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Principles of Drug Action - Test 3
Mihic
166
Biology
Undergraduate 3
11/07/2013

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Term
Teratology
Definition
is the study of congenital (birth) defects
Term
Thalidomide tragedy
Definition
used in the 1950s by pregnant women to alleviate morning sickness
Resulted in increased interest in birth defects
Term
There are many birth defects that aren't immediately recognized, and thus will express itself later. The number of birth defects discovered will be increased by 6 times if children are studied up until 5 years after birth
Definition
Term
Animal studies will not accurately tell you if a specific drug will have teratogenic effects in humans
Definition
Term
Critical period
Definition
the time period in development where the teratogen will exert its effects. if exposure to the teratogen is outside the critical period, no effects will be exerted
Term
During the cellular division stage of development (first 2 weeks), the baby is not effected by teratogens
Definition
Term
Cleft palate in rats
Definition
an example of teratogens being administered during the critical period. in this case the critical period is 8-13 days
Term
The same teratogen may cause different effects at different points of development
Definition
An example of this is 5-azacytidine. Will effect brain size in day 15 of gestation and will damage the cerebellum on day 19

Additionally mothers that may have been exposed to highly lipophilic teratogens can have these remain in the body at a high enough level to affect their babies
Term
Not all teratogens are mutagens but mutagens are teratogens
Definition
This is true because not all teratogen cause mutations, but mutagens are teratogens because mutations are considered a birth defect?
Term
The latter period of fetal development is more susceptible to functional teratogenesis because of the high rate of specialization that occurs
Definition
Term
Functional anomalies
Definition
when the FUNCTION of things is changed, not it's structure. These include alerations in biochemical pathways, learning disabilities, changes in organ, immune or sexual function, etc
Term
Placental transfer
Definition
the placenta can allow small chemicals through
Term
Fetal chemical biotransformation
Definition
there is typically low levels of biotransformation in fetuses
Cyt P450 activity begins as early as the 6th week
Term
UDP-glucoronosyltransferases
Definition
examples of biotransformation enzymes that have different activity levels, especially when it comes to sex

can make a toxic teratogen into something nontoxic
Term
Specific teratogens
Definition
only interfere during discrete phases of development and thus only cause a small number of abnormalities
Term
Universal teratogens
Definition
causes more abnormalities and generally interferes in a nonspecific way
Term
Polydactyly
Definition
the condition where you have more than 5 fingers or toes. This is caused by a low dose of teratogen which proves that even at low doses teratogens can cause defects

low dose - extra digits
medium dose - shorter digits
high dose - amela - absence of limbs
Term
Chemical mechanisms of teratogenesis
Definition
divided into 2 categories:
reversible interaction of a compound or its metabolite with a receptor
irreversible alteration of a cellular macromolecule by highly reactive compounds
Term
Reversible interaction of a compound or its metabolite with a receptor
Definition
usually caused by an exaggerated negative response to a therapeutic agent. for example corticosteroids can have a teratogenix response
Term
Irreversible alteration of a cellular macromolecule by highly reactive compounds
Definition
Drugs that are not teratogenic can be converted into toxic electrophiles or free radicals. If these don't go through detox or cytoprotection, they can then exert themselves on DNA, proteins, or lipids to cause damage. So essentially pro-teratogens themselves aren't toxic but they can be transformed into toxic compounds
Term
The biotransformation of pro-teratogens occurs in the fetus rather than in the mother and then transported across the placenta
Definition
Term
Genetic and environmental modulation
Definition
Basically genes and the environment play a role teratogenesis

CYP1A1 is a compound that bioactivates benzo[a]pyrene to teratogenic reactive intermediates. People and mice vary in their sensitivities to the induction of CYP1A1

