Midterm Flashcards
Dorsal Striatum
= voluntary movement
contains 98% of brains dopamine
Dorsal Striatum
= voluntary movement
contains 98% of brains dopamine
How does electricity (AP travel)
From midbrain to dorsal striatum to cause a release of dopamine from the striatum
Sinemet =
L-Dopa + Carbidopa
PD drug
L-Dopa
Precursor to dopamine
Carbidopa
Enzyme Inhibitor
- helps L-dopa pass BBB instead of being converted to dopamine in the blood
What causes addiction?
Genese and environment Stress Accessibility Antisocial behavior in caregiver Violent behavior of your caregiver is most common
Side-effect of L-Dopa
Vivid dreams
involuntary movements
Symptoms of PD
- Resting tremor
- Stiffness
Toxic drug that causes PD
MPTP –> converts to MPP+ (herbicide)
Substantia Nigra %
80% must be destroyed for onset of PD
MAOI in PD
MAOI can prevent further breakdown of substantia nigra
ex. Paragyline
Paraquat and Siproquat
Herbicide they sprayed on Marijuana that can cause PD (and coughing blood)
Oil companies sprinkled MPP+ on veggies
Intrathecal vs. Intracebebral
Spinal Fluid injection
Enjection straight into the brain
Half - Life
Time it takes for half of the drug dose to be eliminated by the body
Time Course
Onset and Duration
Natural Opioids
Morphine
Codeine (both found as alkaloids in opium
Fentanyl
Purely Syntthetic Opioid Analgesic
Most potent (10x more than morphine) aka china white
Dextromethorphan
Cough Syrup
- blocks glutamate receptors
Heroine vs. Morphine potency
Heroine wins because more lipophyllic so it crosses BBB
Enzymes make heroine –> morphine in brain
Naloxone
Mu Opioid receptor antagonist (shifts graph to the right)
Side Effects of Opioids
Respiratory depression
addiction
nausea
constipation
Opioids are used for:
Analgesic
Anesthetic (make you stop breathing - bad)
Anti-diarrheal
Cough Suppresant
1 cause of death in of accidental death in USA
prescription painkillers
Oxycontin (Release)
Extremely long sustained release
Step 1: Small oral dose comes down
Step 2: long casing pushes drug through slowly
(some crush and snort - get all at once)
Buprenorphine
Long acting partial Mu Opioid agonist
- Kappa Opioid antagonist
- Reaches a ceiling, where increase in dose will quell heroine/oxy urges, but will not get you any higher
Therapeutic Index =
LD50/ED50
Low TI is dangerous
3 Kinds of Opioid Receptors
Mu
Kappa
Delta
3 kinds of Opioids
Endorphine
Dynorphin (saliva)
Enkephalin
Seratonin
5-HT
- Used as antidepressants (SSRI) to create more 5HT in synapse
- Given for other disorders to in order to control impulses
Norepinephrine
Fight or Flight
NSRI antidepressants
Aceytylcholine
ACH
- Altheimers patients
- Improved cognition, memory
Enzyme Inhibitor (indirect agonist)
Inhibit an enzyme from removing neurotransmitters
MAOI (monoamine oxidase inhibition)
antidepressant
- Prevent Monoamine Oxidase from removing dopamine, norepinephrine, and seratonin from the brain
- Boosts endogenous neurotransmitters
Releasers (indirect agonist)
Drug that induces the leaking of neurotransmitters from the pre-synaptic neuron into the synapse
Precursor (indirect agonist)
Drugs that your body converts
L-Dopa –> dopamine
Direct Agonist
Bind directly to post-synaptic receptor to mimic effect of the endogenous neurotransmitter
Reuptake Inhibitor (indirect agonist)
Blocks reuptake site so NT stays in synapse 300X longer
SSRI is most widely prescribed drug
Narcan
Narcotic antagonist (rescue from overdose EMT’s carry it)
6 Neuropharmacology Terms
1) Antagonist
2) Direct Agonist
3) Reuptake inhibitor
4) enzyme inhibitor
5) precursor
6) releaser
Logarithmic Scale
Dose X effect
Dose - 1, 3, 10, 30, 100
1, 10, 100
First pass
Excreted before entering blood (unless target is GI tract)
Methadone
Full direct Mu opioid agonist
- Extremely long half-life makes it relatively safe for addicts to taper
Suboxone is comprised of these 2 drugs:
Buprenorphine (partial agonist) + Naloxone (mu antagonist)
Naloxone prevents abuse of Buprenorphine and removes other opioids from system
Drug definition
Any chemical that has a physiological affect when ingested or absorbed (no food or nutrients)
Nomenclature
Language that you use to discuss scientific subjects
Behavioral/clinical classification means…
Therapeutic effect
…antidepressant…analgesic
Pharmacodynamic
Study of what the drugs change in you physiologically
…NSAID and SSRI are examples
Potency is measured in which direction?
Furthest left = most potent
Efficacy is measured in which direction?
Highest on dose effect curve
Pharmacokinetics means:
1) Absorption
2) Distribution
3) Metabolism
4) Excretion
Different types of Injection/Parenteral
Subcutaneous - under skin
Intramuscular - into muscle
Intraperitoneum - space around stomach organs
IV - intravenous
Gaba
Inhibitory NT, decreases ATP
- produces IPSP (intra-pre-synaptic potential)
- Causes chloride ions to rush in
GABAergic drugs:
Alcohol Benzo's (anxiolytic) sedative-hypnotic (ambien pre-anesthetics (valium) Barbituates etc…...
Glutamate
Excitatory NT, opposite of GABA
- EPSP
- Can cause Action potentials
- Allows sodium channels to rush in
Drugs that effect Glutamate:
PCP
Ketamine
Dopamine used in which treatments?
Parkinsons Schizo Amphetamine addiction ADD treatment Glutamate modulators
Do SSRIS work?
1/3 of the time
ACH degradation
1st depletes in hippocampus
then neocortex
Pharmacodynamic Graph (Drug Dose Effect Function)
x axis = dose
y axis = effect
Standard Selective Antagonists List
Haldol - Dopamine Mian - Serotonin Scopolamine - ACH Caffeine - Adenosine Flumazenil - GABA