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Neuro182 part 2
final
76
Pharmacology
Undergraduate 4
06/04/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
Mechanism of action of GHB (4)
Definition
1. inhibition of impulse flow throughout mesolimbic DA system for about an hour
2. stimulates DA synthesis via negative feedback
3. increased interneuronal DA
4. Increased levels of dopac
Term
What is GHB used to treat? (3)
Definition
1. narcolepsy
2. alcoholism
3. heroine withdrawal symptoms
Term
duration of action of GHB
Definition
3 hours
Term
peak action of GHB
Definition
1.5-2 hours
Term
1/2 life of GHB
Definition
35 min to 2.7 hours
Term
Why was GHB declared illegal? (2)
Definition
1. produces euphoria
2. used for date rate
Term
Peripheral effects of GHB (3)
Definition
1. decreased respiration
2. decreased heart rate
3. decreased BP
Term
How is GHB metabolized?
Definition
p450 system
Term
What can treat GHB CNS depression?
Definition
physostigmine
Term
From what is LSD derived?
Definition
ergot alkaloid
Term
Symptoms of ergot poisoning? (2)
Definition
1. mental disturbances
2. painful constriction of blood vessels
Term
Minimum and mean doses of LSD?
Definition
minimum: 25 um
median: 100 um
Term
Duration of action of LSD?
Definition
6-12 hours
Term
Effects of LSD on 5-HT? (4)
Definition
1. decrease in tryptophan hydroxylase activity
2. decrease in extraneuronal 5-HT
3. increase in intraneuronal 5-HT
4. decrease in 5-HT neuron activity
Term
Define hallucination
Definition
visual, auditor, tactile, olfactory or kinesthetic perception that occurs in the absense of a stimulus
Term
Define illusion
Definition
distortion of an external stimulus
Term
What are the four categories of hallucinogens? (4)
Definition
1. LSD indole
2. phenylalkyl amines (mescaline)
3. indole alkyl amines (psilocybin)
4. MDMA in high doses
Term
What receptor does LSD activate to elicit glutamate release?
Definition
D1
Term
Mental (psychological) effects of LSD (4)
Definition
1. accentuates mental state at the time of does
2. unpredictable effects
3. dependent on user's personality, mood, expectations, and surroundings
4. Always a positive and negative component of the trip
Term
Physiological effects of LSD (8)
Definition
1. increased BP
2. increased HR
3. dizziness
4. tremors
5. decreased appetite
6. dry mouth
7. sweating
8. nausea
Term
Emotional/sensory effects of LSD (3)
Definition
1. rapid shifts between fear and happiness
2. intensification of colors, smells, and sounds
3. synesthesia
Term
LSD compared to MDMA (3 each)
Definition
MDMA: DA release, 5-HT release, phenethylamine
LSD: 5-HT2A partial agonist, stimulates D1 receptors, indole amine
Term
Where does MDMA (+LSD) produce neurodegeneration? (4)
Definition
1. raphe nucleus
2. cortex
3. striatum
4. hippocampus (causing anterograde amnesia)
Term
2 persistant events associated with LSD use? (2)
Definition
1. persistent psychosis
2. hallucinogen persisting perception disorder (flashbacks)
Term
pathway of THC in plants
Definition
cannabidiol (CBD)-->THC-->cannabinol (CBN)
Term
% THC by weight of plant?
Definition
1% naturally
4-6% from genetic alteration
Term
why is THC so fast acting? (2)
Definition
1. lipid soluble
2. absorbed easily through the lungs
Term
THC is a ____ and a _____
Definition
psychotomimetic and a CNS depressant
Term
Effects of THC in humans? (3)
Definition
1. feelings of relaxation
2. decrease in aggression
3. feelings of sharpened sensory awareness
Term
Central effects of THC (8)
Definition
1. time passing slowly
2. decreased short term memory
3. feel falsely confident
4. impaired motor coordination
5. cataplexy
6. analgesia
7. antiemetic
8. increased appetite
Term
PNS effects (4)
Definition
1. increased HR
2. vasodilation
3. decreased intraoccular pressure
4. bronchodilaiton
Term
Characteristics of CB1 receptors (3)
Definition
1. G protein coupled
2. inhibits adenylyl cyclase
3. coupled positively to K+ channels, reducing NT release
Term
Where are CB1 receptors located? (6)
Definition
1. hippocampus (memory impairment)
2. cerebellum
3. substantia nigra (motor disturbances)
4. mesolimbic DA pathway (addiction)
5. VTA
6. Cortex
Term
Where are CB2 receptors located?
Definition
In the lymphoid system; they inhibit immune function
Term
What are the unwanted side effects of weed? (6)
Definition
1. dizziness
2. drowsiness
3. drymouth
4. dysphoria
5. hallucinations
6. psychotic reactions
Term
An endogenous compound synthesized from arachidonic acid? What are its advantages?
Definition
anandamide: no overdose, no depression in respiration, no cardiovascular impairment
Term
Effects of CB1 antagonists? (3)
Definition
1. increased locomotor activity
2. increased short term memory
3. increased NT release
Term
Why are CB1 antagonists used clinically? (3)
Definition
1. to reduce bronchial pain
2. to reduce intraoccular pressure
3. antiemetic
Term
What is dronabinol?
