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15 Cards in this Set

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Barbiturates

Open Cl- channels w/o GABA (neurotrnzmtr)


--> this can cause cells responsible for breathing to stop firing from hyperpolarization


Low TI relative to BZD's


Increase affinity for GABA-a receptor for GABA

Benzodiazepines

Open Cl- channels w/ GABA (nrotranzmtr)


Higher TI than Barbs


Same effect of Barbs but cannot open channel on its own

GABA receptors

Respond to GABA, chief inhibitory tranzmtr in vertebrate cns


GABAa receptors

ligand-gated/ionotropic receptors

GABAb receptors

G protein-coupled receptors/metabotropic receptors


--> They can either stimulate or prevent an ion channel from opening, or they can stimulate or prevent an enzyme's production in the cell membrane

Anxiolytics


Anti-anxiety, enhance GABA transmission


Gen 1: MAOI


Gen 2: partial agonist, not as dangerous when combined with alcohol or cns depressants, less recreational use, no dependence or withdrawal

MAOI

Monoamine oxidase inhibitor


Prevent enzymatic breakdown of monoamines


However, because they are in liver, they also


Inhibit enzymes needed for liver function (very dangerous to also drink/take depressants)


Dangerous to also ingest tyramine b/c toxic if not broken down

SSRI

Selective serotonin reuptake inhibitor, also has low affinity for dopamine and noradrenaline


Antidepressant also used to treat anxiety


Must be taken for awhile to see effects, cannot abruptly end use


Neuronal adaptation

Neurons change to accept anti-depressants over time

Cytochrome P450


CYP 2E1

Class of liver enzymes that break down alcohol in stage I metabolism (into acetaldehyde) as well as other drugs like nicotine, so inhibitors combined with drugs this enzyme has to break down can be dangerous


(MEOS)


4 mechanisms of tolerance

metabolic (reduced availability)


pharmacodynamic (receptor down-regulation)


acute (falling levels)


behavioral (learning)

Wenike-Korsakoff syndrome

Permanent brain damage


significant memory disorder of recent memories


Vitamin B can stop but not undo the process


Thiamine- Vitamin B, deficiency is caused, need for brain glucose metabolism

Effects of alcohol

Up-regulation of NMDA (glutamate) receptors


Down-regulation of GABA-a receptors, where it binds


Increases dopamine and endogenous opiod production and release

Cannabis

delta-9-tetrahydrocannabinol


receptors: CB-1 in CNS (cerebellum, c cortex, hippocampus)(becomes down-regulated), CB-2 in bone, fat, GI, immune system


reverse receptor metabotropic


endogenous: anandamide and 2-AG

Cannabis con't

involves amygdala (conditional emotional response)(connected to hippocampus)