Lecture: Drugs Flashcards
What is another term for antipsychotics?
Neuroleptics
How are drugs grouped into classes?
By how they treat people
What are antipsychotic drugs used to treat?
Schizophrenia and aggressive behavior
How do typical neuroleptics work?
dopamine (D2) antagonists
Why might antipsychotics be given to children?
Treat aggressive behavior
What were the first attempt at antidepressant drugs
Monoamine oxidase inhibitors (MAOIs)
What does MAOIs stand for?
Monoamine oxidase inhibitors
How to MAOIs work?
Prevent breakdown of monoamines at the synapse
What is the major action of antidepressants?
Accumulation of monoamines
What were the downsides of MAOIs?
Not selective enough
Increases adrenalin and blood pressure > fatal
__% of people are diagnosed with depression at some time in their lives
19
What are the two modern classes of antidepressants?
Tricyclics
SSRIs
Examples of SSRIs
Prozac
Zoloft
What is the older modern class of antidepressants?
Tricyclics
How do tricyclics work?
Block reuptake of norepinephrine and serotonin into presynaptic axon terminals
How do SSRIs work?
Cause serotonin to accumulate in synapses
SSRIs have _____ side effects than tricyclics
Fewer
What is the most common class of antidepressants?
SSRIs
Do SNRIs (Selective norepinephrine reuptake inhibitors) exist as well?
Yes
What does SSRIs stand for?
Selective serotonin reuptake inhibitors
Synonyms for anxiolytics
Anti-anxiety drugs
Tranquilizers
What is the main molecule for the treatment of anxiety?
GABA
What was the first attempt to treat anxiety?
Barbiturates
What was the problem with barbiturates?
Addictive and fatal withdrawal
What do Benzodiazepines treat?
Anxiety
How do Benzodiazepines work?
Agonists on GABAa receptors, causing influx of Cl-
What does Allopregnanolone treat?
Anxiety
Allopregnanolone is a type of:
Endogenous benzodiazepine
What is a synonym for endogenous bezodiazepines?
Endozepine
What does Diazepam-binding inhibitor treat?
Anxiety
What is unique about Diazepam-binding inhibitors
Astrocytes release them
What is Diazepam the same as?
Valium
Barbiturates are _____
Depressing
What are the two methods barbiturates use to facilitate their functions?
Block sodium channels
Increase flow of chloride ions
What is the current main medical use for barbiturates?
Anesthesia
Epilsepsy
In low doses, alcohol is a _____
Stimulant
How does alcohol stimulate in low doses?
Turns off cortical inhibition
Reduces social constraints/anxiety
In high doses, alcohol is a _____
sedative
Alcohol has a ___-_____ response curve
Non-linear
What does alcohol do to brain metabolism?
Turns it down
Alcohol’s effects are _____
biphasic
Alcohol affects _____ neurotransmitters at _____ times
Different
Different
What are the psychoactive compounds in alcohol?
Ethanol
Acetaldehyde
acetate
What neurotransmitter is the most sensitive to alcohol?
Dopamine
Alcohol inhibits _____ at low doses
Glutamate
Alcohol acts at the _____ receptor to _____ the binding of _____
GABAa
Increase
GABA
What pleasurable neurotransmitters are stimulated by alcohol?
dopamine
opiate
serotonin
cannabinoid
Seizures during alcohol withdrawal are due in part to _____ _____ in glutamate receptors over time
Compensatory increase
What is the distribution between NMDA receptors and GABA receptors in someone who has not drank alcohol?
They are balanced
What happens the the distribution between NMDA and GABA receptors during acute ethanol use
GABA receptors increase
What happens to the distribution between NMDA and GABA receptors during chronic ethanol use
NMDA receptors increase the balance them out
What happens to the distribution between NMDA and GABA receptors during ethanol withdrawal?
way too much glutamate but not enough GABA, leads to seizures
Drinking (grows/shrinks) your brain
shrinks
What brain areas does alcohol damage?
Cerebellum
Frontal lobe
Can neurons and glia recover from alcohol damage?
Yes
Opiates are _____ pain drugs
fabulous
Best pain drug ever invented
Morphine
Why do people take opiates?
They make them feel good
What is the cause of death when one overdoses on opiates?
Respiratory suppression
How do opiates depress breathing?
Changing neurochemical activity in the brain system
How do opiates increase feelings of pleasure?
changing the limbic system
How do opiates reduce pain?
Block pain messages transmitted through the spinal cord from the body
Opium contains _____
Morphine
Morphine is a potent _____
analgesic
What is an analgesic?
Pain drug
Opium binds to _____ receptors in the _____
Opioid
Brainstem
What specific areas does Opium/morphine bind to?
Locus coeruleus
Periaqueductal gray
What plant is opium/morphine made from?
poppy seeds
Why do poppy seeds have opium?
evolved to make it kill animals that eat too much
What is heroin named for?
heroic
Who produced heroin?
Bayer
Why was heroin produced
To be an aspirin and Codeine replacement
What was the problem with replacing Codeine with Heorin?
It was more addictive
What was heroin marketed as?
Cure for codeine addiction
What does heroin metabolize into?
morphine
When was heroin produced?
1898
What is the active ligand in marijuana
THC
What does THC stand for?
Tetrahydrocannabinoid
The brain has cannabinoid receptors that bind _____ and _____
anadamide
2-AG
What are anandamide and 2-AG examples of?
Endocannabinoids
What are endocannabinoids?
Cannabinoids made in the body
Endocannabinoids use _____ signaling
retrograde
Why was cannabis used to treat cancer in ancient Indian medical practices
It increases apetite
Endocannabinoids are synthesized __-_____
on-demand
Where are lipophilic molecules?
on the membrane
Why are lipophilic molecules part of the membrane?
They cannot be stored in vesicles
What state of matter are endocannabinoids?
gas
What does marijuana turn on?
Apetite
Nausea/vomiting
What does long-term cannabis use do to memory?
causes memory loss
What does cannabis do to short-term memory?
impairs it
What is the result of cannabis impairing short-term memory
Hard to learn complex tasks
What does cannabis do to reaction times?
It slows them
What is the result of cannabis slowing reaction time?
It impairs driving skills
What does cannabis do to judgement and decision making
It alters it
How does cannabis alter mood in low doses?
Calms
How does cannabis alter mood in high doses
Anxiety
Paranoia
Why are anxiety and paranoia from cannabis becoming more common?
Gummies can be made more potent
What is the primary addictive drug in tobacco
Nicotine
In the periphery, nicotine ….
Activates muscles and causes twitching
Centrally, nicotine …
Increases alertness
Nicotine activates nicotinic ___ receptors in the _____ _____ _____
ACh
Ventral tegmental area
Is smoking risk of tobacco due to nicotine?
No, other compounds
Primary cause of preventable death in the world
Smoking
How many people does smoking kill in the world per year?
4 million
How many people a year does nicotine kill in the US?
493,000
Nicotine withdrawal causes a __% increase in workplace accidents on Britain’s ‘No Smoking Day’
7%
__% of attempts to quite smoking are successful
5
Quitting nicotine has the same success rate as quitting _____
Heroin
US smoking rate is (increasing/decreasing)
Decreasing