Final Ch4 Neurochemistry – Flashcards

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Neurochemistry
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focuses on the basic chemical composition and processes of the nervous system
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Neuropharmacology
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is the study of compounds that selectively affect the nervous system.
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Six criteria for neurotransmitters
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1) Exist in presynaptic axon terminals 2) Synthesized in presynaptic cells 3) Released during action potentials 4) Receptors for it exist on PSM. 5) Produces changes in postsynaptic potentials. 6) When blocked, prevents changes.
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Amines
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quaternary amines (acetylcholine) mono amines
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quaternary amines
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(acetylcholine)
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mono amines
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*catecholemines* (norepinephrine, epinephrine, dopamine) *indoleamines* (serotonin, melatonin)
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Amino acids
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(GABA, glutamate)
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Peptide neurotransmitters
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(opioids)
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Neurotransmitters affect targets by acting on
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receptors
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receptors
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protein molecules in the postsynaptic membrane.
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Ionotropic receptors
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are fast-open an ion channel when the transmitter molecule binds
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Metabotropic receptors
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are slow-when activated they alter chemical reactions in the cell, such as a G protein system, to open an ion channel.
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ligand
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is a substance that binds to a receptor
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A ligand has one of three effects:
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agonist antagonist inverse agonist
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agonist
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initiates the normal effects of the receptor.
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antagonist
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blocks the receptor from being activated by other ligands.
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inverse agonist
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initiates an effect that is the opposite of the normal function.
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Endogenous
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from inside
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Exogenous
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from outside
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4 biogenic amine production sites
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Ralphe Nuclie - seratonin Basal Ganglia - dopamine Basal Forebrain - acetocholine Locus Corealeus - epinephrine
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Acetylcholine
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-plays a role in cognition, muscle contractions and the parasympathetic response -Nicotinic and Muscarinic receptors -Produced in midbrain and basal forebrain
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Dopamine (DA)
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-This pathway is important in motor control and pleasure. -This pathway is implemented in to schizophrenia and movement disorders -is found in neurons in: midbrain and basal ganglia
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Norepinephrine (NE)
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-NE is also known as noradrenaline-cells producing it are noradrenergic. Sympathetic response -is released in the Locus coeruleus (pons) and midbrain
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The CNS has four subtypes of NE receptors-which are all...
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metabatropic
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Serotonin (5HT)
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- is implicated in sleep, mood, sexual behavior, and anxiety. -Antidepressants such as Prozac increase 5HT activity, with effects depending on which receptor subtype is affected. -cell bodies are mainly found in the raphe nuclei and its serotonergic fibers project widely.
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Amino acid transmitters:
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Glutamate GABA
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Glutamate
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is the major excitatory neurotranmitter of the CNS
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GABA
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is the major inhibitory neurotranmitter of the CNS
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Excitotoxicity
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neural injury such as stroke may cause excess release of glutamate, which is toxic to neurons
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Endorphins
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-are endogenous opioid peptides -They are produced in the pituitary and hypothalamus during exercise, pain, spicy food consumption and sex
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binding affinity
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is the degree of chemical attraction between a ligand and a receptor.
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efficacy (or intrinsic activity)
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is the ability of a bound ligand to activate the receptor.
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Agonists
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high efficacy
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Antagonists
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have low efficacy
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Partial agonists or antagonists
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produce a medium response regardless of dose.
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Competitive ligands
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are drugs that bind to the same receptor site as the neurotransmitter.
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noncompetitive ligand
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binds instead to a modulatory site on the receptor. -The modulatory site, when bound by a compound, alters the receptor's response.
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What is a dose-response curve (DRC) ?
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is a graph of the relationship between drug doses and the effects. -The DRC is a tool to understand pharmacodynamics-the functional relationship between drugs and their targets.
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Drug tolerance can develop after
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successive treatments have decreasing effects
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Metabolic tolerance organ systems become...
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more effective at eliminating the drug (e.g. alcohol)
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Functional tolerance
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target tissue may show altered sensitivity to the drug (ecstacy)
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Changes in numbers of receptors can alter sensitivity in the direction ...
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opposite to the drug's effects:
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Neurons down-regulate in response to an agonist drug meaning...
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fewer receptors available
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Neurons up-regulate in response to
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an antagonist.
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Cross-tolerance
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is tolerance to a whole class of chemically similar drugs.
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Withdrawal symptoms
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may be caused by drug tolerance.
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Sensitization
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occurs when drug effects become stronger with repeated treatment.
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bioavailable
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free to act on the target-varies with route of ingestion. -Duration of a drug's effect is determined by how it is metabolized.
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Biotransformation produces active metabolites
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that may produce side effects.
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Neuromodulators
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affect either transmitter release or receptor response.
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Caffeine is an...
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exogenous neuromodulator that blocks the effect of adenosine, an endogenous neuromodulator that normally inhibits catecholamine release.
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transporters
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specialized proteins that return the transmitter to the presynaptic membrane.
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Some drugs affect how long transmitters remain in the synapse, they interfere with...
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transporters
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When drugs affect the breakdown of neurotransmitters they are affecting the
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degradation of the drug
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Cholinesterase inhibitors inhibit the breakdown of what drug
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ACh (acetycholine)
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Antipsychotic (neuroleptic) drugs
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a class of drugs to treat schizophrenia
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Typical neuroleptics
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are selective dopamine D2 antagonists.
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Atypical neuroleptics
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block serotonin receptors and may reduce negative symptoms of schizophrenia.
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Antipsychotic (neuroleptic) drugs, Typical neuroleptics, and Atypical neuroleptics all seem to do what to patients
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-reduce motor activity, which helps alleviate major agitation in some patients -They can also give rise to tardive dyskinesia (reversible)
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Too much dopamine is associated with
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psychosis
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Too little dopamine is associated with
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movement disorders
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Antidepressants
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treat depression.
