Lec 45 Stimulants, Anorexigenics, Hallucinogens Flashcards
What is mech of action cocaine and amphetamine-like drugs?
increase synaptic levels of DA, NE, 5HT [primarily via inhibiting reuptake transporters]
stimulant activity + addiction = mostly due to dopamine
What is mech of action of cocaine?
directly inhibit DAT reuptake inhibitor
What are the 3 exceptions to rule that stimulants increase synaptic level of catecholamiens or serotonin by inhibiting reuptake or increasing release?
- modafinil
- caffeine
- nicotine
What is mech of action amphetamines?
- substrate of NT reuptake transporters –> interfere with uptake
- ALSO increase synaptic transmitter release
What is antibipatory effect of cocaine?
with repeat exposure –> have anticipatory effect on nucleus acumbens
–> after exposure to cocaine, placebo saline can even cause DA release
Do amphetamines or cocaine have longer half life?
amphetamines
Which amphetamine has lower abuse potential than others? why?
because longer half life [~20 hr]
What is difference in amphetamines stereoisomers?
- D more potent for CNS, L for ANS
amphetamine prescription = 75% D
methamphetamine = 100% D
What is affect of stimulant withdrawal system?
- post-use “crash” –> depression, lethargy, weight gain, headache
What are signs specific to amphetamine withdrawal?
- anhedonia, increased appetite, hypersomnolence
What are signs specific to cocaine withdrawal?
- hypersomnolence, malaise, severe psychological craving, depression/suicidality
What are flashbacks?
longterm visual disturbances int ~4% of former users
What is effect of antimuscarnic hallucinogens?
parasympatholytic autonomic effects
What is action of endocannabinoids?
synthesized but not stored and released from cell bodies of stimulates neurons, diffuse retrograde across synaptic cleft to act on CB1 receptor of afferent nerve terminal
What are effects of inhalants [volatile solvents, NO, glue, etc]?
- euphoria, ataxia, hallucination, seizure
- toxicity: cerebellar degeneration, renal tubular acidosis, arrhythmias, myocarditis, cognitive decline