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Substances of Abuse
-Symptoms of intoxication, withdrawal and overdose for each substance of abuse. Neurotransmitters affected and Pharmacological Interventions
26
Psychology
Graduate
06/16/2010

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Term
Neurotransmitters affected by Alcohol
Definition
Increase GABA, Dopamine, and endorphins
Decrease Glutamate
Term
Neurotransmitters affected by Anxiolytic, sedative-hypnotic
Definition
Increase GABA
Decrease Glutamate
Term
Neurotransmitters affected by Opiates
Definition
Increase Endorphins, ehkaphlins

(An enkephalin is a pentapeptide involved in regulating nociception in the body. The enkephalins are termed endogenous ligands, or specifically endorphins, as they are internally derived and bind to the body's opioid receptors. )
Term
Neurotransmitters affected by Stimulants
Definition
Increase Noradrenaline, Dopamine
Term
Neurotransmitters affected by Nicotine
Definition
Increase acetylcholine (Ach) (acts as an agonist on Ach receptors)
Term
Neurotransmitters affected by Hallucinogens
Definition
Increase 5-HT (5-Hydroxytryptamine, Seratonin), Dopamine
Term
Neurotransmitters affected by Dissociateive Anesthetics (Phenylcyclidine (PCP) or Angel Dust, Ketamine)
Definition
Increase Glutamate receptors (ionotropic, very fast acting)
Term
Cannabis
Definition
Increase Dopamine, anandamide, cannabinoid recoptors
Decrease Glutamate
Acts as Analgesic
Term
Solvents and Inhalants
Definition
Increase Noradrenaline and Dopamine (Increase release)
Term
Pharmacological interventions for alcohol abuse
Definition
Intoxication: Large doses of B vitamins
Withrawal/delirium/hallucinosis: benzodiazepines (eg valium, librium, ativan)
Abstinence maintenance: Disuliram (Antabuse)
Term
Pharmacological interventions for anxiolytic, sedative-hypnotic intoxication
Definition
Flumazenil (Romazicon) for benzodiazepine toxicity
Withdrawal: taper for 4 to 8 weeks
Term
Pharmacological interventions for Opiates
Definition
Overdose: Injectable opiate agonist, e.g. Naloxone (Narcan)
Intoxication: Oral opiate antagonist, e.g.ReVia, Trexan)
Withdrawal: Benzodiazepines; Alpha-2 adrenergic agonist; long-acting synthetic opiates, e.g. methadone (Dolophrine) and propoxyphene (Darvon)
Abstinance Maintenance: Methadone, LAAM, Naltrexone, Buprenorphine
Term
Pharmacological interventions for stimulants (e.g. crack, cocaine, amphetamines)
Definition
Intoxication: Beta blockers, Alpha-2 adrenergic agonists.
Dopamine agonists: amantadine (symmetrel, bromocriptine (Parlodel), and the dopamine precursor, L-dopa.
Term
Pharmacological interventions for Hallucinogens
Definition
Intoxication, psychosis: Antipsychotics, benzodiazepines (bad trip)
Term
Pharmacological interventions for Dissociative Anesthetics Phenylcyclidine (PCP, Angel Dust), Ketamine
Definition
Intoxication, psychosis: Antipsychotics, benzodiazepines (bad trip)
Term
Pharmacological interventions for Cannabis
Definition
Intoxication (rare): benzodiazepines
Psychosis: Antippsychotic, esp. haloperidol
Term
Pharmacological interventions for Solvents and Inhalants
Definition
Intoxication, psychosis: Antipsychotics, benzodiazepines (bad trip)
Term
Substances of abuse that increase GABA
Definition
Alcohol
Anxiolytic, sedative-hypnotic
Term
Substances of Abuse that increase Dopamine
Definition
Alcohol
Stimulants
Hallucinogens
Cannabis
Solvents/Inhalants
Term
Substances of Abuse that Increase Endorphins
Definition
Alcohol
Opiates
Term
Substances of abuse that decrease Glutamate
Definition
Alcohol
Anxiolytics, sedative-hypnotics
Cannabis
Term
Substances of Abuse that increase Noradrenaline
Definition
Stimulants
Solvents/Inhalants
Term
Substances of Abuse that increase acetylcholine (Ach)
Definition
Nicotine
Term
Substances of Abuse that increase 5-HT (Seratonin)
Definition
Hallucinogens
Term
Substances of abuse that increase Glutamate receptors (ionotropic -- very fast acting)
Definition
Dissociative Anesthetics:
Phenylcyclidine (PHP/Angel Dust)
Ketamine
Term
Substances of abuse that increase anandamide, cannabinoid receptors
Definition
Cannabis
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