Lesson B2 - Pharmacology Flashcards
The term “drug addiction” has often been used to describe an intense pattern of drug use that is detrimental to the
individual and society
The term “drug
habituation” has been used to refer to a less intense form of drug use that produces detrimental
effects on the
individual only
Currently the term dependence is used to denote
“physical dependence” and addiction is used to denote
psychological dependence”
Drug dependence is a state of periodic or chronic intoxication produced by repeated
consumption of a drug (natural or synthetic). Its characteristics include:
- An overpowering desire or need (compulsion) to continue taking the drug and to obtain it
by any means. - A tendency to increase the dose.
- A psychic (psychological) “addiction” and sometimes a physical dependence
“dependence” on the effects of the drug.
The term drug dependence includes all degrees of intensity of desire for the drug, all degrees of
damage to both the individual and society, and all degrees
of both physical and psychological
and need to continue using the drug.
From a pharmacological viewpoint, there are three important aspects of drug dependence:
(a) drug tolerance, (b) physical dependence, (c) psychic (psychological) dependence.
Drug tolerance is defined as a state in which repeated administration of a given dose or a
drug has progressively less pharmacological effect
or a state in which the dose of a drug
must be increased to obtain the same magnitude of pharmacological effect as was
produced by the original drug dose.
Physical dependence (dependence) is defined as an abnormal physiological state produced by repeated administration of a drug that leads to
the appearance of a
characteristic and specific group of symptoms (withdrawal syndrome) when drug
administration is discontinued or decreased.
Psychological dependence (addiction) is a state in which stopping or abruptly reducing the dose of a given drug produces non-physical symptoms. Psychological dependence is characterized by emotional and mental preoccupation with the drug's effects and
by a persistent craving for the drug.
What is compulsive use?
The individual takes the substance in larger doses and for a longer period of time than intended
What is harmful use?
A pattern of psychoactive substance use that is causing damage to health. The damage may be physical (as in cases of hepatitis from the self-administration of injected drugs) or mental (e.g. episodes of depressive disorder secondary to heavy consumption
of alcohol).
define substance abuse
A maladaptive pattern of substance use manifested by recurrent and significant adverse
consequences related to repeated use of substances. There may be a repeated failure to
fulfil major role obligations, repeated use in situations in which it is physically
hazardous, multiple legal problems, and repeated social and personal problems.
The concept of abuse potential involves three main contributors:
the intrinsic dependence liability of the drug, the availability of the drug, and its inherent harmfulness to cause physical
and psychological effects.
Dependence liability is the tendency of the drug to produce physical and psychological
dependence. It varies from drug to drug as well as from
individual to individual.
Dependence
liability is determined by three factors:
nature of the drug, route of administration, amount used.
Nature of the drug: Most, if not all, drugs are
natural reinforcers-The pleasurable effects produced by a drug increases the probability that
the drug will be taken again.
Route of administration: Drugs that can be administered by routes that give rapid
absorption and hence rapid effects have a greater potential for abuse than drugs which
produce the effect
more slowly
Amount used: The greater the dose and the frequency of use, the greater the potential for
development of
dependence
The availability of a drug in society is a major factor in determining abuse potential. The more
widespread a drug, the more likely it is to be
abused
The inherent harmfulness of a drug refers to the potential of the drug to cause harm. If a drug is
perceived to be a serious risk to life and health, it will
not be used even if widely available.