Definition
a synthetic compound from THC that is administered orally and is used to treat cancer; degraded in 1st pass metabolism, but metabolites are active as well
Term
Long term effects of THC in men and women (6)
Definition
1. inhibition of perspiration
2. decreased serum testosterone
3. decreased spermatogenesis
4. decreased length of tail of sperm
5. decreased FSH
6. decreased LH
Term
Symptoms of amotivational syndrome (4)
Definition
1. apathy
2. impairment in judgement
3. poor concentration
4. loss of interest in appearance and goals
Term
peak concentration of THC occurs after...
Definition
10 minutes
Term
peak subjective effect of THC occurs after...
Definition
20-30 minutes
Term
Effects of THC last for...
Definition
2-3 hours
Term
Withdrawal symptoms from THC? (5)
Definition
1. irritability
2. restlessness
3. nervousness
4. decrease in appetite
5. insomnia
Term
long term users of THC develop tolerance to (2)
Definition
1. increased HR
2. motor impairment
Term
Which enzyme breaks down many drugs and retroviral HIV treatments?
Definition
Cyp3A4
Term
Which drugs are broken down by Cyp3A4? (9)
Definition
1. BZDs
2. Cocaine
3. Ketamine
4. MDMA
5. methadone
6. codeine
7. hydrocodone
8. PLP
9. THC
Term
How to convert morphine to heroine?
Definition
Add two acetyl groups
Term
Define an opioid:
Definition
Any substance (endogenous or synthetic) that produces morphine-like effects
Term
What is the classic antagonist of morphine?
Definition
nalaxone
Term
Morphine is both a ____ and a _____ in the CNS
Definition
stimulant and depressant
Term
Effects resulting from an injection of heroine (4)
Definition
1. warmth
2. heavy extremities
3. nausea
4. itching
Term
PNS effects of heroine (5)
Definition
1. decreased HR
2. decreased BP
3. decreased respiration
4. decreased cardiac function
5. decreased GI motility and increased tone
Term
Effects of morphine (8)
Definition
1. sedation
2. changes in mood
3. warmth
4. itching
5. nausea/dizziness (due to activation of chemoreceptors in the medulla oblongata)
6. reduces affect associated with pain
7. powerful sense of well-being
8. euphoria (mediated through u receptors)
Term
PNS effects of morphine (4)
Definition
1. decreased respiration (due to increased intracranial pressure)
2. hypotension
3. constriction of pupil
4. decreased GI motility
Term
Withdrawal symptoms from heroine/morphine in rats/mice (6)
Definition
1. increased irritability
2. weight loss
3. tremors
4. writhing
5. jumping
6. aggression
Term
withdrawal symptoms from heroine/morphine in humans (8)
Definition
1. flu-like symptoms
2. yawning
3. fever
4. sweating
5. piloerection
6. nausea
7. insomnia
8. diarrhea
Term
Diseases associated with long term heroine use (5)
Definition
1. HIV/AIDS
2. Hep B and C
3. collapsed veins
4. bacterial infections
5. infections of heart valves/pericardial sac
Term
1/2 life of morphine
Definition
3-6 hours
Term
Morphine is metabolized by ____ to form ____
Definition
glucoronidase, morphine 6 glucoronide
Term
Three types of opioid receptors and their characteristics
Definition
1. u: analgesia and unwanted side effects (respiratory depression, nausea)
2. o: predominant in periphery
3. k: analgesia at spinal cord and some sedation
Term
Cellular effects of morphine (6)
Definition
1. acts on G protein coupled receptors
2. inhibits adenylyl cyclase
3. decreases cAMP
4. Promotes opening of K+ channels
5. inhibits V gated Ca channels
6. reduces membrane excitability
Term
Other peripheral effects of morphine (3)
Definition
1. decreases immune response
2. severe bronchial constriction
3. massive histamine release
Term
Tolerance of morphine develops to (4)
Definition
1. analgesia
2. nausea
3. euphoria
4. respiratory depression
Term
1/2 life of naloxone
Definition
1-2 hours
Term
1/2 life of naltrexone
Definition
10 hours
Term
Why was ketamine used as a replacement for phencyclidine? (4 properties of ketamine)
Definition
1. short acting
2. good for child use
3. fast to go down
4. fast to come up
Term
PCP produces what positive signs of schizophrenia? (5)
Definition
1. hallucinations/illusions (auditory and sensory)
2. delusions
3. thought boradcasting (think they know others thoughts)
4. thought insertion (other people plant thoughts-->paranoia)
5. dysfunctional/illogical thought patterns
Term
Negative signs of schizophrenia (2)
Definition
1. depression
2. social withdrawal
Term
Mechanism of action of PCP
Definition
1. noncompetitive antagonist of NMDA receptors
2. binds at a site within the channel pore; stereoselective
3. channel must be open for drug to have effect; use dependent
Term
What channels does PCP block other than NMDA? (4)
Definition
1. V gated Na channel
2. K channel
3. Nicotinic Ach receptor
4. antagonist to sigma receptor
Term
Characteristics of schizophrenia vs. characteristics of PCP (3 each)
Definition
Schizo: 1. decreased nicotinic receptors, 2. increase in DA in limbic system, 3. compromised K channel

PCP: 1. blocks nicotinic receptors, 2. biphasic, 3. blocks K channel
Term
Cellular effects of PCP
Definition
Through the D1 receptor, increases levels of CREB and cAMP; blocking 5-HTR, NER, or D2 does nothing
Term
Endocrine effects of PCP (2)
Definition
1. increased endocrine effects
2. decreased testosterone and sperm count
Term
Mental effects of PCP (2)
Definition
1. perceived invulnerability
2. personality transformation
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