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Drugs and the Brain
PSYC62
136
Biology
Undergraduate 4
02/15/2012

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Term
Weak base or weak acid drugs result in what state?
Definition
Ionized= with a net electrical charge
Term
How do you facilitate absorption of ionized drugs?
Definition
Administer as a salt= as anion and cation
Term
Which form of charged drug is more lipid soluble?
Definition
non-ionized= more lipid soluble
Term
Aspirin is in a.. form, therfore more active in the...pH
Definition
Ionized form, but less ionized in an acid medium like the stomach around pH 3.0
Term
The most rapid onset route of drug administration is..
Definition
Intravenous injection- which also allows for more intense effects
Term
Latin name for oral administration
Definition
Per Os/ PO
Term
IV drugs must be in _____form or in a _____
Definition
Solution, or an aqeous vehicle
Term
Another method of administration quicker than PO, is ____ as it is supplied well with blood vessels
Definition
Intra-muscular (IM)
Term
The ____ administration route prevents first-pass elimination
Definition
Inhalation
Term
Injection into fatty tissue is called___
and is used for more___ absorption
Definition
subcutaneous (SC) drug injection
Slower and more even absorption
Term
Route used for drugs destroyed in the stomach
Definition
Sublingual or buccal admin
Term
Methods used to bypass the BBB
Definition
Intrathecal ( subdural space injection)
Intracerebroventricular injection into brain ventricles
Term
Methods of controlled release are
Definition
couple drug to specific transport molecule, as pro-drugs for internal activation
Term
transdermal admin is limited by
Definition
charged or large molecules that cannot pass through the skin
Term
Feature of the BBB preventing free diffusion
Definition
Tight junctions at capillary bases
Term
Brain capillaries are joined tightly to long processes___ of ___cell
Definition
Extension processes or glial cells called astrocytes
Term
Sheath surrounding brain capillaries
Definition
glial feet forming lipid sheath from astrocytes
Term
Transport mechanism using energy
Definition
Active transport
Term
Active transports only
Definition
nutritive, but non-lipid soluble substances
Term
Drugs that act on CNS neurons must be
Definition
Lipid-soluble, or compatible with membrane transporter systems
Term
Vomiting center located
Definition
top of the brain stem- and is exposed to the blood to detect poisons
Term
Single most important variable in drug admin for the effect
Definition
Dosage
Term
Discussing drugg's effects
Definition
Dose-response function
Term
How to dose-response study
Definition
Take gorup of population, administer different doeses, and record degree of effect specified effects of drug
Term
Control contents
Definition
Placebo, vehicle solution for delivery, or active placebo
Term
Active placebo
Definition
mimics physiological characteristics of drug of interest without neuronal effects of interest
Term
Efficacy
Definition
Magnitude of the effect of a drug, expressed in terms of maximal drug effect
Best to use efficacy as effects at organismal level
Term
Potency
Definition
the dose at which an effect occurs
Term
Potency defines at
Definition
ED50(effective dose 50% of maximal effect)
Term
Potency is related to ED50 how?
Definition
inversely related
Term
Dose-response curves y-axis
Definition
responses to drug
Term
X-axis shows
Definition
the Dose used
Term
Typical dose-response shape
Definition
S/sigmoidal shape
Term
Threshold dose
Definition
minimal dose for detectable effects
Term
Therapeutic index
Definition
ED50 compared to LD50, Divide LD50 by ED50
Term
Stereotypy
Definition
Repetitive , ritualistic, compulsive behaviours
Term
Major metabolic processes for drugs
Definition
Cleavage, oxidation,conjugation, reduction
Term
First-pass metablism
Definition
metabolism in the liver by the hepatic microsomal enzyme system
Term
First- order kinetics
Definition
drugs metabolism is log proportional to plasma concentration
Term
Liver tolerance can build by
Definition
upregulation of CYp450 synthesis genes
Term
Ion trapping
Definition
increasing metabolism and excretion of drugs based on pH and excreted medium pH
Term
alcohol is metabolized by what enzyme?
Definition
ADH Alcohol dehydrogenase
Term
acute tolerance is
Definition
differences in behavioural effects of alcohol based on the rising or falling phase of intoxication at the SAME BAC
Term
ethanol is converted to
Definition
Acetaldehyde and then acetate then water and CO2
Term
Ethanol is converted by
Definition
CYP450-2E1, Catalase-H2O2. and ADH
Term
Alcohol acts to
Definition
make membranes more fluid
Term
Fluidizing causes
Definition
inhibition of Na+ and K+ inhibiting action potentials
Term
Neurotrasmitter responsible for Alcohol rewards
Definition
DA released in the NA
Term
Receptors relevant to ETOH tolerance, dependence and chronic use
Definition
GABAa, and NMDA
Term
GABAa activation allows what
NMDA activation allows what
Definition
GABAa= Cl- influx and hyperpolarization
NMDA= Ca2+ influx and depolarization
Term
Ethanol effects on receptors?
