ecstasy Flashcards

(36 cards)

1
Q

where was MDMA first synthezised and by whom and when

A

1912, Merck, Kollish

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2
Q

who first published testing of MDMA. where and when

A

1960, DOW chemicals, Alexander Shulgin

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3
Q

where can MDMA be extracted from?

A

ocotea pretiosa
sassafras albidum
cinnamomum parthenoxylon

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4
Q

how must safrole does sassafras essential oile contrain

A

75-85%

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5
Q

how does ecstacy have a shifted stimulant effect

A

methylenedioxy ring

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6
Q

where is MDMA distributed

A

brain lungs liver spleen kidney

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7
Q

how long is the onset for MDMA

A

30-45 min

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8
Q

what is the TI for MDMA

A

14-16

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9
Q

what is the half life of MDMA`

A

6 hours

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10
Q

how long does the high last for MDMA

A

2-3 hours

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11
Q

how is MDMA degraded & how much of it is degraded in this way

A

cyp2D6 80%

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12
Q

how is MDMA excreted

A

kidney 20%

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13
Q

what are the sympathomimetic effects of MDMA

A

increased heart rate and hyperthermia and diaphoreiss

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14
Q

MDMA actions at which receptor cause bruxism and increased locomotion

A

5HT1B/2 agonist

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15
Q

how does MDMA reverse 5HT transporters

A

trace amino associated receptor-mediated phosphorylation

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16
Q

how does MDMA act at NE and DA transporters

17
Q

where is 5HT released after taking MDMA

18
Q

where is DA released after taking MDMA

19
Q

blocking which receptor will inhibit 5HT release

20
Q

what are the 3 other chemicals that MDMA increases

A

DA, cortisol, prolactin/oxytocin

21
Q

what is the shift in brain activity after taking MDMA

A

ventral striatum not amygdala

22
Q

actions at which receptors cause the sympathomimetic effects of MDMA

23
Q

actions at which receptors cause hyperthermia

24
Q

actions at which receptors cause ACh release

A

histamine type I

25
actions at which receptors cause EPSPs
histamine type I
26
which receptor causes NT release
alpha7 nAChR
27
how does MDMA cause tolerance
decrease in 5HT transporters and depletion of neurotransmitters
28
how does MDMA cause withdrawal
inability to thermoregulate (suicide tuesdays)
29
how does MDMA cause dependence
psychological not physical
30
what underlies the low addiction risk of MDMA
biased agonism at 5HT2C
31
what are symptoms of 5HT syndrome
increased HR BP muscle rigidity, hyperdiaphoresis, delirium
32
what combination can reduce effects of MDMA
SSRI
33
where does MDMA increase DA after acting on the D1 receptor
preoptic anterior hypothalamus
34
which receptor antagonist abrogated the increase in temperature
D1
35
what is another danger of acute MDMA use
hyponatermia
36
what can hyponatremia result in
cerebral edema, vomiting, and respiratory arrest