Stimulants Yang Flashcards

1
Q

what regulates arousal, sleep-wake transitions, and EEG synchronization

A

reticular activating system (RAS)

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2
Q

causes of ADHD

A

genetics
low birth weight
fetal alcohol spectrum disorders

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3
Q

ADHD implicated systems

A

dopamine transporter
COMT
choinergic receptors
cholesterol metabolism

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4
Q

ADHD patient have a _____ total brain volume

A

reduced

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5
Q

diagnosis of ADHD

A

6 symptoms
2 or more locations
parent, teacher, doctor
INTERFERES WITH FUNCTIONING AND DEVELOPMENT

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6
Q

circuity mechanism of ADHD

A

medial prefrontal cortex (MPFC) not fully functional

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7
Q

methylxanthines are _____ of sympathetic nervous system

A

agonists

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8
Q

which drug is a methylxanthine

A

caffeine

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9
Q

methylxanthines MOA

A

antagonize adenosine
inhibit PDEs, increase cAMP
increase activity ryanodine receptors and increase Ca

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10
Q

A1 adenosine receptor is ____ linked which does what

A

Gi, inhibitory modulation of many neurotransmitters

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11
Q

adenosine A1 receptors cause what

A

sedation, anxiolysis, anticonvulsant activity, decrease HR

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12
Q

adenosine A2 recptors are ____ linked and located where

A

Gs, pre and post synaptic

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13
Q

A2 receptors cause what

A

vasodilation

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14
Q

A2B receptors are _____ linked and found where and do what

A

Gs , glial cells, function unknown

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15
Q

A3 receptors are ____ linked, located ____ and activated when

A

Gq, hippocampus and thalamus
only activated in states of catabolism (seizure, hypoglycemia, stroke)

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16
Q

which receptors are not antagonized by methylxanthines

A

A3

17
Q

methylxanthines adverse effects

A

increased alertness
decreased fatigue

18
Q

indirect acting sympathomimetics transporters

A

NET - NE transrporter/reuptake
VMAT - vesicular monoamine transporter

19
Q

what causes potential for abuse

A

reward pathways

20
Q

monoamines for transport

A

dopamine, NE, serotonin

21
Q

indirect acting sympathomimetics

A

cocaine
amphetamines

22
Q

cocaine is used as a

A

local anesthetic

23
Q

cocaine MOA

A

inhibit monoamine transporters (NE, serotonin, dopamine)

24
Q

amphetamines MOA

A

non-selective activation of monoamines
inhibition of VMAT

25
Q

MDMA selectivity and use

A

selective for 5HT
psychedelic revival - more social

26
Q

are amphetamines rewarding

A

yes abuse potential

27
Q

atomoxetine MOA

A

NET inhibitor

28
Q

is modafinil approved for ADHD

A

no`