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Caffeine
Xanthine
Theophylline (caffeine)
Stimulant that aids breathing in tea and coffee beans
Theobromine
vasodilator, heart stimulant in chocolate, tea, kola nut
natural sources
seeds, leaves, and fruits act as pesticides
Acetylcholinesterase
enzyme that inactivates ACh at the synapse
Phosphodiesterase
breaks down cAMP to stop the message
Theophylline
in tea. relexes muscles
Polyphenols
in green tea only. can counteract effects of free radicals
coffee arabica
sweeter taste, more acidic, higher quality
coffee robusta
harsher taste, greater caffeine level, inferior but cheaper
bromocriptine, amatadine
cocaine dependency. dopamine agonists
ibogaine
cocaine dependency. anti-craving agent.
desipramine
cocaine dependency. tricyclic antidepressant (first gen)
lithium
cocaine dependency. helps block high of cocaine euphoric effects
amphetamines
derived from ma huang herb
Dextroamphetamine
right form (more potent)
Levoamphetamine
left form
Benzedrine
First marketed as a decongestant and inhaler in 1932.
Ephedrine
1887 isolation of active ingredient
Ritalin
ADHD FDA approved since 1955
Adderall, Dexedrine
1996 ADHD
Desozyn
meth 1943 ADHD
Beer
Grain source: barley, wheat, rye, rice, corn, oats
wine
red grapes, skinless grapes, CO2
Fortified wine
add extra alcohol (usually brandy)
Brandy
Distilled from any fruit source
whiskeys
distilled and aged beer
rum
distilled molases or cane sugar for rhum
gin
1st distillation: grain source. 2nd: juniper berries
vodka
distilled from potatoes and flabor free
ales
top fermenting, higher temp, 2 weeks, full-bodied
lagers
bottom fermenting, lower temp, months, lighter
lambics
wild yeast, intermediate temp, up to 3 years, sour
Thiamine supplements
Wernicke’s encephalopathy and Korsakoff’s psychosis
Fetal Alcohol Syndrome
Suppression of glutamate and enhanced release of GABA
First true barbituate
Veronal
what do Barbituates stimulate?
GABA pathway
long-acting Barbituate
Phenobarbital, mephobarbital
Intermediate-acting Barbituate
Butabarbital, Amobarbital
Short-acting Barbituate
Pentobarbital, Secobarbital
Ultra-short-acting
Thiopental
Amobarbital
Blue
Pentobarbital
yellow
secobarbital
red
Penothal
“truth serum,” used in lethal injections…
Sodium thiopental
Ohio protocol for Lethal injections in 2009
Pentobarbital
Lethal injections in 2011
Fentanyl
Nevada and Nebraska lethal injections in present
Long acting Benzodiazepines
Diazepam (Valium), Chlordiazepoxide (Librium), Dalmane (flurazepam)
Intermediate-acting Benzodiazepines
Lorazepam (Ativan), Clonazepam (Klonopin)
Short-acting Benzodiazepines
Midazolam (Versed), Oxazepam (Serax), Triazolam (Halcion), Alprazolam (Xanax)
Valium
#1 prescribed drug of anytime in 1972
Flunitrazepam
Special type of Benzodiazepine (Rohypnol - date r*pe drug)
Chloral hydrate
Nonbenzodiazepine-nonbarbiturate sedatives. 1832. Highly reactive when mixed with alcohol, major component in Anna Nicole Smith’s death
Benadryl
Nonbenzodiazepine-nonbarbiturate sedatives. Diphenhydramine. an antihistamine used for allergies, motion sickness… used to sedate patients with acute agitation.
Methaqualone
Nonbenzodiazepine-nonbarbiturate sedatives. 1965 sleeping pill. quickly linked to suicides and date r*pe drugs. A schedule I drug.
Buspirone (BuSpar)
Nonbenzodiazepine-nonbarbiturate sedatives. New generation of anxiolytics in 1986. Serotonin agonist, dopamine antagonist, DOES NOT AFFECT GABA, relieves cognitive symptoms, not somatic.
Morphine
Opium derivative. 1803. 10x stronger than opium.
Codeine
Opium derivative. 0.5% raw opium, used for coughs and pain relief.
Thebaine
0.2% raw opium, not used therapeutically, used to make oxycodone, nalaxone…
Heroin
two acetyl groups. 3x stronger than morphine, 30x stronger than opium.
Analgesia
Mu, Kappa, Delta
Respiratory Depression
Mu, Kappa, Delta
Slowed Cardiac Function
Mu
Sedation
Mu, Kappa
Reduced GI motility
Mu, Delta
Hallucinations
Kappa
Physical Dependence
Mu, Delta
Psychotic effects
Kappa
Euphoria
Mu
Kappa
Dysphoria
OxyContin
Controlled-release version of oxycodone. Schedule II. advertised as “abuse-resistant: and “non-addictive”
NaltrexoneA
Abstinence approach. reduces cravings and blocks opiate effects
Methadone
full opioid agonist
Buprenorphine
partial opioid agonist
Suboxone
(buprenorphine plus naloxone)
Morphine, Codeine
Duramorph, Roxanol, Oramorph
Hydromorphone
Dilaudid
Oxymorphone
Numorphan
Oxycodone
Percodan (+aspirin), Percocet (+acetaminophen), Oxycontin
hydrocodone
Hycodan
methadone
Dolorphine
Meperidine
Demerol
Propoxyphene
Darvon, Darvocet-N
Pentazocine
Talwin
Fentanyl
Duragesic
LAAM
Orlaam