As another example, mice that are deficient in the p53 suppressor gene show more teratogenicity of benzo[a]pyrene and phenytoin
Term
Genetic sensitivity to birth defects lies with the fetus, not the mother
Definition
Term
Example of environment affecting chemical teratogenicity
Definition
Phenytoin teratogenicity is enhanced by pretreating with an inhibitor of epoxide hyrolase, glutathione depletors and glutathione synthetase inhibitors. Teratogenicity can be decreased by vitamin E
Term
Experimental teratology
Definition
in vitro tests are used for pre-screening of teratogens while in vivo tests are used as the ultimate tests of teratogenicity
Term
Four categories of in vitro tests
Definition
Embryonic cultured cells
Cultured organs or tissues
Whole embryos
artificial embryos
Term
Clinical application of testing for teratogens
Definition
dilemma is to try and figure out if what the pregnant mom was exposed to is teratogenic but this has complications.

Complications include the fact that only a few teratogens have been found to affect humans

Case reports describing a teratogenic compound can lead to unnecessary abortions, lawsuits or unwarranted removal of safe drugs from the market

Also just because a pregnant woman is exposed to a known teratogen doesn't mean her baby will have a birth defect
Term
Behavioural Pharmacology
Definition
the study of changes in behavior produced by a drug
Term
Instinctive behaviors
Definition
include locomotion, sensory function, food and water intake, aggressive behavior and sexual behavior
Term
Learned behaviors
Definition
used to test the effect of drugs through classical and operant conditioning
Term
Classical Conditioning
Definition
associated with Pavlov's experiment with the dog and tuning fork
Term
Conditioned stimulus
Definition
a stimulus (such as the tuning fork) that doesn't produce an instinctive behavior (drooling) at first but will once the dog learns
Term
Unconditioned response
Definition
an instinctive response to an unconditioned stimulus such as drooling when a dog sees food
Term
Conditioned response
Definition
an instinctive response to a conditioned stimulus that would not have normally occurred before the dog learned such as a dog drooling when it hears the tuning fork
Term
Conditioned Place Preference/Aversion
Definition
In this experiment, a mouse has 2 separate environments. In one environment, an unconditioned stimulus is placed in it along with the mouse. The other environment has just saline solution. On test day, it's found that the mouse will prefer the environment that previously had the unconditioned stimulus in it
Term
Operant conditioning
Definition
a procedure where a particular behavior is increased or decreased
Term
Positive reinforcement
Definition
the process by which a positive reinforcer increases a behavior. An example of this is a mouse pressing a lever more often to get more food
Term
Operant response
Definition
what the animal does to operate on its environment (such as a lever press)
Term
Positive reinforcer
Definition
a pleasant response that increases a behavior such as receiving food pellets
Term
Negative reinforcement
Definition
the process by which a negative reinforcer increases a behavior. An example of this is a mouse pressing a lever more often to avoid getting shocked
Term
Negative reinforcer
Definition
a negative response that increases a behavior such as receiving a shock blast
Term
Punishment
Definition
a negative response to a behavior that decreases that behavior. An example of this is when a mouse gets shocked for pressing a lever. The mouse will most likely not press the lever again
Term
Two types of schedules of reinforcement
Definition
fixed ratio
fixed interval
Term
Fixed ratio schedule of reinforcement
Definition
an animal must exhibit a behavior X amount of times before getting a response
Term
Fixed interval schedule of reinforcement
Definition
there's a fixed time period between reinforcers such as a mouse receiving a pellet 60 seconds after a lever press
Term
Learning
Definition
a semi-permanent change in behavior resulting from the occurrence of a previous event
Term
Memory
Definition
the storage of learned info in a manner that permits its recall into consciousness at a laer time
Term
3 steps of memory
Definition
1. storing a short term memory
2. converting it into a long term memory
3. retrieving the memory
