Psychopharm Flashcards
What is a drug?
any chemical administered to bring about some desired change in the body. The difference between a drug and a toxin is the desired outcome
Agonists
increase the behavior of interest
Antagonist
Decrease the behavior of interest
7 classes of psychoactive drugs
Antianxiety & sedatives Antipsychotics Antidepressants Mood Stabilizers Opioids Stimulants Psychedelic/hallucinogen
Tolerance
the reduced ability of a drug to cause behavioral effects over repeated exposure
Sensitization (“reverse tolerance”)
Enhanced ability of drugs to cause behavioral effects after occasional exposure
What are the routs for a drug to enter the body?
injecting(directly bypasses the blood brain barrier)
snorting
orally (easy-ist)
inhaling
What is the general site of action for psychoactive drugs?
Most psychoactive drugs work at the synapse to modulate neurotransmission in some way.
The dopamine hypothesis of schizophrenia.
Antipsychotics work, in part, as antagonists of specific dopamine
receptors (D2R). This suggests that excess dopamine might contribute
to disorders including psychosis, but evidence from schizophrenic
patients doesn’t demonstrate enhanced dopamine signaling.
Why is getting drugs into the brain hard?
because of the blood brain barrier
why is combining sedatives and antianxiety drugs a bad idea?
Sedatives increase the binding of GABA by maximizing the amount of time the pore is open. antianxiety drugs influence the frequency of the pores opening
How do we think anti-depressents work?
In general, antidepressants are believe to act as agonists of
serotonergic neurotransmission.
ADME (drug adsorption)
Adsorption
• Distribution
• Metabolism
• Excretion
PK/PD (drug distribution)
Pharmacokinetics (PK) and pharmacodynamics (PD) are the study of
how drugs distribute in time and space, respectively, within the body.
Receptors
“parts of the cell that a drug
specifically binds to.”