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Drugs of Addiction
Coffee, tea, cola: _________
caffeine
Drugs of Addiction
Chocolate: __________
Theobromine
Beer, win, spirits:___________
Ethanol
Cigarettes, vaping: __________
Nicotine
_______ Epidemic
Opioid
Between 2007 and 2012, 780 million_____ and _______ pills were delivered in West Virginia, a state with 1.8 million residents
Hydrocodone, oxycodone
An estimated 18 million Americans are______
Alcoholics
Medication- assisted treatment with opioid ______ and ______ reduces cravings, withdrawal and euphoria
agonists, antagonists
______: partial opioid agonist used in combination with ______(antagonist) to prevent abuse.
buprenorphine, naloxone
buprenorphine: partial opioid agonist use in combination with naloxone (antagonist) to prevent abuse.The combination is calle________
suboxone
Agonist without euphoria
Methadone
Opioid antagonist, also used for alcoholism
Naltrexone
after repeated drug administration there is a strong desire for it
craving
A variety of unpleasant symptoms emerge without the drug
Withdrawal
Repeated administrations of a drug lead to a decreased drug effect
Tolerance
The ______ conditional response helps to maintain a steady state
anticipatory
conditional stimulus(drug administration ritual )-> conditional response(______ response)
compensatory
The conditional response does not need to be the same as the _______ response
unconditional
The Unconditional _____ Response
Morphine Administration
feels good
blocks pain
feels cold
decreased blood pressure
warm skin
dry mouth
Drug
First time drug use: has was response?
unconditional drug response
The ______(compensatory) drug response: negative effects of drug bring you back to homeostasis
conditional
Development of _________: tenth time drug use
tolerance
Revealing the ______ response: eleventh time NO drug but given drug administration ritual
compensatory
What is the compensatory response?
Withdrawal
What eventually allows the individual to anticipate the effects of the drug and attenuate them?
Drug Administration ritual
What kind of clinical implication typically does not work and has a high relapse rate
abstention
_______(unlearning) is the only way to diminish a learned compensatory response. give the drug administration ritual without the drug repeatedly
Extinction
drug delivery without the drug administration ritual slows the development of ?
tolerance
What is the exception for drug overdose, which has a narrow zone in which it is effective for pain and when it suppresses breathing
fentanyl
Addiction is due to a combination of _______ and _______ processes
physical, psychological
______ neurons in the ventral tegmental area (VTA), which project to the nucleus accumbens (NA) via the nigrostraital bundle, are acitvated by all of the drugs that are addictive
dopamine
_____ induces the VTA neurons to release dopamine
nicotine
_____ blocks the reuptake of dopamine into VTA neurons
Cocaine
_____ and _____ quiet neurons that would ordinarily inhibit dopamine neurons
Alcohol, opiates
Opiates also mimic the effects of dopamine on the nucleus ______
accumbens
Which agents carries theobromine?
Chocolate
Which drug has recently increased the overdose deaths in the U.S?
fentanyl
Which drug is partial opioid agonist use in combination with naloxone to prevent abuse?
Buprenorphine