Term
Hypophysectomized animals
Definition
anaimals that lack the hormone ACTH. The effect is that the animals will show lower levels of avoiding a shock
Term
Vasopressin in learning
Definition
is a memory aide because it delays the loss of a learned behavior
Term
Atropine's effect on the nervous system
Definition
makes it difficult to learn. it also produces a dissociation between behavior and the state of consciousness
Term
Serotonin's effect on the nervous system
Definition
A lower serotonin level will result in an increased pain sensitivity, increased aggression, sexual activity etc. It will also decrease food and water intake
Term
Dopamine/norephinephrine effect on nervous system
Definition
has a role in locomotor activity
Term
Strychnine effect on learning
Definition
inhibits inhibitory neurotransmission which enhances the transmission between neurons. this makes it easier to learn tasks
Term
Amphetamine effect on learning
Definition
improves learning be enhancing attention
Term
Anisomycin effect on learning
Definition
is a protein synthesis inhibitor and thus makes it harder to remember things since memory formation is caused by a change in protein levels
Term
Discriminative stimuli
Definition
a stimulus that makes an animal behave in one way when the stimulus is present and a different way when the stimulus isn't present. ex: a stop sign is discriminative stimulus. you brake when you see it, accelerate when you don't
Term
Drug discrimination
Definition
You can use this experiment to determine if one drug has a similar effect to another drug. You do this by giving a drug with known effects to a mouse and train it to only press a lever when it's under the influence of this drug. Then you would substitute out this drug with another and see if the mouse still presses the lever. If it does, you can conclude that the two drugs have similar effects
Term
Drug generalization gradient
Definition
a dose-response relationship used to determine which doses of the drug the animal perceives to be like the training dose of the drug administered in a drug discrimination experiment
Term
State-dependent learning
Definition
a procedure that demonstrates that learning occurs better when the subjects are in the same state. In this experiment, the rats that were drugs on both trainings and the rats that didn't get drugs on both training performed better
Term
Elevated plus maze
Definition
an animal model for human anxiety. In this model, a rat is placed on an elevated maze that's about 3 ft off the ground. The rat will gravitate towards the arms that have falls because being on the open arms makes the rat nervous. If treated with benzodiazepines, the rats spend more time on the open arms. So basically, researchers can test drugs on the rats to see which ones will lower anxiety
Term
Conditioned emotional response
Definition
an animal model for human anxiety. In this test a rat is put into a chamber where they have been previously trained to press a lever for food. In this chamber a rat initially starts lever pressing repeatedly but once it receives an unpleasant stimulus it will lever press less quickly due to the anxiety it gets from receiving the unpleasant stimulus.
Term
Behavioural despair
Definition
an animal model for depression. in this test a rat is placed in a glass chamber that's partially filled with water. the rat will initially try and escape but will eventually give up. rats given antidepressants won't give up trying to escape
Term
Olfactory bulbectomy
Definition
an animal model for depression. For some reason, removing the olfactory bulbs makes animals more irritable, angry, and hyperactive. Treating them with antidepressants reverses these effects
Term
Chronic mild stress
Definition
an animal model for depression. In this model, the animal is continuously exposed to low level stressors in which they develop anhedonia. With this, they develop an indifference to once rewarding stimuli. Treating them with antidepressants reverses this
Term
Anhedonia
Definition
the condition where once rewarding stimuli is met b indifference
Term
Why is schizophrenia hard to model in animals?
Definition
Schizo is normally accompanied by hallucinations, delusions, and disordered thought. This is hard to assess in animals
Term
Stereotyped behaviors
Definition
behaviors that include ritualistic movements, postures or utterances