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Monoamine oxidase (MAO)
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inhibitors prevent the breakdown of monoamines at the synapses.
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Tricyclic antidepressants
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increase norepinephrine and serotonin at the synapses by blocking their reuptake into presynaptic axon terminals.
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Selective serotonin reuptake inhibitors (SSRIs)
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- allow serotonin to accumulate in the synapses, with fewer side effects than tricyclics. -like Prozac or Zoloft
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Anxiolytics, or tranquilizers
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reduce nervous system activity.
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Benzodiazepine agonists act on what?
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also known as minor tranquilizers, and act on GABAA receptors
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GABA receptors have several binding sites, that enhance or inhibit what??
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GABA's effects
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Benzodiazepines bind at an
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orphan receptor-no known endogenous ligand
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Allopregnanolone
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a steroid, is elevated during stress and is calming
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Alcohol's effects are biphasic which means...
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an initial stimulant phase followed by a depressant phase
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Alcohol activates GABAA receptors which increase
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social disinhibition, lethergy and loss of motor coordination for 4 hours
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Alcohol also stimulates dopamine pathways, causing ...
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euphoric effects which last for six hours
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Alcohol abuse damages nerve cells, especially in the ...
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frontal lobe, yet some damage is reversible.
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analgesic
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pain killer
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Opium contains
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morphine, an effective analgesic, or painkiller
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Morphine and heroin are ...
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related
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morphine and heroin bind to what kind of receptors?
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opiates bind to opioid receptors in the brain, especially in the locus coeruleus and the periaqueductal gray.
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Endogenous opiates
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peptides produced in the body that bind to opioid receptors and relieve pain-are also addictive.
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The brain contains orphan cannabinoid receptors to mediate the effects of
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THC and other compounds
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Endocannabinoids
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homologs of marijuana produced in the brain-act as retrograde messengers and may influence neurotransmitter release from the presynaptic neuron.
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Anandamide
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-an endocannabinoid Altered memory formation
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Anadamide affects include
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-Altered memory formation -Appetite stimulation -Reduced pain sensitivity -Protection from excitotoxic brain damage
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Nicotine from tobacco
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-Increases heart rate, blood pressure, hydrochloric acid secretion, and bowel activity -Acts as an agonist on nicotinic ACh receptors in the ventral tegmental area
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Cocaine, the purified extract, can be used as a
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anesthetic
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cocaine increases
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catecholamine stimulation and is highly addictive
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Dual dependence
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is addiction to the effects of the interaction of two drugs.
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Cocaine blocks which transporters
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monoamine transporters-especially dopamine-slows reuptake of neurotransmitters, enhancing their effects.
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Amphetamine and methamphetamine are what kind of stimulants...
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synthetic stimulants that resemble catecholamines in structure. -They cause the release of neurotransmitters even in the absence of action potentials
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Short-term effects of amphetamines include...
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alertness, euphoria, and stamina.
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Long-term use leads of amphetamines include...
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sleeplessness weight loss, and schizophrenic symptoms
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Hallucinogens
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sensory perception and produce peculiar experiences.
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Phencyclidine (PCP) ) or angel dust,
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produces feelings of depersonalization and detachment from reality -Its many side effects include combativeness and catatonia. -PCP has been proposed as a chemical model for schizophrenia.
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LSD
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(acid), mescaline (peyote), and psilocybin (magic mushrooms) have mainly visual effects.
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what kind of receptor is pcp
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NMDA receptor antagonist and stimulates DA release
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Ketamine (Special K)
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is a less potent NMDA antagonist that works in the prefrontal cortex.
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Ketamine Like PCP
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can produce transient psychotic symptoms, at high doses
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MDMA (Ecstasy) is a
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hallucinogenic amphetamine derivative-its major actions are increases in serotonin levels and changes in dopamine and prolactin levels. -Chronic ecstasy use produces persistent effects and damage to serotonin-producing neurons
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The Moral Model
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blames the abuser for a lack of moral character or a lack of self-control
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The Disease Model
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the abuser requires medical treatment; however, an abnormal condition in abusers has not been identified
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The Physical Dependence Model
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called the withdrawal avoidance model, says abusers use drugs to avoid withdrawal symptoms
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The Positive Reward Model
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drug use is a behavior controlled by positive rewards, with no disease
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Many addictive drugs cause dopamine release in the what part of the brain
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nucleus accumbens -Some axons that terminate here originate in the ventral tegmental area (VTA) and are involved in the reward pathway. -The addictive power of drugs may come from stimulating this pathway.
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People with damage to the insula pathway, a brain region within the frontal cortex.
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area have been able to stop smoking effortlessly.
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Cue-induced drug use
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is the increased likelihood of using a drug because factors are present that were also present when the drug was last used.
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Factors in susceptibility to addiction
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-biological-sex, genetic predisposition -Family situation-family breakup, poor relationships, sibling drug users -Personal characteristics-aggressiveness, emotional control -Environmental factors-peer pressure, social factors
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Medications to treat drug abuse Drugs for detoxification:
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benzodiazepines and drugs to help ease withdrawal symptoms
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Antagonists to the addictive drug
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block effects of the abused drug but may produce withdrawal symptoms
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Agonists or analogs of the addictive drug
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-partially activate the same pathways, such as methadone or nicotine patches
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Reward-blocking medications
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block positive reward effects of the abused drug but may produce a lack of all pleasurable feelings
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Medications that alter drug metabolism-
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like *Antabuse*, which makes drinking produce unpleasant side effects
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Anticraving medications
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reduce the appetite for the abused substance
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immunization
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prompts the immune system to remove targeted drugs
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