Lecture 12. Drug Use, Drug Addiction, and the Brain's Reward Circuits Flashcards
drugs that influence subjective experience and behavior by acting on the nervous system.
Psychoactive drugs
route of administration influences the rate at which and the degree to which the drug reaches its sites of action
Drug administration
4 Drug Administration and Absorption
- Oral Ingestion
- Injection
- Inhalation
- Absorption through mucous membranes
the ___ ___ is the preferred route of administration for many drugs
oral route
two main advantages of the oral route:
- easy
- relatively safe
common in medical practice because its effects of are strong, fast, and predictable
injection
Types of Injection
- Subcutaneously (SC)
- Intramuscularly (IM)
- Intravenously (IV)
type of injection that is into the fatty tissue just beneath the skin
Subcutaneously (SC)
into the large muscles
Intramuscularly (IM)
directly into veins at points where they just run just beneath the skin
Intravenously (IV)
Some drugs can be absorbed into the bloodstream through the rich network of capillaries in the lungs.
Inhalation
Some drugs can be administered through the mucous membranes of the nose, mouth, and rectum
absorption through mucus membranes
Once a drug enters the bloodstream, it is carried
to the blood vessels of the central nervous system
Drug Penetration of the Central
Nervous System
stimulate the conversion of active drugs to non-active forms
liver enzyme
a state of decreased sensitivity to a drug that develops as a result of exposure to it
Drug Tolerance
One drug can produce tolerance to other drugs
that act by the same mechanism
cross tolerance
Increasing sensitivity to a drug
drug sensitization
Two categories of changes underlie drug tolerance
- Metabolic tolerance
- Functional tolerance
drug tolerance that results from changes that reduce the reactivity of the sites of action to the drug
Functional tolerance
drug tolerance that results from changes that reduce the amount of the drug getting to its sites of action
Metabolic tolerance
sudden elimination that can trigger an adverse physiological reaction after significant amounts of a drug have been in the body for a period of time
withdrawal syndrome
Individuals who suffer withdrawal reactions when
they stop taking a drug are said to be ___ ____ on that drug
physically dependent
habitual drug users who continue to use a drug
despite its adverse effects on their health and social life, and despite their repeated efforts to
stop using it
Drug Addicted Individuals
2 Role of Learning in Drug Tolerance
- Contingent Drug Tolerance
- Conditioned Drug Tolerance
demonstrations that tolerance develops only to drug effects that are actually experienced
Contingent Drug Tolerance
two groups of subjects receive the same series of drug injections and the same series of repeated tests, but the subjects in one group receive the drug before each test of the series and those in the other group receive the drug after each test of the series
Before-and-after design
demonstrations that tolerance effects are maximally expressed only when a drug is administered in the same situation in which it has previously been administered
Conditioned Drug Tolerance
increasingly counteract the unconditional effects of the drug and produce situationally specific tolerance
Conditioned compensatory responses
Most demonstrations of conditioned drug tolerance have employed ___ ____ as the conditional stimuli.
exteroceptive stimuli
internal, private stimuli
interoceptive stimuli
Five Commonly Used Drugs
- Nicotine
- Alcohol
- Marijuana
- Cocaine and Other Stimulants
- The Opioids: Heroin and Morphine
major psychoactive ingredient of tobacco
Nicotine
NIcotine is most commonly administered through ___
inhalation
Nicotine is classified as both a ____ and a ___
stimulant and depressant
Two common methods of nicotine inhalation
- smoking
- vaping
inhaling a vapor that contains
nicotine
vaping
most common method of nicotine inhalation
smoking
a plant that contains nicotine, an addictive drug with both stimulant and depressant effects.
tobacco
Effects of Smoking a Cigarette on Nonsmokers
- nausea
- vomiting
- coughing
- sweating
- abdominal cramps
- dizziness
- flushing
- diarrhea.
Consequences of Long-Term
Tobacco Use
- Smoker’s Syndrome
- Respiratory Disorders
- Increased Cancer Risk
- Cardiovascular Diseases
- Secondhand Smoke Risks
- Buerger’s Disease
- Gangrene Progression
- Vulnerability of the Unborn
- Teratogenic Effects
- Paternal Nicotine Consumption
Characterized by chest pain, labored breathing, wheezing, coughing, and increased susceptibility to respiratory infections.
Smoker’s Syndrome
Chronic smokers are prone to potentially lethal lung disorders, including pneumonia, bronchitis, emphysema, and lung cancer.
Respiratory Disorders
In this disease, blood vessels, especially in the legs, become constricted
Buerger’s Disease
death of body tissue due to a lack of blood flow or a serious bacterial infection.
