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4 Cards in this Set

  • Front
  • Back
Liver
Break down drugs before get to brain
Enzymes: cytochrome P-450 family 1,2,3,
Main 2 - CYP2D6 & CYP34A more than 50%
Substrates - things that are broken down
Metabolites - what's left over
Active metabolites - will go through again and have action
Induce: St. John's Wort
Raises level of enzyme --> drugs broken down. Can influence dosing of drugs i.e. b/c
Inhibit: Grapefruit
Lowers level of enzyme--> drugs not broken down enough. May cause toxicity
Dopamine
Nigrostriatal: Substantia nigra - basal ganglia
Motor control/planning

Mesolimbic: Midbrain - limbic
Emotional Control, euphoria, hallucinations

Mesocortical: Midbrain - Frontal Lobes
Cognition/Attention

Tubero Infundibular: Hypothalamus - Pituitary
Hormone Regulation, Sexual Functioning

NMLMCTI

Example: Antipsychotics (Haloperidol)
Norepinephrine
Frontal: Locus Coeruleus - Frontal
Mood Regulation, Cognition/Attention

Limbic: LC - Limbic
Emotion, Fatigue, Psychomotor agitation, fight/flight

Cerebellar Pathway: LC - Cerebellum
Motor coordination/control

Brainstem & Sympathetic
Blood pressure, heart rate, bladder control

FLC SY
Ex. Tricyclics
Serotonin
RN - Frontal: Emotional
RN - Basal Ganglia: Motor Control
RN - Limbic: Anxiety, fight/flight
RN - Hypo: Motivation, Basic Drives
RN - RAS: Sleep
Sympathetic: Sexual functioning
FBG LHRASSy

SSRI's