Exam 2 Flashcards
Neuropharmacology
The study of compounds that selectively affect the nervous system
Ligand
Any substance that binds to a receptor
Exogenous ligand
Molecules from outside our own bodies, used throughout human history to affect our physiology and behavior
Endogenous
Occurs naturally within the body
Agonist
Mimic effects of another transmitter
Antagonist
Bind receptor without activating it
Inverse agonist
Bind to receptor and initiates opposite effect of usual transmitter
Acetylcholine abbreviation
ACh
Acetylcholine pathway
Cholinergic nerve cell bodies and projections contain ACh
Acetylcholine function
Learning and memory, maintains waking patterns of EEG in the cortex, neurotransmitter junctions, ACh is lost in Alzheimer’s disease
Dopamine abbreviation
DA
Dopamine pathway
DA is found in neurons in the mesostriatal pathway (originated in the midbrain specifically the substantia nigra, and innervates the striatum)
Mesotriatal pathway is important in motor control and neuronal loss is a cause of Parkinson’s
Another pathways is the mesolimbocortical DA pathway (originated in the midbrain in the ventral tegmental area) and projects to the limbus system and cortex
Dopamine function
Motor control, reward, reinforcement, and learning
Norepinephrine abbreviation
NE
Norepinephrine pathway
Released from two main clusters in the brain stem (locus coeruleus, lateral tegmental system) aka pons and midbrain
I
Norepinephrine function
Also known as noradrenaline, cells producing it are noradrenergic
Serotonin abbreviation
5-HT
Serotonin pathway
Cell bodies are mainly found in the raphe nuclei, and their serotonergic fibers project widely
Serotonin function
Sleep, mood, sexual behavior, and anxiety
Opioid peptides
Mimic opiate drugs such as morphine
Psychopharmacology
Study of how drugs affect the nervous system and behavior
Psychoactive drugs
A substance that acts to alter ABCs
Used to manage neuropsychological illness
Many promote craving and can produce addiction
Dose response curve
DRC. A graph of the relationship between drug doses and the effects
Pharmacodynamics
The functional relationship between drugs and their targets
ED50
Dose at which the drug shows half of its maximal effect
Threshold
Dose producing smallest measurable response
ED100
Dose at which maximum response is achieved, 100% effective dose
Therapeutic index
The separation between the effective dose and a toxic one
TI=LD50/ED100
Pharmacokinetics
Factors that affect the movement of a drug through the body
Blood brain barrier
Right junctions within the CNS that prevent the movement of large molecules, can limit drug availability
LADME
Liberation Absorption Distribution Metabolism Excretion
Liberation
The release of a drug into a biologic system from its original form (pill, liquid, inhaler, etc)
Absorption
Once liberated the drug must be absorbed by the system
First pass effect
The metabolism of orally administered drugs by gastrointestinal and hepatic enzymes, resulting in a significant reduction of unmetabolized drug reaching the systemic circulation
Distribution
The circulation of a drug to its target sites
Metabolism
Metabolism/bio transformation describes the breakdown of drugs
Liver primarily responsible
Half life refers to the amount of time it takes for the body to process half of a drug dose
Excretion
The elimination of the drug from the body
Kidneys primarily responsible
Pharmacokinetic (drug disposition, metabolic) tolerance
Increased metabolism reduces the effect of the subsequent dose
Behavioral tolerance
Drug may have the same biochemical effect but a reduced behavioral effect as a drug user learns to compensate for nervous system impairment
Pharmacodynamic (functional) tolerance
Sensitivity of neurons change after repeated use of a drug
Can cause withdrawal reactions
Cross tolerance
Tolerance to a whole class of chemically similar drugs
Withdrawal symptoms
May be caused by drug tolerance
Sensitization
Occurs when drug effects become stronger with repeated treatment
GABA
Primary inhibitory transmitter
Glutamate- primary excitatory
Stimulants
Increase nervous system activity and have an alerting, activating effect
Drugs of abuse can cause
DA release in the nucleus accumbens
Caffeine class
CNS stimulant
Caffeine mechanism of action
Caffeine blocks adenosine thereby increasing DA, NE, and epinephrine
Adenosine reduces the release of DA, NE, and epinephrine
Caffeine effects
Decreases sleepiness, more awakeness, etc
Nicotine class
CNS stimulant
Nicotine mechanism
Nicotinic ACh receptor agonist
Nicotine effects
Increases heart rate and blood pressure, improves attention
Cocaine effects (short)
Alertness, euphoria, stamina
Cocaine effects (long)
Sleeplessness, weight loss, general deterioration of mental and physical condition
Amphetamine effects (short)
Alertness, euphoria, stamina
Amphetamine effects (long)
Sleeplessness, weight loss, general deterioration of mental and physical condition