Review questions chapters 13-18 Flashcards
Treating Substance Abuse Disorders
Opioid receptors are normally acted on by naturally occurring opiod-like products naturally in the nervous system. What are they?
- Endocrine glands
- Endorphins
- Enkephalins
what happens when someone dies of opioid overdose?
- coma
- depressed respiration
- pinpoint pupils
- breath ceases and death
What two chemicals are extracted from the opium poppy?
morphine and codeine.
What was the significance of De Quincey’s writing about opium eating?
The contributions to the understanding of addiction and its effects on the individual and society.
What is the effect of a narcotic antagonist on someone who has developed a physical dependence on opioids?
a narcotic antagonist can be life-saving in the event of opioid overdose by reversing respiratory depression.
What are the enkephalins and endorphins and how do they relate to plant-derived opioids such as morphine?
They all act on the same opioid receptors in the brain and spinal cord
Why is taking opioids in combination with sedatives not advised?
Because both drugs cause sedation and in combination with one another they create greater risk for respiratory depression and death.
What does LSD, a synthetic psychedelic, do?
- Alters perceptual processes
- Enhances emotionality so the real world is seen differently
- responded to with great emotion.
What type of hallucinogens have similar effects to LSD?
The Indole Hallucinogens, ones that contain the indole nucleus, like psilocybin.
what produces more changes in body perception and fewer visual effects than LSD?
PCP
Anticholinergics are found in many plant throughout the world and have been used as four things:
- recreationally
- medically
- spiritually
- as poisons
Describe the dependence potential of LSD in terms of tolerance and physical dependence.
Tolerance is created very rapidly if used frequently, but it returns to normal with absence. There is no evidence of LSD producing withdrawal symptoms so dependence is psychological.
What is the diagnostic term for flashback?
Hallucinogen Persisting Perception Disorder
What is the active ingredient in the “magic mushrooms” of Mexico and is it indole or catechol?
psilocybin, and it is an indole compound.
Besides psychological effects, what other effects are reliably produced by peyote?
- heart rate increase
- diarrhea
- pupil dilation
- temperature change
- muscle weakness
Compare MDMA and MDA in terms of how they appear to make people feel about being close to others.
MDMA (Ecstasy/Molly):
Boosts empathy and closeness, making bonding easier.
MDA (Sass):
feel more intense and mind-bending, they are not focused as much on warm, fuzzy feelings towards others as MDMA.
Which of the psychedelic plants was most associated with witchcraft?
mandrake root (Mandragora officinarum)
What can be concluded from evidence regarding violence and PCP?
there is evidence suggesting a link between PCP use and violence but it depends on :
- individual differences
- dosage
- co-occurring substance use
- environmental facotrs
Which psychedelic acts as an agonist at kappa opiate receptors?
Salvinorin A
Cannabis contains many active chemicals but the most active is what?
THC
difference between smoking and eating THC:
smoking: rapid absorption
eating: incompletely and slowly.
What are the major differences between C. Sativa and C. Indica?
Sativa: Mood disorders, appetite stimulation.
Indica: Pain relief, insomnia, stress reduction.
How are hashish and sinsemilla produced?
Hashish:
Made by collecting resin from cannabis plants and pressing it into blocks.
Sinsemilla:
High-quality buds from female cannabis plants grown without seeds.
More potent and favored for smoking or vaporizing.