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10 Cards in this Set

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  • Back
What are the DSM criteria for Substance-Induced Psychotic Disorder?
A) Psychosis - prominent delusions or hallucinations

B) Evidence that psychotic symptoms developed during or within a month of intoxication or withdrawal

C) Disturbance not better accounted for by another psychotic disorder

D) Disturbance not part of a delirium syndrome
What are "uppers"? How do they work?
"Uppers" are neurostimulants

Examples:
-Amphetamine
-Dextroamphetamine (Adderall)
-Methamphetamine (speed, crystal meth)
-Methylphenidate

Neurostimulants work through blocking reuptake of monoamines (dopamine, serotonin, noradrenaline) or as releasing agents of these neurotransmitters.
What is khat?

What is the psychoactive compound found in khat?
Khat (Catha edulis) is a flowering plant native to the Horn of Africa and the Arabian Pensinsula.

Cathinone, an amphetamine-like stimulant, is the psychoactive compound found in khat.
What is the scientific name for the khat plant?
Catha edulis
What is the mechanism of action behind cocaine's anesthetic propeties?
Cocaine prevents the activation of Na+ channels required for depolarization
What is the mechanism of action of cocaine?
Cocaine blocks the reuptake of biogenic amines (monoamines). It blocks the reuptake of dopamine, serotonin, and noradrenaline, inreasing synaptic levels of these neurotransmitters.

The blockade of noradrenaline reuptake results in a sympathomimetic effect.
What is the mechanism of action of methamphetamine?
Methamphetamine is a potent releasing agent of biogenic amines, including epinephrine, norepinephrine, dopamine, and serotonin.

Methamphetamine is incorporated into cytoplasmic vesicles where it displaces these neurotransmitters into the synapse.
What is the mechanism of action of MDMA?
MDMA is a monoamine releasing agent (like methamphetamine) and a monoamine reuptake inhibitor (like cocaine)
What is the withdrawal syndrome for neurostimulants?
Dysphoric mood plus 2 of the following:

Fatigue
Increased appetite
Hypersomnia
Psychomotor retardation
Describe the neurostimulant toxidrome:
VITALS:
Increased heart rate
Increased blood pressure

MIND:
Psychomotor agitation

HEAD:
Mydriasis

SKIN:
Diaphoresis

CARDIOVASCULAR:
Arrhythmia

GI:
Nausea/vomiting