Definition
Enhances GABAa, inhibits NMDA
Term
Individuals at risk display what preactivation curve characteristics
Definition
Greater stimulant like on ascending, and lesser sedative like on descending
Term
Wernickes'-Korsakoffs is usually a result of?
Definition
Malnutition, and Thiamine deficiencies
Term
Abstinence syndrome consists of
Definition
EEG disturbances during sleep, high degree of arousal tremors, weakness, and increase Bp and resp R.
Term
Visual hallucinations, fever, nausea in alcoholic withdrawal is called
Definition
delirium tremens
Term
Kindling process in alcoholism is
Definition
each episode of withdrawal leads to more intense withdrawal responses
Term
Type 1 alcoholics:
Definition
require high soocial reward dependence, display guilt when drinking, abstain for longer periods, and then binge, do not seek thrill
Term
Type 2 alcoholics:
Definition
rarely binge, chronic drink, thrill-seekers, anti-social, no guilt when drinking, and rarely require social rewards
Term
Acamprosate works by
Definition
providing anti-craving NMDA receptor antagonism
Term
Naltrexone and Nalmefene work by
Definition
blocking endorphine receptors, preventing euphoric feelings and damped next-drink craving
Term
Ondansetron is good for
Definition
increasing abstinence periods in early-onset alcoholics
Term
benzodiazepines work on
Definition
the GABAa receptor as allosteric agonists to increase GABA release and Cl- influx for hyperpolarization
Term
buspirone
Definition
a atypical anxiolytic, reduces emotional problems of anxiety
Term
buspirone works by
Definition
acting to downregulate 5-HT, as a 5_HT1A partial agonist
Term
opiates influence and work on
Definition
inhibiting NE and stimulates DA release indirectly
stimulate endorphin systems stimulating opiate receptors
Term
primary analgesia pathwaysa
Definition
thalamus, periaqueductal grey, spinal cord, locus coeruleus, VTA, and NA
Term
3 endorphin subtypes
Definition
endorphine, enkaphalin, dynorphin
Term
opiate receptor subtypes
Definition
mu, delta, kappa
Term
endogenous opiods primarily target
Definition
delta receptors
Term
exogenous opiod agonists target
Definition
mu opioid receptors
Term
activation of opioid receptors causes?
Definition
inhibiting of GABA leading to facilitate DA release
Term
uses for opiates
Definition
analgesia, cough suppression, heroin addiction
Term
all opiod receptors are
Definition
g-protein coupled metabotropic
Term
Mu opioid agonists are responsible for
Definition
euphoria, analgesic effects, respiratory depression, GI motility slowing and sedation
Term
Delta receptors are ____selective and responsible for
Definition
enkephalin selective, spinal analgesia
Term
Kappa receptors cause?
Definition
cause aversive psychosis like effects and drugs are aversive and do not cause drug seeking behaviours
Term
N/OFQ receptors cause
Definition
hyperalgesia, and blocks morphine effects
Term
heroine compared to morphine
Definition
modified morphine, crosses BBB quicker and accumulates in brain quicker, thereby mroe fast-acting but similar potency
Term
Methadone compared to heroin and morphine
Definition
same potency as morphine and half potency of heroin for analgesia
Suppress opiate withdrawl symptoms 2X comapred to heroin, and $x for morphine
Lasts longer than either as well
Term
One of most potent non endogenous opiods
Definition
Fentanyl
Term
opiate effects on pain
Definition
work best to reduce dull pain- for chronic pain conditions post-op= not effective during surgery
Term
opiate rushes are localized in what nucleus?
Definition
VTA
Term
opiate receptor activation on presynaptic terminals induces?
Definition
Ca2+ inlfux inhibition, enhances K+ efflux hyperpolarizing membranes
Term
opioid receptors belong to the family of?
Definition
inhibitory g-protein coupled receptors
Term
naltrexone is effective for opiates by
Definition
blocking opiate actions for3 days and not inducing physical dependence or dysphoria
Term
Drug discrimination paradigm
Definition
animals are rewarded upon detecting specific subjective effects of drug vs. non-drug administrations= used to determine subjective effects of varying compounds
Term
MA pph's induce similarity to what kinds of effects of drugs?
Definition
Amphetamine (MDA) to LSD like (Psilocybin, mescaline)
Term
Effects of MA pph's?
Definition
psychostimulant, sympathomimetic, pupilarry dilation...etc..
Term
LSD acts on what systems?
Definition
inhibiting serotonergic systems
activates 5-HT autoreceptors and some post-synaptic receptors
Term
LSD's effects on Ca2+?
Definition
partial agonist on 5-HT2A enhancing asynchronous release of GLU due to low Ca2+ levels remaining in terminals following initial influx, stimulating hallucinations
Term
MDMA as a PPH exerts effects through
Definition
the serotonergic system as a reuptake inhibiter and releaser of 5-HT, DA, NA and Ach
Term
MDMA's effets are
Definition
LSD like and amphetamine like without LSD hallucinations
Term
potential damage by short-term MDMA exposure?