In the animal model of schizophrenia, an animal is giving high doses of cocaine or amphetamines which produce stereotyped behaviors. They are then given drugs that work on schizo and with this the researcher can determine what drugs work on schizophrenics
Term
Prepulse inhibition
Definition
the phenomenon where if a rat is given a prepulse, it will have less of a startled response on the second pulse vs a rat that's just given one pulse. This however is not seen in folks with schizo
Term
Drugs as reinforcers
Definition
Surprise, surprise, certain drugs are reinforcing to certain behaviors. For example, if a rat is injected with a reinforcing drug after he presses a lever, he is likely to press the lever again since he liked the effect of the drug
Term
Drugs that are reinforcing
Definition
stimulants, opioids, and CNS depressants and anxiolytics
Term
Drugs that are punishers
Definition
Neuroleptics, opioid antagonists, hallucinogens, THC
Term
Oral drug administration for studying reinforcement
Definition
in this test, an animal is given a choice between either food or water in which one of the choices has the drug of study in it (such as water w/alcohol vs water w/sucrose). If the rat gravitates toward the choice with the drug in it then you can conclude that this drug has reinforcing properties
Term
Intravenous administration for studying reinforcement
Definition
I guess this test is similar to the oral test except a catheter is used to inject the drug. This eliminates the factor of drug taste
Term
Progressive-ratio method
Definition
Used under the IV administration for studying reinforcement.

In this test, the animal is put on a fixed ratio schedule to receive a drug after some work. Gradually the ratio is increased and the amount of work the animal is willing to do to receive the drug is observed. Once the animal says fuck it, you've reached the break point. The higher the break point, the more reinforcing the drug
Term
What brain regions are important for the reinforcing effects of drugs?
Definition
The VTA brain region has a projection to the NAc and is critical to the perception of rewarding properties of drugs
Term
Drug dependence
Definition
the pattern of behavior leading to the excessive use of psychoactive substances

Can also be defined as such a strong desire for a drug (physically and psychologically) that it leads to damage to the individual and society
Term
The definition of addiction is not agreed upon
Definition
Term
How does DSM-IV define substance abuse?
Definition
It defines it as a pattern of behavior that leads to clinically significant impairment which is achieved by meeting 3 or more of the criteria in a year period
Term
3 criteria for substance abuse
Definition
Developing tolerance, experiencing withdrawal symptoms, and cutting down on activities due to substance abuse
Term
Behavioral dependence (or psychological dependence)
Definition
self administration of a drug is controlled by its reinforcing effects? Is the central problem in drug addiction

Does not occur just from repeated exposure to a drug, is not just explained by the reinforcing effects of drugs (some people don't get hooked on drugs that they find pleasurable)
Term
Socially accepted uses of psychoactive drugs
Definition
religious, secular ceremonies, private pleasure, business
Term
Factors governing the extent of drug use
Definition
Degree of social acceptance, social upheaval, legal controls, price, ease of availability, occupational factors
Term
Behavioral conditioning of a drug
Definition
occurs when the person believes that the reason they are feeling certain effects is because they took the drug. This leads to drug seeking, a characteristic of behavioral dependence
Term
Genes and the environment play a big role in determining if someone will become dependent on a drug
Definition
Term
Acetaldehyde dehydrogenase in Asians
Definition
Asians have this enzyme that metabolizes acetaldehyde slowly. This causes them to flush, have tachycardia and nausea (unpleasant symptoms) which makes it less likely they'll drink. This can be seen as genes playing a protective role against drug abuse
Term
Motivational factors affecting drug consumption
Definition
Stress, fear, and worry have shown to motivate animals and humans alike to consume drugs. Additionally, teenagers that have experienced abuse or have emotional issues are more likely to dabble in drugs.
Term
Stimulus control in drug dependence
Definition
Drug takers can be conditioned to feel a high by doing something that is associated with taking a drug such as a heroine addict feeling a brief high by just sticking the needle in their arms
Term
Two forms of tolerance to drugs
Definition
metabolic (pharmacokinetic)
functional (pharmacodynamic)
Term
Pharmacokinetic tolerance (metabolic tolerance)
Definition
individual breaks down drug faster. Difference in sensitivity is not at the brain, but rather at the liver. Usually occurs by the drug inducing enzymes in the liver that metabolize the drug

