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The study of the effects of drugs on the nervous system and behavior |
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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 |
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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 |
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movement of drug from site of administration to blood circulation : most drugs are not fully absorbed until they reach the small intestines |
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Routes of administration vs absorption rate |
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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 |
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Henderson-Hasselbach equation |
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pKa= pH + log nonionized/ionized |
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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 |
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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 |
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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 |
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Membrane Effects
1.Cell membranes 2. Capillary Walls
3. BBB
4. Placental barrier |
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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 |
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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 |
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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 |
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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 |
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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 |
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ETOH does not have a half-life It is metabolized at a rate of 10 cc of 200 proof/ hr |
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The amount of time needed for a drug to reach a steady concentration Time to reach steady state is T = 6(Half-life) |
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Therapeutic drug monitoring (TDM) |
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Measurement of drug concentration at receptor Maintains optimal treatment levels of the drug Specific for each drug |
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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 |
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The degree to which a drug binds to a receptor Influences the effectiveness of the drug |
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CNS stimulants
CNS depressants
Analgesics
Hallucinogens
Psychotherapeutics |
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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 |
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LD-50 lethal dose where 50% die
ED-50 effective dose at which 50% are treated LD is the same as TD |
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Developed from dose response curves Ratio of ED-50 to LD-50 The higher the index the safer the drug |
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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 |
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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 |
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Effects of Repeated Administration |
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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 |
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Tolerance 3 mechanisms of action |
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Metabolic –Drug induces P450 enzymes Pharmacodynamic -Receptors are down regulated Behavioral –Environmental factors |
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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 |
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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 |
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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 |
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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 |
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Oligo’s wrap ~ 15 internodes each Schwann’s wrap only 1 internode They differ biochemically - Produce different results during axonal regeneration following injury |
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form myelin sheath in CNS
wrap ~ 15 internodes each
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form myelin sheath in PNS
wrap only 1 internode |
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Gila: support, nutrition, phagocytosis – astrocytes: support – microglia: phagocytosis, immune system – oligodendrocytes: form myelin sheath in CNS – Schwann cells: form myelin sheath in PNS |
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Anterograde AT: Kinesin Retrograde AT: Dynein |
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Conduction of the action potential |
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-all-or-none law
- Rate law
- Saltatory conduction |
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6 Internal Structures of a Neuron |
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-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 |
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How is the resting membrane potential (rmp) measured and what is it? |
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Giant squid axon Oscilloscope Resting membrane potential is –70 mV |
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Ionic Movements of Cells
Na-K pump |
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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 |
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Organization of the Nervous System
First 2 layers
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6 stages of CNS Development |
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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 |
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Name the 5 major divisions of the brain |
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- telencephalon
- diencephalon
- mesencephalon
- metencephalon
- myelencephalon |
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2 areas of the Mesencephalon |
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-Also called the midbrain - Tectum - Tegmentum |
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-Metencephalon
-Myelencephalon |
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- 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 |
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Telencephalon
Diencephalon |
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3 parts of the Telencephalon |
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Cerebrum
Basal Ganglia
Limbic system |
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3 Parts of the Diencephalon |
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Thalamus
Hypothalamus
Subthalamic Nucleus |
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Forebrain
Mesencephalon "Midbrain"
Hindbrain |
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2 Parts of the Melencephalon |
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Inferior colliculi
Super colliculi |
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Name the 4 lobes in the Cerebral cortex |
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Frontal - rostral to central sulcus Parietal - caudal to central sulcus Temporal - ventral to lateral fissure Occipital - caudal to parietal and temporal lobes |
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Name 3 Limbic System structures
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Limbic Cortex Amgydala: aggression, fear, anxiety Hippocampus: learning & memory |
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Name 3 parts and uses of Basal Ganglia |
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1.Caudate 2.Putamen 3.Globus Pallidus Movement control, Reinforcement, Addiction |
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Names the 2 areas of the Tectum |
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superior and inferior colliculi (vision & audition) |
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-Cerebellum: coordinated movement: cerebellar cortex, deep nuclei, peduncles,
-Pons: part of reticular formation, sleep, arousal, relays information from cerebral cortex to cerebellum
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Medulla Oblongata: controls vital life functions |
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