Definition
neurotoxic effects on serotonergic systems, depleting 5-ht levels, and causing nerve degeneration
Term
autotitration
Definition
the self-adjustment of dosage by individuals self-administering a drug in order to achieve the desired affects
Term
how does tHC have sedative effects without aenesthetic properties?
Definition
by fluidizing membranes nonspecofically
Term
The L-THC isomer is _____active than the D-isomer?
Definition
6-100 X MORE
Term
THC exerts effects at ___ and ___ receptors
Definition
CB1 and CB2
Term
THC receptors are located where?
Definition
Throughtout the body
Term
THC receptors__ act on ____systems to ___them
Definition
CB1, secondary messenger to inhibit them
Term
Two other compounds in marijuana besides THC
Definition
Cannibinol, and Cannabidiol
Term
Endogenous cannabinoids ____ and ___
Definition
AEA anandamine, and 2-AG
Term
THC is mostly ___soluble
Definition
lipid
Term
Cannabinoids act as ____ Nt's
Definition
Retrograde by inhibiting GABA release, and GLU
Term
Lack of cannabin receptors in the ___
Definition
cerebellum
Term
Low doses of stimulants increase ____ and ___ behaviours
Definition
locomotion and exploratory
Term
Higher doses of stimulants reduce ___ and increase____
Definition
locomotion, sterotypy
Term
DA depletion in NA causes_____
Definition
supressed locomotor activity only
Term
DA depletion in NEostriatum cases___
Definition
reduced sterotypy but not locomotor
Term
caffeine exerts effects by___
Definition
antagonizing adenosine A1 receptors, activating pre-synaptic NT release by inhibiting adenosine
Term
cigarrette smokers have ___ levels of plasma caffiene while smoking compered to abstinence
Definition
increased <200%+
Term
Headaches from caffiene withdrawal are likely due to
Definition
rebound of vasoconstrictive properties
Term
nicotine acts on
Definition
nicotinic AcH receptors
Term
Nicotine can cause mild ___ effects
Definition
psychostimulant, enchanced vigilance comparable to caffiene doeses
Term
Nicotine shifts EEG patterns towards those associated with ____
Definition
physiologcal arousal
Term
Nicotine is ____to simpale tasks but apepars ___ to more complex tasks
Definition
beneficial to simple, detrimental to complex
Term
in the PNS Nach activation causes _____ due to NAchR presence on ____ releasing ___?
Definition
sympathomimetic stimulation (activation), presence on adrenal glands releasing NE but are also present on parasympathomime neurons
Term
Nicotine smoke affects MAO by ______
Definition
inhibiting them, increasing DA presence in synapses
Term
Chronic exposure to nicotine causes Narc _____, but causes Narcs to ______
Definition
upregulation, but desensitize an dinactivate
Term
Nicotine has ____ as well as ____ reinforcing properties
Definition
positive and negative
Term
More potent isomer of Amphetamine
Definition
D-amphet
Term
Amphet is more used in low doses to ______control, and high doses _____ performance
Definition
enhance muscle coordination and control, and interferes with performance
Term
subjective increases in effects to amphetamine after the third admin indicates ____?
Definition
sensitization
Term
subjective decreases in ratings of liking to amphetamine after thirds admin indicates ___?
Definition
tolerance
Term
Amphetamine neurodegeneration can be attributed to their ability to _____?
Definition
inhibit MAO and allow MA's to oxidize into neurotoxic compounds
Term
Formication and snow light are what associations to which drug?
Definition
bugs on skin and distorted lights, with cocaine
Term
Cocaine effects for ___mins, amphetamine for ____ mins
Definition
30 mins, 120-180 mins
Term
snortin cocaine allows ____ rapid onset, and ____ duration than smoking
Definition
slower absorption, longer duration than smoking
Term
nasal ischemia is due to
Definition
cocaine vasoconstrictiion
Term
free-base cocaine is used for
Definition
crack, to smoke, as hydrochloride is degraded whem volatalized
Term
Tolerance to cocaine can develop by
Definition
autoreceptor activation, or depletion of MA's, or down-regulation of MA receptors
Term
subconvulsive doses of cocaine can ____threshold
Definition
lower seizure threshold - kindling
Term
cocaine withdrawl follows a ____ model?
Definition
Phasic of symptoms
Term
effects of heavy amphetamine use?
Definition
psychosis, irritability, paranois, eating and sleeping disturbances
Term
effects of heavy cocaine use?
Definition
psychosis, irritability, anorexia, focus on cocaine, and precipitate panic attacks
Term
death by cocaine how?
Definition
myocardial infarction, seizure, haemorrhaging, arrhythmias
Term
cocaine and babies?
Definition
teratogenic, impedes fetal blood supply, dysfunction of DA receptors and signalling, abnormal dendritic patterns
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