Topic 6 Flashcards

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1
Q

What is psychopharmacology?

A

The study of how drugs affect the nervous system and behaviour

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2
Q

What are drugs?

A

Chemical compounds that are administered to produce a desired change

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3
Q

What are psychoactive drugs?

A

Substances that alter old, thought, experience or behaviour
- act on the nervous system
- manage neuropsychological illnesses or recreation

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4
Q

Roots of administration (4)

A
  1. Oral
  2. Injection
  3. Inhalation
  4. Absorption
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5
Q

Oral administration

A

Absorbed into the blood stream through small intestine or stomach (less common but faster)
Pros
- easy
- safe
Cons
- unpredictable effects of absorption
- “first pass effect”

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6
Q

First pass effect

A

The liver detoxifies the blood so drug symptoms may not be noticeable the first time and tolerance continues to build as the drug is taken more

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7
Q

Injection

A

Subcutaneous - fatty tissue below skin
Intramuscular - large muscles
Intravenous - directly into bloodstream via veins (fewest barriers)
Intracerebroventricular - directly into brain

Pros
- fast strong and predictable effects

Cons
- no way to counteract or stop once injected
- formation of scar tissue
- not sterile

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8
Q

Inhalation

A

Absorbed into blood stream via capillaries

Cons
- difficult to control dosage
- damage to lungs

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9
Q

Absorption

A

Mucous membrane - nasal, spray, rectal
Skin patch
Pros
- rapid effect
- avoid first pass effect

Cons
- damage the membrane

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10
Q

What is the blood brain barrier

A

Capillaries in the brain form tight junctions covered with astrocyte feet
- prevents materials from moving in and out
- small uncharged molecules pass through
- other molecules are carried through active transport
- large charged particles cannot pass through

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11
Q

Parkinson’s disease (treatment)

A

Movement disorder due to degeneration of dopaminergic neurons of the substantia nigra
Symptoms
- tremors
- muscle rigidity
- slow movement
Treatment
- L-Dopa crosses the BBB and is converted to dopamine after

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12
Q

Drug effects on the synapse

A

Agonist - enhances function of synapse
Antagonist - blocks function of the synapse
Endogenous - originates in the organism
Exogenous - originates out of the organism

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13
Q

Drug names (3)

A

Chemical name - describes chemical structure
Generic name - non proprietary name
Trade name - brand name

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14
Q

Adenosinergic

A

Promotes sleep
Caffeine - antagonist
- makes glucose more available
- promotes dopamine and acetylcholine

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15
Q

Cholinergic

A

Nicotine - leaves of tobacco plant
Low dose - stimulant
High dose - dampens activity
Stimulates nACH receptors and the release of
- norepinephrine
- serotonin
- endorphins
- dopamine
Antagonists treat Alzheimer’s

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16
Q

GABAergic

A

Main inhibitor NT
GABAa GABAb GABAc
GABAa receptor causes and influx of Cl and causes action potential
Reduction of neuronal firing
Benzodiazepines - treat anxiety, panic attacks, and insomnia
- cross tolerance with alcohol
- increased tolerance

17
Q

Alcohol (GABAergic)

A

Produce from fermentation of sugar in fruits and grains
Low dose
- decrease anxiety
- increase social
- euphoria and impaired judgement
Medium dose
- lethargy
- sedation
- balance issues
High dose
- confusion
- slurred speech
- dizziness
- vomiting
Alcoholism leads to damage of the CNS and PNS
- liver disease
- cancer
- thalamus

18
Q

Glutamanergic

A

Receptors
- NMDA
- AMPA
- kainate
Antagonists produce hallucinations, dissociation
Cause neurotoxicity

19
Q

Dopamine antagonists

A

Cocaine, amphetamine, meth
Recreational
Cocaine - sniffed, injected, or inhaled
Meth - amphetamine derivative
Medical
Amphetamine - increases dopamine in cleft
- reverses reuptake transporter
- promotes release
- Treats ADHD
Schizophrenia
- excess dopamine
- treated with D2
- D2 leads to uncontrollable movement of face and mouth

20
Q

Serotonergic

A

Depression treated with antagonists
Agonists are used recreationally
- hallucinogenic effects
- euphoria or paranoia

21
Q

Opiodergic

A

Produce morphine like effects
Sleep inducing and pain relieving
Extracted from poppy seeds
- isolated
- semi synthetic
- synthetic
Potentially addictive
Naloxone - antagonist to treat overdose
Methadone - treats opioid addiction

22
Q

Cannabinergic

A

THC alters mood
Low toxicity
Detrimental effects on mood and memory
Helps with pain, loss of appetite

23
Q

Types of tolerance (4)

A
  1. Metabolic
    - increase in the number of enzymes used to break down a substance
  2. Cellular tolerance
    - brain cells adjust to minimize effects
  3. Cross tolerance
    - tolerance of another drug acting by the same mechanism
  4. Learned tolerance
    - cope with being intoxicated
24
Q

Conditioned drug tolerance

A
  • maximally expressed when a drug is administered repeatedly in the same situation
  • larger doses needed
  • risk of overdose
  • conditioned withdrawal effects
25
Q

Define addiction

A

A complex brain disorder characterized by escalation, compulsive drug taking, and relapse

Persists even when withdrawal subsides

26
Q

Incentive sensitization theory

A

Wanting vs liking
Wanting
- sensitized with repeated use
- increase craving
- dopaminergic
Liking
- tolerance develops
- pleasure decreases

27
Q

Neural basis of addiction

A

Mesotelencephalic dopamine system
- dopaminergic neurons project from cell bodies in the mesencephalon (ventral tegmental) to telencephalon
- intracranial self stimulation
- dopamine agonists are most abused

28
Q

Factors of addiction

A

60% from genes
- specifically alcoholism
Personality taking
- unusual risk taking
Epigenetics
- enduring behaviours supporting addiction
- tendency of drug addiction to be inherited
Environmental factors
- ACEs increase addiction