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Psychopharmacology
Test 1
65
Psychology
Undergraduate 4
02/08/2014

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Term
Psychopharmacology
Definition
The study of the effects of drugs on the nervous system and behavior
Term
What is a drug?
Definition
Exogenous chemical not necessary for normal cellular function that alters the function of cells when taken in low amounts

It must have an effect:
Could have multiple effects

It must have a site of action:
May have multiple sites
Term
Routes of Administration
Definition
[image]
Term
Bioavailability
Definition
the amount of drug in the blood that is free to bind at specific targets to elicit drug action
-determined by pharmacokinetic component of drug action
Term
Absorption
Definition
movement of drug from site of administration to blood circulation : most drugs are not fully absorbed until they reach the small intestines
Term
Routes of administration vs absorption rate
Definition
[image]
Term
Oral Administration
Definition

Primary route of administration
Subject to first pass metabolism
Effectiveness based on solubility and stability in gastric acids (pH 1-3) and the ability to pass through membranes
After tablet broken down the drug is absorbed in the upper intestine by passive diffusion
–Rate is determined by ratio of solubility in H2O to lipid
–H2O soluble does not cross membranes
–Lipid soluble does
Henderson-Hasselbach equation

Psychoactive drugs are weak acids and very lipid soluble and readily absorbed
They become trapped in the blood plasma that has a pH of 7.4
75 % of the amount administered orally is absorbed within 3 hrs after administration

Term
Henderson-Hasselbach equation
Definition

pKa= pH + log nonionized/ionized
Term
Ionization
Definition
Depends on pH of drug and on its physical characteristics
Salt is a good example
Ionization determines how and when drug crosses a membrane and how long it stays
Term
Injections
Definition
i.v. (intravenous)
- Good control of injection speed, volume, concentration
- effect is very fast (no peripheral absorption), can go directly to the brain
i.m. (intramuscular)
- Absorbed quickly
s.c. (subcutaneous)
- Absorption is rapid
- Can cause irritation
Term
Distribution
Definition
Following absorption a drug is quickly distributed throughout the body by the circulatory system
Only a small portion of the drug is actually in contact with its receptors
- This wide distribution can cause the side-effects
Total blood volume is circulated every minute
Drugs also bind to proteins in the blood which reduce the drugs effectiveness
Term

Membrane Effects

1.Cell membranes
2. Capillary Walls

3. BBB

4. Placental barrier

Definition

1. Lipid soluble

2.Drugs leave capillaries through tiny pores

3.No pores, Rate determined by lipid solubility

4.Resemble cell membranes
Lipid soluble drugs easily cross this membrane

Term
Biotransformation
Definition
Metabolism of drugs occurs in the liver
-Metabolites of the drugs are less lipid soluble and stay in the blood stream
-Cytochrome P450 enzyme family is the major enzyme involved in drug metabolism
- 12 different families
- Families CYP1, CYP2, and CYP3 most common
Many factors involved in the rate of metabolism
- Changes in activity of CYP’s
- Some drugs inactivate these enzymes, some induce enzymes Grapefruit juice also
- Genetics, environment, and physiology
Term
Metabolism Stages
Definition
Type I: nonsynthetic modification of the molecule by oxidation, reduction, or hydrolysis
Type II: are synthetic reactions which require the combination of the drug with some small molecule (methyl group), which are usually less soluble
Term
Elimination
Definition
Most elimination is done through the kidneys
- Also breath, sweat, lactation, etc
Highly lipid soluble drugs are not excreted, they must first be broken down into less soluble metabolites
Term
First-order Kinetics
Definition
The time it takes for the drug to be reduced to 50% of the original plasma level
Takes 6 half-lives for a drug to be more than 98% limited
Term
Zero-order kinetics
Definition
ETOH does not have a half-life
It is metabolized at a rate of 10 cc of 200 proof/ hr
Term
Steady State
Definition
The amount of time needed for a drug to reach a steady concentration
Time to reach steady state is
T = 6(Half-life)
Term
Therapeutic drug monitoring (TDM)
Definition
Measurement of drug concentration at receptor
Maintains optimal treatment levels of the drug
Specific for each drug
Term
Pharmacodynamics
Definition
The mechanisms of drug action that occur at the molecular level
The study of the pharmacological, physiological, and behavioral effects of a drug following interaction with their receptor
Term
Receptor specificity
Definition
The degree to which a drug binds to a receptor
Influences the effectiveness of the drug
Term
General Drug Categories
Definition

CNS stimulants

CNS depressants

Analgesics

Hallucinogens

Psychotherapeutics

Term
Dose-response curve
Definition
Can be plotted for 1 person or as a % of subjects responding
Demonstrates
- Potency:Amount needed for effect
-Efficacy:Maximum effect obtainable
-Variability:Individual difference
Term

LD-50

ED-50

Definition

LD-50 lethal dose where 50% die

ED-50 effective dose at which 50% are treated
LD is the same as TD

Term

 

 