Because there's no difference at the brain level, a metabolically tolerant person will have the same effect as the control person when their blood concentrations are equal. The key is that the equal drug concentrations are at different doses (because one is breaking down the drug faster than the other). So a tolerant person who drinks 3 beers will have the same effect as a control person who only had 2 beers. And of course, at the same dose, the tolerant person will have a smaller effect
Term
Metabolic cross tolerance
Definition
I'm assuming this means that a drug that induces certain enzymes will have these enzymes metabolizing other drugs
Term
Pharmacodynamic tolerance (functional tolerance)
Definition
difference in sensitivity is in the brain, not the liver. With this, the brain tries to find ways to offset the effect of the drug (homeostasis). This leads to a more normal state while the drug is present

Compared to the control person, the drug isn't breaking down any faster (doses are equal) so at the same blood concentration the tolerant person will have a lower effect
Term
Individuals with a greater sensitivity to a drug have a greater drive for developing tolerance
Definition
Term
Tolerance develops more rapidly if the individual is performing a task and his performance is affected by the drug
Definition
Term
Physical dependence
Definition
when taking the drug ceases and behavioral effects opposite to what is expected occurs. An example is hyperexcitability after withdrawal from sedatives. These effects go away after another dose of the drug
Term
Methadone
Definition
is used to treat heroin addiction because the withdrawal symptoms are less severe. an example of drug substitution
Term
Cross-tolerance
Definition
basically if you're tolerant to one drug, you can be tolerant to other similar drugs
Term
Treatment of drug dependence
Definition
use of pharmacological antagonists
nonspecific blockade of reinforcement
drug substitution
aversive compounds
therapy to figure out if there are emotional disturbances
Term
Cannabis
Definition
primary ingredient is THC
increases heart rate
increases awareness of senses (think of Nicole going crazy because she could feel her cheeks)
thinking is slowed
relaxation
motor performance is impaired
high doses result in hallucinations
Term
THC
Definition
is very lipophilic so it dissolves quickly in fats and lipids and absorbs rapidly through membranes
Term
Mechanism of action of THC
Definition
binds to CB1 receptors in the brain which release dopamine in the nucleus accumbens
Term
CB1 receptor
Definition
a G protein receptor for cannabis found in the brain. decreases adenylyl cyclase activity
Term
CB2 receptor
Definition
a G-protein receptor for cannabis found in the nervous system
Term
Toxicity of cannabis
Definition
chronic bronchitis
amotivational syndrome
chromosomal damage, impaired immune response
Term
Therapeutic use of cannabis
Definition
treat nausea and vomiting after chemotherapy, glaucoma
Term
Amphetamines
Definition
Strong CNS stimulant (d form)
releases dopamine and norepinephrine and inhibits DA/NE transporters. This increases alertness and focus (at low doses), wakefulness, and euphoria

High doses lead to thought processes being sped up so much. Ironically, this is reinforcing and continued high doses leads to schizophrenia like behavior
Term
Medical use of amphetamines
Definition
enhance performance, narcolepsy, hyperactivity, weight loss
Term
Amphetamine toxicity
Definition
Hypertension, fever, convulsions can all be fatal.
Also dependence and psychotic episodes can occur
Term
Amphetamine syndrome
Definition
is basically when a person develops schizophrenic like symptoms when amphetamines are consumed at high doses (halluncinations, delusions, anxiety)
Term
Cocaine
Definition
Can be used as a local anesthetic
Is a CNS stimulant
blocks the reuptake of dopamine and norepinephrine (just like amphetamines). Sometimes users can't even differentiate between the two when injected with both. Usually snorted or smoked
Term
Crack
Definition
low purity form of cocaine that gives a faster high when smoked
Term
LSD
Definition
d-isomer only one that shows activity
Produces fluctuations in brightness and color, shape distortions, synesthesia, dream-like feeling
low doses: high arousal
high doses: hallucinations

