Q

how are psychoactive drugs classified?

A
  • chemical nature
  • effects they produce
  • plant source
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2
Q

problems with classifying psychoactives

A
  • some have combination of effects (e.g. stimulant + hallucinogen)
  • chemically similar substances can also produce very different effects
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3
Q

narcotics

A

confusing term–opium products or any habit-forming illicit drug

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4
Q

psychoactive drug examples from class

A
  • ayahuasca: in S. American rituals, but overused by Westerners
  • belladonna: dialates pupils
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5
Q

4 main psychoactive classifications by effect

A
  • stimulants/convulsants
  • narcotic analgesics: mainly opiates, block ability to sense pain
  • psychedelics: norepinepherine and seratonin mimics
  • antipsychotics: deplete norepinepherine
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6
Q

types of stimulants + their mechanisms

A
  • cocaine: block norepinepherine reuptake
  • caffeine: activate intracellular metabolism
  • nicotine: stimulate acetylcholine receptors
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7
Q

chemical properties of psychoactives

A
  • almost all (except THC) are alkaloids (amide or amine)
  • have to enter bloodstream and be transported to sites where they exert effects
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8
Q

how do people get high from psychoactives?

A
  • taken orally, injected, or passed through a membrane
  • blood circulates it
  • acts on a target site
  • broken down by liver and excreted by kidneys (why there’s an initial rush and then it wears off)
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9
Q

mode of action for psychoactives (general)

A
  • some act on only CNS, some also act on PNS
  • all act by altering normal interactions between neurons and NTs at synapses
  • psychoactives bind to receptor sites of neurons and either mimic or inhibit NTs
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10
Q

5 main types of NT that psychoactives mimic/inhibit

A
  • acetylcholine
  • norepinepherine
  • serotonin
  • dopamine
  • neuropeptides
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11
Q

agonists and antagonists

A
  • agonists: mimic a NT
  • antagonist: inhibit a NT
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12
Q

use of hallucinogens for Shamanism

A
  • shamanism: history of healing, divination, and theatrical performance based on natural magic
  • shamans use hallucinogens on themselves to have healing visions; heal people supernaturally
  • differ from healers, who use plant medicinals (more similar to Western medicine principals)
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13
Q

use of iboga in rituals

A
  • Iboga used in Gabon (Bwiti religion) for shaman initiations
  • initiations ritualistic and can be painful
  • other elements of initiation include drumming, breath manipulation, fasting, theatrical illusions, and abstinence
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14
Q

hallucinogen plants we are primarily discussing

A
  • marijuana
  • opium
  • tobacco
  • coca
  • peyote
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15
Q

marijuana origin and history

A
  • originated in central and S. Asia
  • seeds dispersed by birds, wind, water, and animals
  • used traditionally during mourning
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16
Q

different varieties of marijuana

A
  • hemp: grown close together; upward growth better for fibers
  • higher THC marijuana: grown more spaced out with lots of light, more resin produced by females
  • sinsemella: unfertilized female flowers, most resin!!
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17
Q

history of marijuana in the US

A
  • introduced to US through S. America and caribbean (1920s)
  • appreciation rose during prohibition era
  • popular in jazz music, abstract art
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18
Q

THC

A
  • tetrahydro cannibinol; main psychodelic in resin of marijuana
  • mimics anandamide, a NT that helps you forget bad memories
  • activates receptors in hippocampus and frontal cortex
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19
Q

history of growing marijuana in US

A
  • US sprayed paraquat in Mexican fields, so people turned to domestic-grown
  • government crackdown meant growers turned to indoors
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20
Q

domestication of marijuana

A
  • tall species (Sativa) crossbred with low species (Indica)
  • precise nutrients, water, and tons of light are used for plants indoors–90 day life cycle!
  • males kept out of grow room to trick females into producing more resin!
21
Q

ways different cultures use marijuana

A
  • Bhang: milklike marijuana drink
  • Ganja: flowers rolled to smoke
  • Hashish: concentrated resin used in hookahs
22
Q

opium compounds

A
  • 20+ alkaloids in latex of poppy fruits (called opium)
  • morphine is most abundant; first isolated in 1803 (10x stronger than opium)
23
Q

controversy over opium

A
  • addiction to opium noticed during civil war; led to creation of heroin synthetic as a cough syrup
  • 1914 law against opiates for non-medical purposes
24
Q

history of opium

A
  • fruit first collected in Sumeria (mesopotamia) in 3000 BC
  • Dutch brought it to Taiwan
  • Boxer Wars: British began to dominate trade to China
  • now grown in the Golden Triangle (SE Asia) and Golden Crescent (Afghanistan and Pakistan)
25
Q

traditional uses of Coca

A
  • used by Incas (legal to grow in S. America)
  • “coca and oca” – chewed with lime!
26
Q

compounds in the Coca plant

A
  • cocaine isolated from latex in 1860; originally recommended to treat morphine and alcohol addiction
  • coke: hydrochlorate salt
  • crack: mixed with baking soda and boiling water
27
Q

how does cocaine affect the body?

