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Depressant
Drug that diminishes physiological activity (high abuse potential)
How do most depressants act?
Through increased activity of GABA
GABA A receptor
Ionotropic receptor that allows entry of Cl- ions
Barbiturates
Classified according to speed of onset and duration of action
Ultrashort-acting barbiturates
Produce effects within 10-20 seconds, maintains for about 30 minutes
Intermediate barbiturates
Takes effect in 30-60 minutes, provides sleep inducing effects for 3-6 hours
Long-acting barbiturates
An hour to take effect, producing effects for about 10-12 hours
Example of ultrashort-acting barbiturates
Thiopental
Example of intermediate acting barbiturates
Pentobarbital
Example of long-acting barbiturates
Phenobarbital
Effects of barbiturates on the Cerebral cortex
disinhibition, poor decision making, reduced attention and memory
Effects of barbiturates on the Amygdala
reductions in anxiety
Effects of barbiturates on the Medulla
respiratory depression
What is the main concern of barbiturate overdose?
Death from respiratory depression
What does barbiturate withdrawl lead to?
Barbiturate Abstinence Syndrome
Benzodiazepines
“minor tranquilizers”, most prescribed by general practioners
What was the first benzodiazepine to reach the market?
Chlordiazepoxide (Librium)
What do long-lasting benzodiazepines produce?
Active metabolites
Benzodiazepine site
Benzodiazepines serve as positive modulators by binding to an allosteric site
BZI site
High-affinity site, a1 subunit
BZII site
Low-affinity site, a2, a3, or a5 subunits
Endozepines
Substances produced by the brain that bind to benzodiazepine sites
Diazepam-binding inhibitor
neuropeptide with active fragments
B-carbolines
released from glial cells
Z drugs
Non benzodiazepines hypnotics which start with z, sleep aids
Gamma-Hydroxybutyrate (GHB)
Both a drug and neurotransmitter, dubbed “date rape"
Two drugs that produce GHB
GBL and 1,4 butanediol
Pharmacological effect onset of GHB
15-20 minutes
Inhalants
Vaporous chemicals with psychoactive effects
Amyl nitrite
“poppers", creates feelings of warmth and light headedness
Nitrous oxide
Laughing gas, euphorogenic
Volatile solvents
Mostly hydrocarbon chemicals
Age group that mostly uses inhalants
Children below grade 8
Sniffing
Direct inhalation of vapors
Huffing
Placing a soaked cloth over mouth and nose
Bagging
Placing compound in a small bag and inhaling
What can chronic use of inhalants lead to the loss of?
Brain tissue ( as well as ventricular enlargement and white matter degeneration)