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Most drugs come from ____ or are ____ ____ __ _____ |
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plants, chemically derived from plants |
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complete chemical description of the molecule |
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Official (legal) name, listed in the United States Pharmacopoeia (USP) |
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Specific drug or formulation trademarked by manufacturer. Can be patented for 20 years. |
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Stimulants Depressants Opioids (narcotics) Hallucinogens Psychotherapeutics |
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can be stimulant, hallucinogens |
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can cause stimulant and depressant properties |
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anything that contains THC like Marijuana, hash, and hashish |
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Three parts of stimulants |
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Increase heart rate Stay awake longer Increase body functions |
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Slow down body functions By definition, all narcotics are depressants but not all depressants are narcotics |
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Primary role is to reduce pain |
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Causes you to hallucinate Auditory Visual Tactile (touch) |
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Example: mood changing substances like anti-depressants Normally prescribed for mental health issues |
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It is important that both legal and illicit drugs be identifiable |
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The Physician’s Desk Reference (PDR) |
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includes color photographs of many legally manufactured pharmaceuticals |
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Illegal drugs are sometimes shaped, marked, or packaged in an ______ way |
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Drugs can be tested and identified through |
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It is not uncommon for ecstasy to be sold in forms that look similar to |
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Three types of drug effects |
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placebo specific non-specific |
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perceived effects of a drug that do not actually come from the drug |
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what it is intended to do because it is present in the body |
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not necessarily about the drug being involved in the system. Your background, history, expectations, and environment (setting). Rely on the individual, and their individual reaction to the drug. |
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Because of nonspecific effects, _______ tests are needed to evaluate the effectiveness of a drug |
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Neither the test subjects nor the evaluators knows whether a subject is receiving an experimental drug or a placebo until the drug trial is over |
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Dose response relationship |
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correlation between the response and the substance taken |
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the point of the first response observed by an individual |
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ED50 refers to the effective dose for half the animal subjects in a drug test |
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LD50 refers to the lethal dose for half of the animal subjects in a drug test |
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LD50/ED50 Always greater than one |
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the amount of a drug needed to produce an effect |
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the point at which the body can no longer tolerate it |
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– a margin between threshold and toxicity |
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Timing of the _____, ________, and ________ of their effects |
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onset, duration, and termination |
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depends on method of administration |
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keep taking it back to back |
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multiple doses of the drug in a short amount of time |
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when you feel the effects of the drug |
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when you stop feeling the effects |
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Four routes of of administration |
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inhalation injection ingestion topical application |
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Drugs administered through oral ingestion have to go through |
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Drugs administered through oral ingestion must withstand the digestive processes and pass through the |
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cells lining the GI tract into the bloodstream |
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Drugs administered through oral ingestion from the GI tract travel |
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through veins first to the liver, where they may be metabolized |
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All substances metabolized by the body go through the |
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Six aspects of IV injection |
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Effects are rapid High concentrations can be delivered Irritating material can be injected Veins can be damaged over time Infections can be directly introduced into the bloodstream |
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Two aspects of subcutaneous injection |
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Skin popping Can cause necrosis |
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Absorption is more rapid than skin popping from intramuscular injection due to the greater blood supply in muscles |
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Which is the fastest route of drug administration |
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Inhalation: drug moves from the lungs into the bloodstream through |
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Inhalation: effects are rapid because |
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blood moves quickly from the lungs to the brain |
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Absorption through the skin can provide |
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slow, steady drug delivery |
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Topical: Absorption through the _____ _______ occurs more rapidly |
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Transport in the blood: some drug molecules attach to ______ molecules; they are ______ in this state |
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Transport in the blood: _____ (unbound) drug molecules can move to _____ __ _____ in the body |
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Transport in blood: Drugs vary in their |
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affinity for binding with plasma proteins |
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Some drugs can’t cross the blood-brain barrier so they act only on |
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Only ________ substances can leave capillaries in the brain |
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Many brain capillaries are covered with ____ _____, also increasing the difficulty for |
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glial cells, compounds to pass out of the capillaries |
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Active transport systems may be needed to |
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move chemicals in and out of the brain |
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_____ and _______ can impair the blood-brain barrier |
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Drug action has effects on what two things |
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Effects on all neurons Effects on specific neurotransmitter systems |
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Two drug action effects on neurotransmitter systems |
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Drugs may alter the availability of a neurotransmitter by changing the rate of synthesis, metabolism, release, or reuptake Drugs may activate or prevent the activation of a receptor |
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Depressants + depressants |
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Body slows super far down |
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Stimulants + antidepressants |
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High blood pressure Arrhythmia |
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People engage in extremely dangerous behaviors. Now they have an extremely alert drunk person. They are not aware they are as drunk as they are |
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Your body creates Cocaethylene, which may cause harm. No conclusive research. |
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A drug ceases to have an effect when it is excreted unchanged from the body or is chemically changed |
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The key drug-metabolizing liver enzymes are a group known as |
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When the drug has been metabolized by CYP450, what are two aspects of the resulting metabolite? |
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The resulting metabolite no longer has the same action as the drug The resulting metabolite can be excreted by the kidneys |
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When the body’s cells detect the presence of a foreign drug, they trigger production of more of the specific metabolizing enzyme |
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Enzyme induction causes what two things? |
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Causes tolerance Causes interaction of drugs broken down by the same enzyme |
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Enzyme activity returns to normal some time after |
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the inducing drug is no longer being used |
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Enzyme induction and tolerance can occur after use of (4) |
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prescription and OTC drugs, dietary supplements, or illicit drugs |
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Drug disposition tolerance |
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your system metabolizes it differently so you don’t feel the same effect because your body learns to metabolize the drug. |
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learned behavior. Not the amount in your system, but you learn to adapt your behavior under the influence of that substance |
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Pharmacodynamic tolerance |
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sensitivity of neurons changes through exposure over time. Generally what people who go through withdrawal experience. |
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