Psychopharmacology Flashcards

1
Q

Psychopharmacology is the

A

study of the effect of drugs on the nervous system

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2
Q

A drug is

A
  • not found in the body
  • not necessary for normal functioning
  • alters the function of certain cells of the body
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3
Q

Describe the order of routes of administration that are fastest, most potent, and most addictive

A

1) Intravenous
2) Smoked
3) Oral
4) Intranasal

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4
Q

Most drugs have ________ both _____ and ______ and each of these are associated with a _________

A

multiple effects, desirable, undesirable, dose-response curve

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5
Q

Explain the dose-response curve

A

There is a curve for therapeutic effects and toxic effects which will create a margin of safety.

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6
Q

Drugs cause affects by….. and occurs at

A
  • affecting the communication between neurons in the brain

- the synapse

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7
Q

Antagonists are…

A

drugs that inhibit the effects of neurotransmitters

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8
Q

Agonists are…

A

drugs that mimic or enhance the effects of neurotransmitters

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9
Q

An agonist

A

binds to a neurotransmitter binding site and promotes opening of an ion channel

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10
Q

An antagonist

A

binds to a neurotransmitter binding site and blocks the opening of an on channel

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11
Q

Competitive Binding occurs at

A

NT binding site

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12
Q

Direct Agonist

A

binds to and activates receptors; facilitates channel opening

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13
Q

Direct Antagonist

A

binds to but does not activate receptors; inhibits channel opening

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14
Q

Non-competitive binding

A

occurs at alternate binding sites on the same receptor

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15
Q

Indirect agonist

A

binds to alternative site, facilitates ion channel opening

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16
Q

Indirect antagonist

A

binds to alternative site and prevents ion channel from opening

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17
Q

List the Agnostic drug effects

A
  • increase synthesis or neurotransmitters
  • increase release of NTs
  • block re-uptake of NTs from the synapse
  • bind to postsynaptic receptor and mimic the effect of NTs
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18
Q

List the Antagonistic Drug effects

A
  • block synthesis of NTs
  • block release of NTs
  • destroy the NT in the synapse
  • competitively bind to postsynaptic receptors, not activate them, blocking NT effect
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19
Q

Stimulants _____ by binding to _____ receptors as _____ or by increasing levels of ______

A

depolarize; glutamate, agonists, excititory NTs

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20
Q

Sedatives _______ by binding to ____ receptors as _____ or to _____ receptors as ______

A

hyper-polarize; glutamte; antagonists; GABA; agonists

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21
Q

A stimulants drug will ______ effect of glutamate and make it ______ to fire and action potential

A

boost; more likely

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22
Q

A sedative drug that _____ the effects of GABA and make it ______ to fire an action potential

A

boost; less likely

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23
Q

Too much stimulation =

24
Q

Too much sedation =

25
The classical stimulants are
Amphetamines and Cocaine
26
Amphetamines and Cocaine ...
block re-uptake of dopamine and norepinephrine, increasing excitation in the brain
27
Amphetamines & Cocaine behave as
indirect agonists of Dopamine and Norepinephrine
28
Cocaine is an _____ of the dopamine re-uptake pump but ultimately behaves as a _______ because it _____ the amount of dopamine at synapse
antagonist; indirect agonist, increases
29
The effect of classical stimulants on Mesocortical DA pathway
attention, concentration, cognitive flexibility
30
The effect of classical stimulant on Mesolimbic DA pathway
motivation, memory, euphoria
31
The classical sedatives & tranquilizers are
barbituates + benzodiazepines
32
Barbiturates are..
indirect agonists of GABA type-A receptors
33
For barbiturates the _____ is very high
overdose potential
34
Benzodiazepines are...
indirect agonists of GABA type A receptor
35
Benzodiazepines overdoes potential is ___
very low
36
Benzodiazepines is used for ______ and includes _____
anxiety; valium, xanax
37
Classical sedatives lead to _____ permeability of _____ ions through GABA
increased; chloride
38
Alcohol is a
atypical sedative
39
Alcohol is a _____ of _____ receptor and a ______ of ______ receptors
indirect agonist; GABA type A; antagonist of NMDA glutamate
40
Alcohol increase _____ and ____ and has a mild _____ effect
inhibition; sedation; dopamine
41
Ketamine and Phencyclidine are
atypical sedatives
42
Ketamine and Phencyclidine are _______ of the _____ receptor and increase ______
indirect antagonists ; NMDA glutamate; inhibition
43
Ketamine and Phencyclidine bind to ______ and prevent ____
PCP site; ion flow
44
Ketamine and Phencyclidine in small doses produce ______ and larger doses produce _______
relaxation, pain relief; sedation, anesthesia, dissociation
45
Classical Psychedelics include
LSD, mescaline, psilocybin
46
Classical Psychedelics all are _________ and produce ______
serotonin agonists; vivid hallucinations
47
Opiates include
morphine, heroin, oxycodine, codeine
48
Opiates bind to _____ receptors in the _____ & ______ as ______ to block _____
opiate; brain; spinal cord; agonists; pain signals
49
In large doses opiates increase ____ release in the ____ leading to a state of ____
dopamine; brain; euphoria
50
Endogenous opiates are
small peptide NTs produced by neurons in the brain and spinal cord
51
Endogenous opiates include
endorphins, enkephalins, dynorphins
52
Endogenous opiates are released in response to
pain, stress, vigorous excersies
53
Endogenous opiates bind to ____ receptors in the ____ & _____ as ____
opiate; brain' spinal cord; agonists
54
A placebo
is a treatment that is presumed to be ineffective
55
Placebo effects must be
controlled for