PS268 Chapter Notes - Chapter 5: Pharmacodynamics, Pharmacokinetics, Metabolite

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27 May 2018
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Module I: Introduction to Psychoactive Drugs, Behaviour, and the Brain
(Chapter Five
How Drugs Work: Mechanisms of Action)
5.1 Sources and Names of Drugs
- Most drugs come from plants or derived from plant substances
- Names of Drugs
o Chemical Name: name that specifies a complete chemical description of a drug
o Generic Name: name that specifies a particular chemical but not a particular brand
Ex. ibuprofen
o Brand Name: name that specifies a particular formation and manufacturer of a drug
Ex. Tylenol
Controlled by Health Canada
5.2 Categories of Drugs
- Psychoactive/Psychotropic Drugs
o Have effects on the brain that result in temporary changes in thought processes,
mood, and behaviour
o Can be used recreationally to affect a person’s consciousness, as entheogen for
spiritual purposes, and as medication
- CNS Stimulants
o Amphetamines, cocaine, and nicotine
o In moderate doses, produce wakefulness and a sense of energy and well-being
o More powerful stimulants can at high doses produce a manic state of excitement
combined with paranoia and hallucinations
- CNS Depressants
o Barbiturates and alcohol use
o Regular use can lead to withdrawal syndrome
Characterized by restlessness, shakiness, hallucinations, and convulsions
when intake of drug is reduced
- Analgesics (Pain Relievers)
o Morphine and codeine
o Include opioid drugs that produce relaxed, dreamlike state
Cause clouding of consciousness
Withdrawal symptoms include diarrhea, cramps, chills, and profuse sweating
- Hallucinogens (Psychedelics)
o LSD, ecstasy/MDMA, and PCP/angel dust
- Psychotherapeutics
o Used to treat psychological disorders
o Ritalin
Treats ADHD
o Used for control of mental health problems
Neuroleptics can calm people experiencing psychosis
Antidepressants help people recover from seriously depressed mood states
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Lithium used to control manic episodes and prevent mood swings in bipolar
disorder
5.3.a Pharmacodynamics
- Pharmacodynamics
o Includes drug action and drug effects
Drug Action: interaction of drug with receptors
Drug Effects: resulting behavioural, cognitive, and emotional changes
produced following drug action
o Drug Effects
Drugs can’t have an effect until it is taken
To have a drug effect, drug must be brought together with a living organism
What the drug does to the body is often the reason the drug is taken
o Nonspecific (Placebo) Effect
Expectancy, experience, and setting important determinants to the drug’s effect
Nonspecific Effects: effects that derive from user’s unique background and
perception of the world
Placebo Effect: can be produced by an inactive chemical that user
believes to be a drug
Tests for effectiveness of new drug must be done using double-blind
procedure
Double-Blind Procedure: neither evaluators not participants know
who is in the control group
Placebo effects have been shown in treating pain and treating psychological
depression
Nonspecific effects not caused by chemicals in drugs, but still real
effects that have biological basis
- Dose-Response Relationship
o The strongest demonstration of the specific effect of a drug is obtained when the
dose is varied size of effect varies
Low doses, no-little effects
As dose increase, effect of drugs increases
o As dose increases, increasing people show slowing of reaction time
o Ataxia: staggering or inability to walk straight
As reaction time slows, ataxia appears
o As dosage increases even further, they start to become comatose
Comatose: pass out and cannot be aroused
o Estimating safety margin is important for animal testing before it can be tested on
humans
Therapeutic Index = LD50/ED50
LD50: effective dose for half of the animals tested
ED50: lethal dose for half of the animals tested
o Larger than effective dose
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Document Summary

Module i: introduction to psychoactive drugs, behaviour, and the brain (chapter five how drugs work: mechanisms of action) Most drugs come from plants or derived from plant substances. Psychoactive/psychotropic drugs mood, and behaviour: have effects on the brain that result in temporary changes in thought processes, can be used recreationally to affect a person"s consciousness, as entheogen for spiritual purposes, and as medication. Cns stimulants: amphetamines, cocaine, and nicotine. In moderate doses, produce wakefulness and a sense of energy and well-being: more powerful stimulants can at high doses produce a manic state of excitement combined with paranoia and hallucinations. Cns depressants: barbiturates and alcohol use, regular use can lead to withdrawal syndrome, characterized by restlessness, shakiness, hallucinations, and convulsions when intake of drug is reduced. Analgesics (pain relievers: morphine and codeine. Include opioid drugs that produce relaxed, dreamlike state: cause clouding of consciousness, withdrawal symptoms include diarrhea, cramps, chills, and profuse sweating. Hallucinogens (psychedelics: lsd, ecstasy/mdma, and pcp/angel dust.

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