Therapeutic index

Definition
Developed from dose response curves
Ratio of ED-50 to LD-50
The higher the index the safer the drug
Term
Therapeutic index Image
Definition
[image]
Term
Drug Interactions
Definition
Effect of one drug can be modified when administered with another drug
EtOH and benzos or pot
–At high doses the effects compound each other
EtOH and other drugs in general
–EtOH opens BBB letting more drugs into the brain
Failed birth control
Term
Drug Toxicity
Definition
Effects related to the principle action of the drug
Effects that are unrelated to the principle action of the drug
–Allergic reaction
More side-effects are minor, however, some can be fatal
–Chronic liver and kidney damage
Tyramine fatalities
Term
Effects of Repeated Administration
Definition
Tolerance
–State of decreasing responsiveness to a drug
–need to take more and more drug to get the same effect
–tolerance leads to withdrawal symptoms
Term
Tolerance
3 mechanisms of action
Definition
Metabolic
–Drug induces P450 enzymes
Pharmacodynamic
-Receptors are down regulated
Behavioral
–Environmental factors
Term
Physical Dependence
Definition
Is different than tolerance
The person is dependent on the drug to avoid the unpleasant withdraw symptoms associated with not taking the drug
Can occur with therapeutic drugs also
–SSRI’s
Term
Sensitization
Definition
Chronic use can cause sensitization
Also known as reverse tolerance
Occurs as an enhancement of particular drug effects
–Motor activity and stereotypy is sensitized after repeated use of stimulants
Term
3 Types of Neurons
Definition
Sensory Neurons
– gather information from the sensory receptors
and carry it back to the brain; PNS
• Motor Neurons
– carries motor signals to the muscles; PNS
• Interneurons
– small neurons that connect other neurons; CNS
Term

 

Why is the BBB important

Definition
Semi-permeable membrane
– some molecules can cross, most kept out
• Formed by cells of the capillaries
• Maintains the homeostasis of the brain
• Weak in the area postrema
Term

Myelination

Definition
Oligo’s wrap ~ 15 internodes each
 Schwann’s wrap only 1 internode
They differ biochemically
- Produce different results during axonal regeneration following injury
Term

Oligodendrocytes

Oligo’s

Definition

form myelin sheath in CNS

wrap ~ 15 internodes each

Term
Schwann cells
Definition

form myelin sheath in PNS

wrap only 1 internode

Term

Glia

4 Types of Glia

Definition
Gila: support, nutrition, phagocytosis
– astrocytes: support
– microglia: phagocytosis, immune system
– oligodendrocytes: form myelin sheath in CNS
– Schwann cells: form myelin sheath in PNS
Term

Axoplasmic transport

Definition
Anterograde AT: Kinesin
Retrograde AT: Dynein
Term

Conduction of the action potential

Definition

-all-or-none law

- Rate law

- Saltatory conduction

Term
6 Internal Structures of a Neuron
Definition
-Cell Membrane: Phospholipid bilayer, semipermeable
- Nucleus: Contains DNA
- Mitochondria: Produces ATP, energy
- Golgi Apparatus: Packages chemicals
- Ribosomes: Produces proteins
- Microtubules: Protein strands that conduct
axoplasmic transport
Term

How is the resting membrane potential (rmp) measured and what is it?

Definition
Giant squid axon
 Oscilloscope
Resting membrane potential is –70 mV
Term

Ionic Movements of Cells

Na-K pump

Definition
[image]
Term
Meninges
Definition
Dura mater - Hard protective covering
A.M. Arachnoid Membrain - Part of ventricular system, cushions the brain with CSF
S.S. Subarachnoid Space - Filled with CSF
P.M. Pia mater- Contains blood vessels
Term

Organization of the Nervous System

First 2 layers

 

Definition

CNS

PNS

Term
6 stages of CNS Development
Definition
1. Neurogenesis - non-neural cells divide to produce neurons
2. Cell Migration - neurons use radial glial cells to move
away from the ventricular zone, chemical markers
3. Differentiation - turn into distinct types of neurons
4. Synaptogenesis - form synaptic contacts with each other
5. Cell Death - massive cell death (apoptosis)
6. Rearrangement - refinement of connections
Term

 

 

Name the 5 major divisions of the brain

Definition

- telencephalon

- diencephalon

- mesencephalon

- metencephalon

- myelencephalon

Term
2 areas of the Mesencephalon
Definition
-Also called the midbrain
- Tectum
- Tegmentum
Term
2 areas Hindbrain
Definition

-Metencephalon

-Myelencephalon

Term
Diencephalon
Definition
- The second division of the forebrain
- Thalamus: a collection of nuclei, major projection to cortex: LGN - visual processing :MGN - auditory processing
- Hypothalamus: controls autonomic and endocrine systems: 4 F’s: controls the pituitary gland
-Sub Thalamic Nucleus (Subthalamus)
: motor control
Term

2 Parts of the Forebrain

Definition

Telencephalon

Diencephalon

Term
3 parts of the Telencephalon
Definition

Cerebrum

Basal Ganglia

Limbic system

Term
3 Parts of the Diencephalon
Definition

Thalamus

Hypothalamus

Subthalamic Nucleus

Term
3 Parts of the Brain
Definition

Forebrain

Mesencephalon "Midbrain"

Hindbrain

Term
2 Parts of the Melencephalon
Definition

Pons

Cerebellum

Term
2 parts of the Tectum
Definition

Inferior colliculi

Super colliculi

Term

 

Name the 4 lobes in the Cerebral cortex

Definition
Frontal - rostral to central sulcus
 Parietal - caudal to central sulcus
 Temporal - ventral to lateral fissure
Occipital - caudal to parietal and temporal lobes
Term

Name 3 Limbic System structures

Definition
Limbic Cortex
 Amgydala: aggression, fear, anxiety
Hippocampus: learning & memory
Term

Name 3 parts and uses of Basal Ganglia

Definition
1.Caudate
 2.Putamen
 3.Globus Pallidus
Movement control, Reinforcement, Addiction
Term
Names the 2 areas of the Tectum
Definition
superior and inferior colliculi (vision & audition)
Term

Metencephalon 

Definition

-Cerebellum: coordinated movement: cerebellar cortex, deep nuclei, peduncles,

-Pons: part of reticular formation, sleep, arousal,  relays information from cerebral cortex to cerebellum

 

Term
-Myelencephalon: 
Definition
Medulla Oblongata: controls vital life functions
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