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Flashcards in Drugs of abuse Deck (14)
1

5 signs of dependence syndrome

progressive neglect of other interests
tolerance
physical withdrawal state
persistance despite detrimental effects
difficulties controlling use

2

which drugs target the dopamine path and where do they act

VTA (mesolimbic dopamine pathway) drugs enhance dopamine here
cocaine, amphetamines, opiods (disinhibition of gaba)

3

Effects of opiates

analgesta, euphoria, resp depression, dyphoria, sedation
CHRONIC - constipation , depression, insomnia
TOLERANCE WITHDRAWAL

4

Action of cocaine

blocks Na channels - anaesthetic
inhibs DA reuptake

5

Do you get dependance with cocaine

not physical but physological

6

effect of amphetamines

wakefulness, decreased fatigue, performance enhancing, increased libido, self estreem
release monoamines and blocks reuptake Da NA 5HT

7

what can a chronic dose of amphetamines cause

increased CV tone, psychosis

8

how does cannabis work

THC mimics effect of endogenous lipid molecules. inhibs NT release in brain and periphery via G Prot canabanoid receptors

9

How does cannabis stimulate hunger

feeding centres in the hypothalamus

10

alcohol
1. how does it work
2. what causes excitatory effects

1. CNS depressant , blocks glutamate
2. disinhibition

11

symptoms of alcohol withdrawal?

confusion, delusions, visual hallucinations, CV collapse

12

what is methadone used for

to treat opiate abuse, opiate agonist. blocks effect of opiate.

13

What are naltrexone and mecamylamine used for? downside to them?

antagonists of opioids and nicotine respectively.
patient just has to take more of the drug to overcome them

14

acamprosate, naltrexone are used for what?

anti craving in alcohol withdrawal