hallicinagens, other Flashcards

1
Q

which two opioids are most abused among health professionals?

A

meperidine and fentanyl

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2
Q

withdrawal from what addictive drug includes: dysphoria, lacrimation, rhinorrhea, and yawning? is it life-threatening?

A

opiods - no

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3
Q

how do you treat opioid addiction?

A

illicit agent replaced by long-acting opiod and dose is slowly reduced
- use methadone or buprenorphine

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4
Q

withdrawal from what type of drugs is caused by a noradrenergic storm? name two drugs used to treat and their MOA

A

Opioids - heroin

Clonidine and lofexidine - alpha2 agonists

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5
Q

What drug can be used in opioid detox in patients highly motivated to remain opioid free? why only in motivated patients?

A

Naltrexone - wont satisfy cravings or relieve withdrawal

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6
Q

What drug binds to receptors CB1 and CB2? what type of receptors are these? where is each located?

A

cannabinoid receptors G protein linked coupled to
GiCB1: brain - major one for psych effects
CB2: immune cells

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7
Q

what is dronabinol? name 2 conditions it helps treat

A
therapeutic THC (cannabinoid)
anorexia in AIDS pts and nausea/vomiting in chemo patients (2nd line)
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8
Q

what three drugs are in the LSD-like group?

A

LSD
Mescaline
Psilocybin

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9
Q

describe the symptoms of LSD addiction and withdrawal

A

trick! no addiction or withdrawal!

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10
Q

what drug can be given for a “bad trip” on LSD?

A

diazepam - helps agitation

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11
Q

ketamine is an analog of what street drug?

A

phencyclidine aka PCP aka angel dust

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12
Q

what addictive drug causes feelings of empathy and intimacy? how does it work?

A

MDMA - ecstasycauses release of biogenic amines - mostly serotonin

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13
Q

withdrawal of what drug is characterized by depression lasting several weeks?

A

MDMA - ecstasy

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14
Q

which addictive drug produces euphoria, analgesia, then loss of consciousness?

A

nitrous oxide

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15
Q

what two inhalants an be used to enhance erection and are NOT addictive?

A

amyl nitrite and butyl nitrite

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16
Q

How can you tell if someone is physically dependent on a drug? how does this differ from tolerance?

A

If sudden cessation of the drug leads to withdrawal syndromeTolerance is just a diminution in effect of a drug over time

17
Q

which pathway in the brain is the prime target of addictive drugs?

A

mesolimbic dopamine pathway