Is structurally similar to NE, DA and serotonin so it can bind to these receptors also
Term
Ecstasy
Definition
Promotes release and inhibits the reuptake of DA, NE, and 5-HT (serotonin)
openness, self-awareness, empathy
can inhibit its own metabolism via cyt P450 which can lead to toxicity
Term
Synethesia
Definition
the melding of the senses
Term
Mescaline
Definition
a drug similar to LSD that produces similar effects
Term
LSD toxicity
Definition
"Bad trips"
Hallucinogen persisting perception disorder
More miscarriages
Term
Characteristics of anaesthesia
Definition
reversible
needs to be able to curb responses to noxious stimuli
needs to block cardiovascular, g.i., and respiratory reflexes
amnesia
loss of consciousness
Term
Stage 1 of anaesthesia
Definition
applied right before OR, only lose sense of pain
Term
Stage 2 of anaesthesia
Definition
breathing becomes erratic, start to lose consciousness. potentially dangerous stage
Term
Stage 3 of anaesthesia
Definition
ideal time to operate because you have the lose of the ability to respond to stimuli (in plane 3)
Term
Stage 4 of anaesthesia
Definition
too much, death is possible if patient is not given oxygen and taken off anaesthesia
Term
Volatile anaesthetics must first be vaporized before they are given to patients via inspired air
Definition
Term
Anaesthesia path
Definition
inspired air -> blood water -> brain
Term
Uptake of Anaesthesia into brain depends on
Definition
concentration of Anaesthesia
rate of pulmonary ventilation
cardiac output
solubility of it in air, water and lipid
Term
Blood/gas partition of Anaesthesia
Definition
determines Anaesthesia levels in blood. a low b/g partition, the faster the Anaesthesia works
Term
Oil/gas partition of Anaesthesia
Definition
determines Anaesthesia levels in the brain. a higher o/g partition means the Anaesthesia is stronger
Term
Vessel poor groups require more time to get rid of Anaesthesics because they don't have as many vessels to carry the Anaesthesia out
Definition
Term
Minimum alveolar concentration (MAC)
Definition
is analogous to ED50, is basically the concentration that knocks out 50% of patients. The lower the MAC, the more potent the Anaesthesic is
Term
Anaesthesia induced by IV
Definition
is very fast acting and so there's a danger of overdosing. Because of this it's normally used just to get Anaesthesia started
Term
Local Anaesthesia
Definition
works by reversibly blocking the generation and propagation of transmission of nerve impulses. It does this by blocking voltage dependent sodium channels which decrease action potentialss
Term
Alcohol
Definition
is rapidly absorbed through the mucous membranes through diffusion with the fastest absorption occurring in the small intesting
Term
After alcohol is absorbed, it is partitioned into
Definition
total body water
Term
The partition coefficient of alcohol between blood and air is
Definition
2200:1
Term
Methanol intoxication
Definition
because methanol is less potent than ethanol, it requires higher doses to get the same effect. The problem is that once methanol is broken down, it produces formaldehyde and formic acid which are both highly toxic to the eyes. You can treat this by giving ethanol to compete with methanol for metabolism by alcohol dehydrogenase
Term
Metabolism of ethanol by ADH
Definition
is broken down by alcohol dehydrogenase which produces acetaldehyde. This is broken down again by ADH which produces acetate
Term
Chronic ingestion of a lot of alcohol
Definition
leads to the activation of cyt. P450 enzymes. This is why alcoholics can break down some drugs more quickly
Term
Way to increase alcohol metabolism
Definition
reoxidize NADH to NAD since NAD is reduced to NADH in the rate limiting step of the breakdown of alcohol. Do this by providing pyruvate
Term
Heavy drinking of alcohol increases the rate of alcohol oxidation in the liver. This leads to
Definition
hypoxia which causes liver cell necrosis
Term
Effects of ethanol on the nervous system
Definition
Heat loss through the skin
inhibits antidiuretic hormone (more peeing)
at low doses, causes relaxation
at high doses, mental processes are slowed, slurred speech, impaired judgement, increase risk taking
Term
Ethanol doses and effects
Definition
0.05% - mild intoxication
0.1% - significant intoxication
0.25 - anaesthesia or coma
0.5% and higher - death
Term
Treatment of alcohol intoxiation
Definition
dialysis, iv fluids
Term
Problems with alcoholism
Definition
leads to vitamin B1 deficiencies (can cause Wernicke's disease)
organ damage (cirrhosis and hepatitis)
fetal alcohol syndrome
heart disease, stroke, cancer
Term
Alcohol withdrawal syndrome
Definition
signs for short use is a hangover
signs for longer use are tremor, sleeplessness, nausea, thirst
signs after chronic drinking include the two above and then delirium tremens (the shakes) - hallucinations, fever, tachycardia, profound sweating
Term
Three major classes of analgesics
Definition
NSAIDSs
Opioid analgesics
Other
Term
Nociceptors
Definition
another word for pain receptors
Term
Three substances that activate pain receptors
Definition
Kinins, histamine, and prostaglandins
Term
Pain transmission path
Definition
peripheral neurons -> spinal cord -> brain
Term
A delta fibers
Definition
allows for faster pain transmission because they are myelinated
Term
C fibers
Definition
allow for slower pain transmission because they aren't myelinated
Term
NSAIDs
Definition
are anti-inflammatory drugs
Are pain reliving, reduce fever, and obviously anti-inflammatory
Term
Pyrogens
Definition
substances that increase body temp
Their release is triggered whenever bacteria, mold and viruses from WBCs.
Term
Inflammation
Definition
initiated by invading microorganisms, tissue decay and immune reactions. Leads to prostaglandin synthesis
Term
Acetylsalicylic acid (ASA)
Definition
is aspirin. Is a pain reliever, antipyretic (fever reducer) and anti-inflammatory. Inhibits cyclooxygenase activity which are important in the production of prostaglandin peroxides

