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77 Cards in this Set

  • Front
  • Back

Addiction

controversial and complex term that has different meanings for different people

Instead of "addiction," the textbook uses this term

dependence

Abuse

the use of a substance in a manner, amounts, or situations such that the drug use causes problems or greatly increases the chances of problems occuring

Dependence

refers to a state in which the individual uses the drug so frequently and consistently that it appears that it would be difficult for the person to get along without using the drug

Tolerance

reduced effect of a drug after repeated use



Laissez-faire

hands-off approach to government



Three reasons why government began regulating...

1. Toxicity


2. Dependence


3. Crime

Toxicity

poisonous, dangerous

Acute

comes on suddenly

Chronic

long-lasting

Withdrawal syndrome

a consistent set of symptoms that appear after discontinuing use of a drug

Physical dependence

drug dependence defined by the presence of a withdrawal syndrome, implying that the body has become adopted to the drug's presence

Psychological dependence

behavioral dependence; indicated by high rate of drug use, craving for the drug, and a tendency to relapse after stopping use

Cocaine

a stimulant; the primary active chemical in coca

FDA

The U.S. Food and Drug Administration

IND

application to investigate a new drug in human trials


"notice of claimed Investigation exemption for a New Drug"

DEA

Drug Enforcement Administration, a branch of the Department of Justice

Bureau of Narcotics

1930 Congress created it.


Treasury Department

Homeostasis

maintenance of an environment of body functions within a certain range (ex. temperature, blood pressure)

Cell Body

central region of a neuron, which is the control center

Dendrites

branchlike structure that extend from the cell body and specialize in receiving signals from other neurons

Axon

a thin tube that extends from the cell body and specialize in receiving signals from other neurons

Axon terminals

the end region of the axon

Membrane

a thin, limiting covering of a cell

Receptors

recognition mechanisms that respond to specific chemical signals

Neurotransmitter

chemical messengers released from axon terminals

Synaptic vesicles

small bubbles of membrane that store neurotransmitters

Myelin

a fatty, white substance that is wrapped around portions of the axons

Glial cells

one of two major cell types in the nervous system


Provides firmness and structure to brain


Get nutrients into system


Eliminate waste


Form myelin


Communicated with other glia and neurons


Create blood-brain barrier

Precursor

chemicals that are acted on by enzymes to form neurotransmitters

DAWN

Drug Abuse Warning Network; system for collecting data on drug-related deaths or emergency room visits

Blood-brain barrier

structure that prevents many drugs from entering the brain

Neurotransmission

the process of transferring information from one neuron to another at a synapse

Action Potential

the electrical signal transmitted along the axon when a neuron fires

Autonomic

the part of the nervous system that controls "involuntary" functions such as heart rate

Sympathetic

branch of the autonomic system involved in flight or fight response

Parasympathetic

the branch of the autonomic system that stimulates digestion, slows the heart, and has other effects associated with a relaxed physiological state

Acetylcholine

neurotransmitter found in the parasympathetic branch in the cerebral cortex



Norepinephrine

neurotransmitter that may be important for regulating waking and appetite

Dopamine

neurotransmitter found in the basal ganglia and other regions

Central Nervous System

CNS. Brain and spinal cord

Mesolimbic Dopamine Pathway

one of two major dopamine pathways; may be involved in psychotic reactions and in drug reward

Nigrostriatal Dopamine Pathway

one of the two major dopamine pathways; damaged in Parkinson's disease

Serotonin

neurotransmitter found int he raphe nuclei; may be important for impulsivity, depression

GABA

inhibitory neurotransmitter found in most regions of the brain

Endorphin

opiate-like chemical that occurs naturally in the brains of humans and other animals

Glutamate

excitatory neurotransmitter found in most regions of the brain

Synapse

the space between neurons

Agonist

a substance that facilitates or mimics the effects of a neurotransmitter on the postsynaptic cell

Antagonist

a substance that prevents the effects of a neurotransmitter on the postsynaptic cell

Generic

a name that specifies a particular chemical but not a particular brand

Placebo

an inactive drug

Double-blind procedure

experiment in which neither the doctor nor the patients knows which drug is being used

Dose-response curve

a graph comparing the size of response to the amount of drug

Potency

measured by the amount of drug required to produce an effect

Cumulative effects

effects of giving multiple doses of the same drug

Caffeinism

excessive use of caffeine

Name the different routes of administration with regards to drug effects and access to the blood stream

1. Oral Administration


2. Insufflation


3. Intravenous injection


4. Subcutaneous injection


5. Intramuscular injection


6. Inhalation

Oral Administration

Relatively slow absorption




Drugs must withstand digestive processes and pass through cells lining the GI tract into bloodstream




Drugs then pass through liver

Insufflation

Rapid onset of effects




Absorption through mucous membranes into bloodstream occurs rapidly

Intravenous injection

Rapid onset of effects


Drug is delivered directly into bloodstream


High concentrations can be delivered




RISKS: irritating material may be injected; damaged veins; blood-borne diseases

Subcutaneous injection/"skin popping"

Under the skin


RISK: can cause necrosis

Intramuscular injection

Into muscle


Absorption is more rapid from intramuscular injection due to the greater blood supply in muscles

Inhalation

rapid onset of effects


drugs move from lungs into bloodstream through capillary walls

The Process of Neurotransmission [Brief chain of events]

1. Resting potential is caused by uneven distribution of ions


-Neuron is hyperpolarized


2. Ion channels open allowing electrically charged particles to move inside the cell


-As a result, neuron may become depolarized


-"All-or-none" action potential occurs


-Note: Blocking ion channels prevents the


action potential and disrupts neural


communication


3. Neurotransmitters are released

What are opioids?

Narcotics


Reduce pain


Ex. morphine, codeine, heroine, methadone

What are stimulants?

Produce wakefulness, a sense of energy


Ex. cocaine, amphetamine, caffeine

What are depressants?

Slow nervous system activity


Ex. alcohol, barbiturates, other sedatives, sleeping pills, inhalants

What are hallucinogens?

Produce altered perceptions


Ex. mescaline, LSD, PCP

What are psychotherapeutics?

Treat symptoms of mental disorders


Ex. Prozac, Haldol

Risk Factors for Drug Use

1. Having friends who use drugs


Engaging in fighting or stealing


Perceiving that substance is prevalent at school


Knowing adults who use drugs


Having a positive attitude toward drugs




Generally urban-minimal parental monitoring, stealing, fights, poor academics

Protective Factors for Drug Use

1. Perceiving strong sanctions against drug use at school


Having supportive parents


Being committed in school


Being involved in religious activities


Participating in two or ore extracurricular activities

Process required for a pharmaceutical company to test and market a new drug

PHASE 1: How the drug is absorbed and excreted


Low doses, 20-80 healthy volunteers




PHASE 2: Initial effectiveness testing


A few hundred patients who could benefit




PHASE 3: Broader effectiveness testing


Typically 1,000-5,000 patients

General Principles of Psychoactive Drug Use

1. Every drug has multiple effects


2. Both the size and quality of a drug's effect depends on the amount taken


3. The effect of any drug depends on individual's history and expectations


4. Drugs, per se, are not good or bad.

Unpleasant symptoms associated with too much caffeine intake/caffeinism

Nervousness


Irritability


Tremors


Muscle twitching


Insomnia


Flushing appearance


Elevated temperature


Palpitations


Heart arrhythmias


Gastrointestinal disturbances

Mainstream smoke

smoke inhaled/exhaled by smoker (gone through filter)

Sidestream smoke

smoke rising from ash of cigarette (more dangerous, more carcinogens, straight nicotine and tar, BUT smoke is more diluted)