Week 4 Flashcards

1
Q

What is psychopharmacology

A

Psychopharmacology is the study of the effects of drugs on the nervous system and behaviour

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2
Q

What are drugs, drug effects, and sites of action

A

Drugs: an exogenous chemical not necessary for normal cellular functioning that significantly alters the functions of certain cells of the body when taken in low doses

Drug effects: observable changes in an individuals physiology and behaviour

Sites of action: the locations where drug molecules interact with molecules on or in cells to affect biochemical processes

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3
Q

What is pharmacokinetics

A

pharmacokinetics is all about the four steps to do with drugs, absorption, distribution, metabolism, excretion

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4
Q

What are the five possible ways of absorbing drugs

A

injection, oral, inhalation, insufflation, topical administration

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5
Q

Explain distribution of drugs in the body

A

Drugs exert effects on sites of actions which are on our neurons. Lipid solubility is how quickly a drug can get into the CNS and cross the BBB

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6
Q

Explain the process of metabolism and excretion of drugs

A

drugs are metabolised and deactivated by enzymes that are in the brain liver and blood.
All drugs are eventually excreted, enzymes can sometimes transform molecules of a drug into other forms that are also active which creates long-lasting drug effects

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7
Q

What is the dose response curve

A

despite the relationship between drug dose and drug effects. There is a point where increasing the dose does not produce a stronger effects of the drug on this curve

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8
Q

What is the therapeutic index

A

The therapeutic index measures drugs margin of safety which is the toxic dose/therapeutic dose. A higher number means safer.

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9
Q

Why do drugs vary in effectiveness

A

drugs vary in effectiveness due to having differing sides of action as well as drug affinity

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10
Q

Explain sensitisation and tolerance

A

sensitisation is an increase in the effectiveness of a drug that is administered repeatedly.

Tolerance is a decrease in the effectiveness if that drug is administered repeatedly.

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11
Q

Explain placebo

A

Placebo = inert substance that is given to an organism in lieu of a psychologically active drug

Placebo effect = if a person expects that a placebo can have a physiological or psychological effect, then administration of the placebo could produce the expected effect.

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12
Q

What is an Antagonist

A

A drug that opposes or inhibits the effects of a particular neurotransmitter on the postsynaptic cell

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13
Q

What is an Agonist

A

A drug that facilitates the effects of a particular neurotransmitter on the postsynaptic cell

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14
Q

How do Agonists impact neurotransmitter synthesis

A

They can serve as precursors

The rate of neurotransmitter synthesis and release can increase (L-DOPA -> Dopamine)

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15
Q

How do antagonists impact neurotransmitter synthesis

A

The drug inactivates enzymes involved in NT synthesis, preventing NT production.
Eg; PCPA inhibits an enzyme which helps serotonin

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16
Q

How do agonists affect the storage and release of NT

A

Drugs can stimulate the release of NT into the synapse. Bind with proteins that cause synaptic vesicles to fuse with membrane and release NT into the synapse

17
Q

How can agonists affect storage and release of NT

A
  1. drugs can prevent the storage of neurotransmitter in vesicles in terminal button of a neuron. Vesicle transporter molecules on the synaptic vesicle membrane which help neurotransmitters get into vesicles can be blocked by drugs
  2. drugs can prevent the release of neurotransmitter into the Synapse. Deactivate proteins that cause synaptic vesicles to fuse with membrane and release neurotransmitter into the synapse 
18
Q

How do agonists and antagonists impact receptors

A

Agonist: Drugs can stimulate postsynaptic receptors
Antagonist: Drugs can block postsynaptic receptors

19
Q

How do agonists impact reuptake and deactivation

A

they can block the reuptake of neurotransmitters from the synaptic cleft. They can also in activate enzymes involved in enzymatic deactivation of a neurotransmitter

20
Q

Explain Amino acid Neurotransmitters

A

most communication in the brain is done by 2 amino acid neurotransmitters. Glutamate which is excitatory and Gabba which is inhibitory

21
Q

Explain glutamate (excitatory)

A

It is synthesised from a precursor amino acid by an enzyme and pumped into synaptic vesicles.
On the postsynaptic neuron: 3 ionotropic receptors (NMDA, AMPA, Kainate) and 1 metabotropic glutamate receptor.
NMDA receptor is voltage and NT dependent.
Glutamate is removed via reuptake and broken down into enzymes

22
Q

Explain GABA (inhibitory)

A

Made from a precursor amino acid via an enzyme pumped into synaptic vesicles by vesical Gabba transporters

GABA A receptors are ionotropic and have at least 5 different binding sites, and other ligands (hormones)

Removed via reuptake

23
Q

Explain Acetylcholine (ACh)

A
PNS = muscle contraction
CNS = Dorsolateral pons (REM sleep and dreaming
Basal Forebrain (perceptual learning)
Medial septum (memory formation

synthesised from 2 pre-cursors by an enzyme and loaded into vesicles via vesical ACH transporters

Ionotropic receptors in PNS
Metabotropic receptors in CNS

24
Q

List monamine NT’s

A

Dopamine
Norepinephrine
Serotonin
Histamine

25
Q

Explain dopamine

A

Produces EPSPs. It acts through 3 pathways;

  1. Nigrostriatal system = movement control
  2. Mesolimbic system = reward and reinforcement
  3. Mesocortical system = memory and problem solving

It has 5 types of metabotropic receptors

26
Q

Explain norepinephrine

A

Found in CNS and PNS.
It’s most important system originates in the locus coeruleus which is located in the dorsal pons and related to vigilance.

Released via axonal varicosities

27
Q

Explain serotonin (5-HT)

A

Relates to; mood regulation, sleep, eating, arousal and pain regulation.

Clusters of serotonin originate in the raphe nuclei of the midbrain, pons and medulla. This projects to the cortex + basal ganglia.

28
Q

Explain histamine

A

Plays critical role in wakefulness.

Found exclusively in the tuberomammillary nucleus (TMN) in the posterior hypothalamus

29
Q

Explain peptide NT’s

A

peptides are synthesised from large precursor molecules broken down into smaller neurotransmitter molecules by enzymes located in the neuron Soma. Often co released alongside another neurotransmitter to regulate the sensitivity of pre-synaptic or postsynaptic receptors. Most are neuro modulators. Direct agonists = heroin, direct antagonist = naloxone. There is no reuptake process

30
Q

explain Lipid NT’s

A

Lipids are fatty substances.
substances derived from lipids connectors neurotransmitters to send messages within or between cells.

They are synthesised on demand.

Relates to THC and paracetamol