Non-Medical Drugs Flashcards
Nalmefene (Revex) Class
Opioid antagonist
N-acetylcysteine (Mucomyst) Class
Antioxidant
Cocaine Class
CNS stimulant
LSD Class
Schedule I Hallucinogen
Mescaline Class
Schedule I Hallucinogen
Psilocybin Class
Schedule I Hallucinogen
Phencyclidine (PCP) Class
Dissociative anesthetic
Marijuana (THC) Class
Cannabinoid
Anandamide Class
Endogenous cannabinoid
Dronabinol (Marinol) Class
Synthetic THC
Nabilone (Cesamet) Class
Synthetic THC
N-acetylcysteine (Mucomyst) MOA
Supplies sulfhydryl groups to glutathione; improves microcirculation, provides anti-inflammatory effect
Fomepizole (Antizol) MOA
Blocks alcohol dehydrogenase
Cocaine MOA
Blocks reuptake of dopamine, norepinephrine, and serotonin
LSD MOA
Agonist at 5HT2A receptors on Raphe cell body –> inhibition of Raphe Nuclei firing –> increased sensory input; partial dopamine agonist
Mescaline MOA
Agonist at 5HT2A receptors on Raphe cell body –> inhibition of Raphe Nuclei firing –> increased sensory input; partial dopamine agonist
Psilocybin MOA
Agonist at 5HT2A receptors on Raphe cell body –> inhibition of Raphe Nuclei firing –> increased sensory input; partial dopamine agonist
Phencyclidine (PCP) MOA
Antagonist of ion channel associated with NDMA receptor; agonist at mu opioid receptors
Amphetamines (Benzadrine) MOA
Indirect sympathomimetic (release biologic amines from nerve terminals in periphery and in CNS); dopamine most important
Marijuana (THC) MOA
Hits cannabinoid receptors (CB1, CB2: G-protein coupled receptors)
Anandamide MOA
Hits cannabinoid receptors (CB1, CB2: G-protein coupled receptors)
Dronabinol (Marinol) MOA
Hits cannabinoid receptors (CB1, CB2: G-protein coupled receptors)
Nabilone (Cesamet) MOA
Hits cannabinoid receptors (CB1, CB2: G-protein coupled receptors)
N-acetylcysteine (Mucomyst) Theurapeutics
Acetaminophen overdose
Fomepizole (Antizol) Theurapeutics
Methanol & ethylene glycol poisoning
Cocaine Theurapeutics
Topical anesthetic, combined vasoconstrictor and local anesthetic
LSD Theurapeutics
Schedule I hallucinogen; model hallucinogen against which all others compared; limited studies in psychoanalysis, alcoholism, autistic children, and terminal cancer patients
Amphetamines (Benzadrine) Theurapeutics
Narcolepsy, ADHD
Marijuana (THC) Theurapeutics
Schedule I hallucinogen; anti-emetic, anti-nausea, and appetite stimulate for cancer chemotherapy and AIDS patients; analgesic for neuropathic pain; potentially: glaucoma, asthma, anxiolytic, migraine, and multiple sclerosis treatment
Anandamide Theurapeutics
Endogenous cannabinoid
Dronabinol (Marinol) Theurapeutics
Schedule III drug; anti-emetic, anti-nausea, and appetite stimulate for cancer chemotherapy and AIDS patients
Nabilone (Cesamet) Theurapeutics
Schedule II drug; treatment-resistant nausea and vomiting, weight loss and anorexia in AIDS patients
Nalmefene (Revex) SE
May produce a prolonged withdrawal state (nausea, vomiting, piloerection, yawning)
Cocaine SE
Sympathetic effects; paranoia, aggression
LSD SE
Bad trips (anxiety attack, panic attack), flashbacks, “street drug” lifestyle; no overdoses, birth defects, or chronic psychoses linked to LSD
Phencyclidine (PCP) SE
- Violent behavior, coma, seizures, arrest; inexplicable psychoses 2. Dissociation, confusion, ataxia, marked nystagmus
Amphetamines (Benzadrine) SE
- Vasospasm leading to possible stroke or MI, arrhythmia, weight loss (anorectic effect) 2. Tremor, anxiety, irritability, confusion, possibly paranoid state
Marijuana (THC)
- Vasodilation –> tachycardia, dilation of conjunctival vessels, bronchodilation, decreased intraocular pressure, hunger 2. May impair reproductive function in adolescents; heavy use may impair development of very young users; possible respiratory damage due to tar
Fomepizole (Antizol) Misc
Very expensive
Cocaine Misc
Rapidly hydrolyzed by plasma cholinesterase; crack is the free base form
LSD Misc
Oxidized in liver; cross tolerance with mescaline and psilocybin
Mescaline Misc
Cross tolerance with LSD and psilocybin
Psilocybin Misc
Cross tolerance with mescaline and LSD
Phencyclidine (PCP) Misc
Long half-life due to being highly lipid soluble and having active metabolites
Amphetamines (Benzadrine) Misc
Others: dextroamphetamine (Dexedrine), methamphetamine (Desoxyn), methylphenidate (Ritalin)
Marijuana (THC) Misc
Active ingredient is delta-9-tetrahydrocannabinol; metabolized by P450, with chronic use inducing enzyme; highly lipid soluble
Nabilone (Cesamet) Misc
Less psychoactive side effects than marijuana
Nalmefene (Revex) Class
Opiod antagonist