Lecture 6 Flashcards
Drug administration routes
Enteral: via the digestive system (slow)
Parenteral: not via the digestive system (faster)
Types of enteral methods
- Oral: through the mouth (most convenient)
- Rectal: through the rectum (weak bases)
- Gastric: through the stomach (weak acids)
- Buccal/sublabial: between the lip and gum
- Sublingual: under the tongue (hydrophilic)
Types of parenteral methods
- Subcutaneous: under the skin
- Intramuscular: into the muscle
- Intravenous: into the artery (hydrophilic)
- Inhalation: into the lungs
- Transdermal: through the skin (patches)
- Spinal or intracranial: into the spinal cord or brain
Drug dosage based on administration routes
With each obstacle eliminated en route to the brain, a drugs dosage can be reduced by a factor of ~10 to induce the same effect.
E.g., orally 1000 ug = inhaled 100 ug = intravenous 10 ug
Blood-brain barrier
To be able to act in the brain, the drugs must be transferred from the blood stream to the extracellular fluid
- Only very small uncharged molecules can pass through the blood/brain barrier
- Active transport system for amino acids, glucose and fats.
Areas without blood-brain barrier
- Pineal gland: allows entry of chemicals that affect day-night cycles
- Pituitary: allows entry to chemicals that influence pituitary hormones
- Area postrema: allows entry of toxic substances that induce vomiting.
How are drugs eliminated by the body?
- Catabolised (broken down)
- Excretion
Catabolised drugs
Liver
Kidneys
Intestines
Excreted drugs
Urine
Feces
Sweat
Breast milk
Exhaled air
- NB: Drugs that are not excreted can accumulate in the body and become toxic
7 ways in which drugs influence the synapse
- synthesis
- storage
- release
- receptor interaction
- inactivation
- reuptake
- degradation
Agonist/antagonist - neurotransmitter
Agonist: substance that mimics or enhances the effects of a neurotransmitter
Antagonist: operates against the effects of the neurotransmitters
Psychopharmacology
The study of how drugs effect cellular function in the nervous system of the brain and the neural mechanisms through which they influence behaviour
Classifications of psychoactive drugs
- Psycholeptics: substances that inhibit psychological functions
- Psychoanaleptics: substances that stimulate psychological functions
- Psychodyleptics: substances that disorganise psychological functions
Types of psycholeptic drugs
- Sedatives and hypnotics (alcohol)
- Anxiolytics (benzodiazepines)
- Antipsychotics (chlorpromazine)
- Mood regulators (lithium)
Types of psychanaleptic drugs
- Antidepressants (TCAs, SSRIs)
- Stimulants (cocaine, caffeine)