Hallucinogens - PCP and Ketamine Flashcards

1
Q

PCP and Ketamine are ____ drugs

A

designer

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2
Q

PCP and Ketamine are both ____ ____ hallucinogens

A

dissociative anesthetic hallucinogens

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3
Q

When a drug is classified as a dissociative anesthetic hallucinogen, it can be qualified as either _____ and/or _____, however it also can have some ____ properties

A

“depressant” (sedative, pain)

“hallucinogen”

stimulant properties

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4
Q

Dissociative anesthetic hallucinogens, such as PCP and Ketamine, have separate perception from ______. The ____ properties are not well understood.

A

sensation

euphoric

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5
Q

What were PCP and Ketamine originally designed for?

A

surgery - however the side-effects were only apparent after if was put to use

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6
Q

In Canada, PCP and Ketamine are Schedule __ while they are Scheduled __ in the US. Both these drugs have also been used in psychiatric research to study ______

A

Schedule I in Canada: “date rape drug”

Schedule II in US: veterinary use

study schizophrenia

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7
Q

What are the general effects of the dissociative anesthetic hallucinogens?

A
  • catalepsy (loss of sensation and consciousness-inability to move)
  • amnesia
  • analgesic (pain killer - eliminate sensation)
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8
Q

What are the intake methods for ketamine? and time for action?

A

insufflation
inhalation
injection (10-60min)
ingestion (2hrs)

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9
Q

What are the intake methods for phencyclidine (PCP)? and time for action? How long does it last?

A

insufflation (1 min)
inhalation (5min)
*some people say that it lasts anywhere between 30 minutes to 18 hours

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10
Q

PCP - what is embalming fluid?

A

a yellowish oil solution that cigarettes or joints are dipped in

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11
Q

PCP - what is angel dust?

A

ground crystals and sprinkled on oregano or parsley and smoked - aka killer joints when mixed with marijuana

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12
Q

In low doses, what do PCP and Ketamine do with regards to serotonin and dopamine?

A

they are reuptake inhibitors - they disengage the reuptake transporter

they are also partial agonists for serotonin and dopamine - more readily available at the synapse

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13
Q

In high doses, PCP and ketamine have what effect on acetylcholine?

A

antagonistic:

  • blocks nicotinic = muscle contractions effected, making the person flacid
  • muscarinic = memory deficits, arousal, analgesia
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14
Q

At both low and high doses, PCP and ketamine have what effects on the NMDA (glutamate) receptors?

A

antagonist - disrupts LTP by emulating “stopper” signal which results in disordered learning - this is why trauma is such a serious thing when dealing with these drugs, because fear is learned (fear system is hyper activated)

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15
Q

Why is PCP used recreationally?

A

at low doses it makes you feel good cause of dopamine and serotonin - however, it is the high doses that aren’t good

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16
Q

With PCP and Ketamine, the effects are dose dependant. What happens at low doses?

A

drunk-like state, numbness in extremities, acts as an ANESTHETIC effect

17
Q

With PCP and Ketamine, the effects are dose dependant. What happens at moderate doses?

A

(5-10 mg) - disconnectedness from environment, dissociativeness from body - has DEPRESSANT effects (this is not depression, this is depressive!)

18
Q

With PCP and Ketamine, the effects are dose dependant. What happens at high doses?

A
  • sympathomimetic
  • hallucinations
  • lingering schizophrenic symptoms that can last for 2 months
19
Q

Taken in high doses, what specific effect can ketamine have?

A

“keyhole” experience - simulating near-death

20
Q

Taken in high doses, users might experience lingering schizophrenic symptoms that can last for 2 months, what might these include, and what hypothesis does this support?

A
  • delusions, paranoia, disordered thinking, catalepsies and catatonia, sparse/garbled speech, micro/macro scopia
  • results support “glutamate hypothesis” of schizophrenia (stimulant effects)
21
Q

T/F: PCP and Ketamine can have some long term amphetamine-like effects

22
Q

PCP and Ketamine can have what three effects?

A
  1. “superhuman” strength and “invulnerability”
  2. Megalomania
  3. Long-Term depression
23
Q

Why are these drugs said to have effects of “superhuman” strength and “invulnerability”?

A

the analgesia allows for excessive exertion, this usually results in severe physical injury to self

24
Q

“delusional fantasies of omnipotence, power, perception and the believe in a ‘god-like’ status”

A

megalomania - effect of ketamine and PCP

25
With chronic, prolonged use of ketamine, an individual can have a pathological decreased fear of ____
death
26
Long term depression is a result of PCP and Ketamine usage. Under what mechanism is this occurring?
chronic antagonism of the glutamate receptors leads to deficits in memory, speech, logic, and MDD-like symptoms Schizophrenic-like psychosis
27
What can prevent tolerance of PCP and Ketamine?
separation of administration by days
28
What occurs with prolonged regular intake of PCP and ketamine?
requires higher doses to achieve effect
29
What kind of tolerance effect can ketamine have?
accrued - permanent tolerance to psychedelic effects - ONLY WITH INJECTION
30
What is the physical dependance found in PCP? Ketamine?
PCP - effects on dopaminergic centers, BUT unsure if withdrawal symptoms are associated with brain-damage or not Ketamine - no physical dependence documented
31
Psychological dependance in PCP and Ketamine?
cravings have been observed, related to euphoria
32
The mechanisms of Ketamine may help us better understand and possibly help treat ___
MDD
33
When ketamine is used as psychedelic therapy for depression, what did results show after one dose?
alleviation of depressive symptoms within hours and it lasted more than a week
34
When ketamine is used to treat depression, one dose diminishes suicidal ideation in 40 minutes. What does the Glucocorticoid theory have to do with this?
inhibition of glutamate at NMDA allows for glutamate to bind elsewhere, and facilitate BDNF