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PCP and Ketamine
NDMA receptor antagonist, dopamine reuptake inhibitor, nicotinic receptor antagonism
Typical dose of LSD is
0.05-0.1mg
All opiates/opioids are transformed into __________ at some point in the body
morphine
_______________ and _______________ are synthetic forms of THC, and are FDA approved to treat nausea and vomiting with chemotherapy, and wasting syndrome in HIV/AIDS
Nabilone/Cesamet ; Dronabinol/Marinol
K2 and Spice are brand names for
synthetic marijuana
Cross tolerance to other opioids occurs for
all opioids
___________is a schedule 2 drug, less potent than phencyclidine/PCP, and is used as an anesthetic in children
Ketamine
________ is the most abundant opiate found in opium, used in patient controlled analgesia
Morphine
________ primary active drug in hallucinogenic mushrooms
Psilocybin
___________ was the first state to legalize medical marijuana, in 1996
California
Tolerance to opioids can build up to such a high level that doses for chronic users could
kill a non-addict
Dr. Leary started the Harvard psychedelic drug research program after
traveling to Mexico and using mushrooms with the indigenous people
Drug seeking behavior and planning ways to get more PCP is mediated by
increased dopamine in the dorsolateral prefrontal and anterior cingulate cortexes
______________ is the primary psychoactive drug in ayahuasca
Dimethyltryptamine/DMT
__________- has the most impact on dopamine besides PCP and ketamine
LSD
____________ is low in psychoactive properties and can prevent the development of psychotic symptoms in people who that is normally exacerbated by THC. It may also increase cannabinoid receptors and increase other psychoactive properties of THC.
Cannabinol
Marijuana reduces pain because
the cannabinoids bind to the mu opioid receptor.
Heroin is a
prodrug
Tolerance to LSD occurs because
5HT-2A receptors are downregulated
Synesthesia occurs during LSD and is described as
tasting colors
What country supplies most of the world's opium?
Afghanistan
PCP is prescribed as a ____________, even though it is dangerous and a schedule II drug.
veterinary tranquilizer
____________- is an opioid but not an opiate.
Methadone
PCP causes (3 things):
stupor, violence, and feelings of invulnerability.
Cannabis is the highest protein binding percentage:
99%.
PCP inhibits p450 2C, marijuana is metabolized by p450 2C. If someone did both drugs at the same time (like in a sherm stick), there would be more ____________ in the system because there would be _________________________________.
cannabinoids ; decreased metabolism of marijuana
The primary neurotransmitter system used with the hallucinogens like psilocybin and mescaline is ______. They have cortical to ______________ effects instead of cortical to limbic effects.
serotonin ; cortical
Sensimilla is marijuana that is from __________________ and higher ______________________.
the female plant only ; in THC concentrations
LSD was marketed as__________ to help psychiatrists better understand hallucinogens in schizophrenia.
Delysid
Cheese is made from (3 things)
heroin, acetaminophen, and diphenhydramine
_______ and _______ are the most important opioid receptors used in pain reduction and addiction
Mu ; zeta
Marijuana causes _________________________________________ which leads to decreased memory
downregulation/decreased sensitivity of receptors in the hippocampus
Huxley, Ginsberg, and Kesey all wrote famous things while
using peyote
Fentanyl is _____ as potent as heroin and____ as potent as morphine, it is often used as a transdermal patch that may be sold as chicklets.
50x ; 100x
Bioavailability of marijuana is higher for heavy users than for occasional users, highest bioavailability of THC occurs when
you smoke the entire joint in one puff
C fibers react to pain caused by
heat or chemical stimuli
Opiate triad
respiratory depression, pinpoint pupils, sedation
LSD is administered through what route?
orally
________ is NOT the most dangerous opioid.
Heroin
________________ is helpful in reducing psychotic symptoms, decreasing seizures in epilepsy, and relieving anxiety.
Cannabidiol
________________ is the primary active drug in peyote
Mescaline
What is the percentage increase in use of prescription painkillers over the past 10 years?
300%
________________ are associated with Aztec god xochipilli (prince of flowers), made a weak tea, saw visions of things dancing around her
Mushrooms
Methadone
full opioid receptor agonist, long half-life, and reduces withdrawal symptoms and cravings, used in detox programs
Most THC in cannabis sativa (order of plant):
flowering tops>bracts>leaves>stems>roots>seeds
_______________ exerts its effects through retrograde transmission, lipid soluble and can seep through vesicles trying to carry it, neurons make it as needed
Anandamine
Main positive side effects of marijuana (7):
relaxation, happiness, social, in tune with senses, munchies, deep conversations and thoughts, understanding other people better
Acetaminophen is a
non-opioid pain reliever
What has the lowest potential to cause physical dependency?
Mescaline
Order of heroin synthesis:
opium --> morphine --> heroin
William Shakespeare is likely to have
smoked marijuana