A
  • blocks reuptake of dopamine and norepinephrine
  • excessive use results in depression and paranoia
28
Q

history of tobacco

A
  • from Americas; traditionally used by native tribes (“peace pipes”)
  • Columbus brought it back to Spain
  • British promoted more cultivation in Virginia colony
29
Q

tobacco farming today

A

highly controlled!
- optimal fertilizer and spacing
- flowers and stalks removed
- cured and additives added

30
Q

tobacco compounds

A
  • nicotine: nervous system stimulant!
31
Q

timeline of middle ages

A
  • began 450-500 AD with fall of Roman Empire
  • ended 1450-1500 AD with invention of printing press, guns, and discovery of America
32
Q

three sources of medieval medicine

A
  • classical, folk and christian medicine all interwoven
  • medicine was a combination of science, magic, and religion
33
Q

principles of classical medicine

A
  • combination of science and philosophy (Galen)
  • 4 natural humors: blood, plegm, yellow bile, black bile
  • imbalance of humors caused disease
34
Q

notable figures of classical medicine

A
  • Hippocrates: Greek “father of medicine”
  • Dioscorides: herbalist who wrote Materica Medica (>600 medical herbs described)
  • Galen: doctor for gladiators and Roman Emperor; combined practical medicine of Hippocrates with philosophy of Aristotle
35
Q

what was folk medicine?

A
  • traditional celtic, germanic, and slavic cures
  • combined herbs and magic (craft, not science)
36
Q

principles of folk medicine

A
  • medicine came from the Gods (Odin)
  • “sympathy:” similarity implied connection
  • elves and goblins caused disease
37
Q

what was christian medicine?

A
  • based on Christian teachings
  • clerics (monks and nuns) were healers
  • combined herbs and prayer
38
Q

principles of Christian medicine

A
  • nature was created by God for a purpose, and he placed cures of all diseases in the natural world
  • disease is the result of the fall of man (or from demons)
39
Q

texts in medieval medicine

A
  • old english herbal: written in England ~1000 AD; 185 plants + medical uses based on ancient sources like Diascorites
  • anglo-saxon leechbooks: medical texts or spellbooks (leech means doctor or wizard); organized from top to bottom of body
40
Q

advancements in intellectual culture during the high middle ages (1000-1300)

A
  • new knowledge from contact with Islamic world
  • Hippocrates, Diasocrates, and Galen’s works translated into latin
  • increased literacy and book availability
  • medical universities established, but limited to Christian men
41
Q

notable figures during high middle ages

A
  • Constantine the African: Muslim merchant who translated works by Hippocrates, Galen, etc
  • Hildegard of Bingen: German abbess, intellectual, mystic, herbalist
  • Paracelsus: doctor without formal training who had a radical approach called alchemical medicine (plant extracts used, not just whole plants)
42
Q

characteristics of traditional healers

A
  • personal relationship to patient; caring and compassion
  • treating mind and body together
  • either had dreams about being summoned, were identified by another healer, or had seizures
  • formal training from apprenticeship or Tibetan medical school
  • high social status
  • willing to work with Western medicine to heal
  • often male (except midwives)
43
Q

what is biocultural healing?

A

healing the social, ecological, and biological aspects of health
- takes into account historical factors
- understands that every body is different
- treats someone beyond their obvious symptoms

44
Q

early uses of medicinal plants

A
  • evidence from paleolithic graves in the fertile crescent
  • trial and error: plants could cause sedation, hallucination, pain relief, poisoning, etc
45
Q

medicinal plant evidence from shanidar cave

A
  • Shanidar Cave in Kurdistan (60k years ago)
  • 4 skeletons and 1 with deformities, evidence of medicinal plants
46
Q

history of mesopotamia

A
  • land along Tigris and Euphrates riverbeds
  • cunieform (stone tablets) used to document writing
  • Assyrian King had >600 tablets about medical plants, animal parts, mineral substances, incantations, etc!
  • Babylonian King documented >300 medical plants including opium!
47
Q

history of Egypt

A
  • multiple gods
  • medicinals included aloe, mandrake, opium, juniper berries
  • embalming common–fluid identity between healers and morticians!
  • papyrus (paper) used for text
48
Q
A