Stimulants Flashcards

1
Q

Caffine low dose

A

Low dose: [Post-synaptic: inhibits IPSPs. Pre-synaptic: inhibit the inhbition of glutamate.]

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2
Q

Caffeine High dose

A

High dose: [inhibit PDE3 -> bronchodilation].

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3
Q

Caffeine very high dose

A

Very high dose: [induce Ca release from ER]

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4
Q

Caffeine works on what R

A

Adeonsine receptor antagonist

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5
Q

Caffeine adverse effects

A

Tolerance, physical dependence, withdrawal. High dose: tachycardia.

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6
Q

Pre-synpatic: inhibit glutamate release

A

adenosine

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7
Q

Adenosine effect on its receptor Post synaptic

A

casuses IPSPs

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8
Q

Adenosine presynaptic

A

inhibit glutamate release

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9
Q

Weak base; extract B from BH+ in an alkaline solution -> crack

A

Cocaine

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10
Q

Tolerance, physical dependence, withdrawal. Damage to dopaminergirc neurons. Overdose: seizures, CV effects. On fetus: pre-mature, learning/emotional problems, attachment disorder

A

Cocaine toxicity

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11
Q

Cocaine toxicity

A

tolernance and physical dependence… see withdrawl and damages DA neurons

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12
Q

Cocaine OD

A

seizures, CV effects.

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13
Q

Cocaine effect on fetus

A

pre-mature, learning/emotional problems, attachment disorder

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14
Q

Mostly illicit. Local anesthetic in upper resp. surgery (nose), as its both local anesthetic and vasoconstrictor

A

Cocaine

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15
Q

Reinforcing/euphora effects from Dopamine in mesolimbic. Local anesthetic, vasoconstrictor. NE -> tachycardia

A

Cocaine

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16
Q

Why is cocaine addictin

A

reinforcind and euprora effects from DA in the mesolimbic area

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17
Q

Inhibits NET, DAT, SERT

A

Cocaine

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18
Q

What does cocaine do to result in stimulting effects

A

Inhibits NET, DAT, SERT

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19
Q

Inhibits NET, DAT, SERT. Release NE, 5-HT, DA. Partial agonist of alpha. MAOI

A

Amphetamine

20
Q

What reuptakes does amphetamine inhibit?

What does it release?

A

NET, DAT, SERT

releases NE, 5HT and DA

21
Q

Amphetamine is a partial agonist of:

A

alpha MAOI

22
Q

What are the effects of amphetamine that would make someone want ot take them

A

More NE effects than cocaine. Arousal, enhance athletic and intellectual performance.

23
Q

We prescribe amphetamines for

A

Narcolepsy or ADHD

24
Q

Which has longer 1/2 life, cocaine or amphetamines

A

amphetamines

25
What affects do we see for ADHD when giving amphetamines
decrease app, insomnai, abdominal pain, high body temp
26
What we see amphetamines at high dose we see
restless, dizzy and pychosis (DA) and tremor
27
Not-technically an Amphetamine, but structurally and mechanistically very similar
Methylphenidate
28
Methamphetamine has same mechanism as amphetamines but higher abuse potential because
enters the brain better
29
High dose: [restless, dizzy, tremor, psychosis (DA), neurotoxicity, meth mouth (decay, dry, grinding), abuse
see with methamphetamines, amphetamines
30
MEch of Methamphetamines
Inhibits NET, DAT, SERT. Release NE, 5-HT, DA. Partial agonist of alpha. MAOI
31
Nicotinic cholinergic agonist
Nicotine
32
Nicotine effects on CNS
CNS stimulant -neuronal excitation/dopamine in nucleus acumbens.
33
Nicotine effects on SNS PNS
Sympathetic: release NE from adrenal. Parasympathetic: GI stimulation
34
1st cigarrette (nicotine)
Nausea, tolerance (rapid/tachyphylaxis -> first cig of day is best).
35
Withdrawl from nicotine
Withdrawal: irritability, hostility, impatience, anxiety, depression, difficulty concentrating, increased appetite/weight gain
36
Bupropion use
Nictoine withdrawal (mostly the depression)
37
Nictoine withdrawal (mostly the depression)
Bupropion
38
Inhibits NET, DAT for nicotine withdrawl
Bupropion
39
Buproprion Inhibits
NET, DAT
40
Side effects of Buproprion
xerostomia, insomnia
41
More efficacious than placebo and bupropion at 12 and 24 wks
Varenicline
42
Partial nicotinic agonist
Varenicline
43
Varenicline is used for
nictotine withdrawl
44
Reduce nicotine cravings; also blocks nicotine's effects if person smoked
Varenicline
45
Side effects of Varenicline
Nausea, insomnia, headaches, constipation. Increased suicidal thoughts and depression