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19 Cards in this Set

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acute effects of cocaine

euphoria, increased energy, mental alertness; decreased appetite; increased HR; increased BP; vasoconstriction; hyperthermia; mydriasis

chronic effects of cocaine

addiction; irritability; mood disturbances; restlessness; paranoia; auditory hallucinations

acute effects of heroin

rush (45sec-mins), on the nod aka sedation/tranquility (about 1 hr), depressed resp, clouded mental functioning, nausea and vomiting, analgesia, constipation, pin point pupils


chronic effects of heroin

addition, collapsed veins, abscesses and bac infections, infection of heart lining and valves, rheumatologic problems, adrenal/gonadal homeostasis, mood swings, malnutrition and chronic constipation

what is drug reinforcement

a form of behavioral plasticity in which behavioral changes occur in response to acute exposure to a reinforcing drug; drugs are classified as REINFORCERS if the probability of drug seeking behavior is increased in response to drug exposure

what causes this rapid and powerful association

hypothesis= the result of drug's ability to directly influence PRE EXISTING BRAIN SYSTEMS; these systems normally mediate the reinforcement produced by NATURAL REINFORCERS such as food, sex, social interaction, or even compulsive internet use

what is drug addiction

a complex phenomenon that involves a biological process= the effects of repeated exposure to a biological agent (drug) on a biological substate (brain) over time; the long term alteration of neuronal circuits leads to the complex behaviors of craving, dependence, tolerance, etc

TOLERANCE=

MORE DRUG REQUIRED; THIS IS ON THE TEST

SENSITIZATION=

LESS DRUG REQUIRED; THIS IS ON THE TEST

what brain system is involved?

mesencephalic DA systems= mesolimbic tract (arousal, memory, behavior), nigrostriatal tract (modulation of EPS), mesocortical tract (cognition, socialization), tuberoinfundibular tract (inhibition of prolactin release)

the mesolimbic DA system

mesolimbic dopamine system as a major neural substrate for the reinforcement produced by opiates, psychostimulants, ethanol, nicotine, and cannabinoids

self administration in rats

animals will self administer amphetamine and dopamine into the NAc; lesions of the mesolimbic DA neurons attenuate the reinforcing effects of iv cocaine; other drugs (ethanol and cannabinoids) cause increased DA release in the NAc

what does cocaine do

blocks the reuptake of dopamine into the presynaptic neuron

summary:

with chronic drug abuse the brain depends on the drug to maintain rewarding feelings (activate pathway); NATURAL REINFORCERS ARE NO LONGER EFFECTIVE

acute drug state aka the first time you take cocaine

increased mesolimbic DA and decreased cAMP; DECREASED CAMP IN THE NAC OPPOSES REINFORCEMENT; acute inhibition of this system may also contribute to drug craving and relapse in addicted subjects

chronic drug exposure

produces an up regulation of the cAMP pathway in the NAc which could underlie tolerance to reinforcement

look at slide 56 on drug dependence and reinforcement lecture

do it

short term abstinence

withdrawal; increased glu, NE and decreased DA and 5-HT

LONGER LASTING MOLECULAR AND CELLULAR ADAPTATIONS TO NAC

THIS IS ON THE EXAM; TRANSCRIPTION FACTORS= gradual accumulation of proteins such as deltaFosB during chronic tratment with many classes of addictive drugs; deltaFosB is very stable, after its slow ACCUMULATION in NAc may represent a molecular switch that gradually converts acute responses into relatively stable adaptations that underlie long term responses such as craving (once it's flipped on, it stays on)