irreversibly acts on COX 1 enzymes (leads to GI bleeding)
reversibly acts on COX 2 enzymes (the enzyme important in producing analgesiz, antipyretic, and anti-inflammatory effects)
Term
Cyclooxygenase
Definition
is important in the production of prostaglandin peroxides which lead to inflammation
Term
Pharmacokinetics of aspirin
Definition
well absorbed, has high levels in blood and liver but less in the brain
Term
Side of effects of aspirin
Definition
GI bleeding, Reye's syndrome (fatty liver in kids), acidosis, and tinnitus (ringing sound)
Term
Reye's Syndrome
Definition
a fatty liver that occurs in kids. This is a side effect of aspirin
Term
Mechanism of action of NSAIDs
Definition
Term
COX 1 enzyme
Definition
responsible for prostaglandin synthesis that protect the stomach lining
Term
COX 2 enzyme
Definition
responsible for generating prostaglandins producing pain and inflammation
Term
Acetaminophen
Definition
not an NSAID!!
Doesn't cause GI bleeding. A possible reason for it not having an anti-inflammatory effect is that peroxides break it down by the time it gets to the site of inflammation
Term
Small peptides that bind to opioid receptors
Definition
enkephalins, dynorphins, endorphins, endomorphins
Term
3 classes of opioid receptors
Definition
mu, delta, and kappa
Term
Mu (u) opioid receptors (MOR)
Definition
most important for pain relief
activation leads to analgesia, sedation, euphoria. Mice that were produced without this receptor show a decreased sensitivity to morphone
Term
Delta opiod receptors (DOR)
Definition
is thought to be important in tolerance. has a less pain relief effect than MOR activation
there's evidence that DOR and MOR have interaction as MOR knockout mice show reduced DOR produced pain relief
Term
Kappa opioid receptors (KOR)
Definition
activation leads to hallucinations
antagonizes many MOR effects
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