Gangrene
transmission of heritable changes in gene function from one generation to the next
transgenerational epigenetics
introduced the first e-cigarette in 2003
Hon Lik
an affective state in which there is a strong desire for the drug
Compulsive Drug Craving
involved in more than 3 million deaths each year across the globe, including deaths from birth defects, ill health, accidents, and violence.
alcohol
characterized by disturbing hallucinations, bizarre delusions, disorientation, agitation, confusion, hyperthermia (high body temperature), and tachycardia.
delirium tremens (DTs)
In the liver, chronic alcohol use can cause ____, a condition where the liver gets scarred.
cirrhosis
The offspring of mothers who consume substantial quantities of alcohol during pregnancy can develop ___ ___ ____
fetal alcohol syndrome
(FAS)
A child with FAS suffers from some or all of the following symptoms:
- brain damage
- intellectual disability
- poor coordination
- poor muscle tone
- low birth weight
- delayed growth
- physical deformity
name commonly given to the
dried flower buds of female Cannabis plants.
Marijuana
three species of Cannabis:
- Cannabis sativa
- Cannabis indica
- Cannabis ruderalis
Usual Consumption Method of Marijuana
Smoking: Typically done by rolling the marijuana flowers into a joint (marijuana cigarette) or using a pipe.
Alternative Consumption Method of Marijuana
Ingestion
Oral Consumption Process of marijuana
Baking: The flowers are often baked into an oil-rich substrate—such as a chocolate brownie— to promote absorption from the gastrointestinal tract
The psychoactive effects of marijuana are largely attributable to a constituent called _____
THC (delta-9-tetrahydrocannabinol).
Common effects of marijuana includes
- sense of unreality
- emotional intensification
- sensory distortion,
- paranoia
- impaired driving ability
Health hazards of Marijuana Use
- Respiratory Symptoms
- Cardiovascular Effects
- Brain Damage Misconception
- Neuroprotective Effects
- Discovery of Receptors
- Endocannabinoids
- Therapeutic Effects of THC
- Transgenerational Effects
drugs whose primary effect is to produce general increases in neural and behavioral activity.
Stimulants
a popular commercial stimulant
coca-cola
Cocaine is derived from
from the leaves of the coca shrub, mainly found in western South America.
refined white powder form of cocaine, typically consumed by snorting or injection.
Cocaine hydrochloride
Individuals addicted to cocaine often engage in __ ___or binges with high and escalating intake levels for a day or two.
cocaine sprees
are psychoactive drugs that produce feelings of empathy
Emphatogen
Cocaine changes how the brain handles ___, a chemical messenger.
dopamine
How regular stimulant affects health?
- Cognitive Impairments
- Parkinson’s Disease Risk
- Heart Pathology
- Correlational Nature of Results
- Transgenerational Epigenetic Effects of Cocaine
the dried form of sap exuded by the seedpods of the opium poppy—has several psychoactive ingredients.
Opium
Morphine, codeine, and other drugs that have similar structures or effects are commonly referred to as ___
opioids
two classes of endogenous opioid neurotransmitters
endorphins and enkephalins
refers to something that originates or is produced within the body or organism itself.
endogenous
father of modern surgery
Dr. William Steward Halsted:
the primary treatments for heroin addiction in many countries.
Methadone and buprenorphine
Suggested addicted individuals are trapped in a cycle of drug taking and withdrawal symptoms
Physical-Dependence Perspective
Assumes that most addicted individuals seek drugs for positive effects, not just to avoid withdrawal.
Positive-Incentive Perspective
repeated performance of a response that delivers electrical stimulation to certain sites in the animal’s brain.
Intracranial Self-Stimulation (ICSS)
Intracranial Self-Stimulation (ICSS) is pioneered by:
Olds and Milner in 1954
system of dopaminergic neurons that projects from the mesencephalon (the midbrain) into various regions of the telencephalon and plays an important role in intracranial self-stimulation.
Mesotelencephalic Dopamine System
mesotelencephalic dopamine system consists of neurons with cell bodies in two midbrain nuclei namely
- substantia nigra
- ventral tegmental area (VTA)
pathway along which axons from neurons in the substantia nigra project to the dorsal striatum.
Nigrostriatal Pathway
implicated in mediating
intracranial self-stimulation
Mesocorticolimbic Pathway
Nonhuman animals press a lever to inject drugs into themselves through implanted cannulas (thin tubes).
Drug self-administration paradigm
Nonhuman animals repeatedly receive a drug in one compartment (the drug compartment) of a two-compartment box.
Conditioned place-preference paradigm
involves the release of dopamine, a neurotransmitter associated with pleasure and reward, from the ventral tegmental area (VTA)
mesocorticolimbic dopamine pathway
3 stages in the development of drug addiction
- initial drug taking
- habitual drug taking
- drug craving and repeated relapse
anticipated pleasure associated with an action
positive-incentive value (wanting)
amount of pleasure that is actually experienced
hedonic value (liking)
Pleasure (liking) is not the basis of habitual drug use and addiction; it is the anticipated pleasure of drug taking
incentive-sensitization theory
3 main factors that can cause relapse in addicted individuals
- stress
- drug priming
- exposure to drug-associated cues