Drugs and behavior test 1

Pharmacokinetics

Pharmacokinetics = the movement of drugs through the body

The Four Processes of Pharmacokinetics

  1. Absorption – how a drug enters the bloodstream

  2. Distribution – how the drug moves throughout the body via the bloodstream

  3. Metabolism – how the drug is broken down in the body

  4. Elimination – how the drug is removed from the body



Absorption


Definition

  • Absorption is the process by which a drug enters the bloodstream




Routes of Drug Absorption

Oral (By Mouth)

  • Examples:

    • Pills

    • Cough syrup

    • Alcohol

    • Edibles/gummies

  • Requirements:

    • Drug must be stable in stomach acid or it will be destroyed

  • Absorption site:

    • Majority occurs in the small intestine




Rectal

  • Example:

    • Suppositories

  • Works well due to:

    • High concentration of blood vessels




Parenteral Routes

(Administration methods that do not involve the digestive tract)

Inhalation (NOT snorting)
  • Inhaling drugs into the lungs

  • Examples:

    • Smoke

    • Paint fumes

    • Whippets

    • Poppers

    • Vapes

    • Hookah

  • Characteristics:

    • One of the fastest ways to feel drug effects

    • Rapid absorption through lung tissue into the bloodstream




Transdermal (Through the Skin)

  • Examples:

    • Nicotine patches

    • Hormonal patches

    • Fentanyl patches

    • Lidocaine patches

    • Gels

  • Characteristics:

    • Slow route of administration

    • Drug must be fat-soluble to pass through the skin

    • Water-soluble drugs will not absorb well




Absorption Through Mucous Membranes

  • Examples:

    • Snorting cocaine

    • Snorting heroin

    • Nitroglycerin

    • Zyns

    • Afrin

  • Occurs in:

    • Nose

    • Mouth

    • Other mucous membranes

  • Drugs enter bloodstream through highly vascular tissue




Injection Routes

  • Administered using a syringe or hypodermic needle

Intravenous (IV)

  • Injection directly into a vein

  • Characteristics:

    • Fastest way to get a drug into the bloodstream

    • Immediate effects

Intramuscular (IM)

  • Injection directly into a muscle

  • Important rule:

    • IM drugs should NEVER be injected intravenously

Subcutaneous (SubQ)

  • Injection below the skin, into the fat layer

Intradermal

  • Injection within the dermis layer of the skin







Speed of Absorption (Key Comparisons)

  • Fastest entry into the bloodstream:
    Intravenous (IV)

  • Fastest delivery to the brain (psychological effects):
    Inhalation





Distribution

Definition

  • Distribution is the movement of a drug throughout the body via the bloodstream

Role of the Bloodstream

  • Carries drugs:

    • To organs

    • To tissues

    • To the brain



Heart Anatomy (Blood Flow Basics)


Heart Chambers

  • Right atrium

  • Right ventricle

  • Left atrium

  • Left ventricle

Blood Vessels

  • Arteries – carry blood away from the heart

  • Veins – carry blood toward the heart




Blood Circulation Pathway

  1. Blood from the body enters the right side of the heart

    • Right atrium → right ventricle

  2. Deoxygenated blood is sent to the lungs

  3. Blood becomes oxygenated in the lungs

  4. Oxygenated blood returns to the left side of the heart

    • Left atrium → left ventricle

  5. Oxygenated blood is pumped out to the body






Blood Supply to the Brain

  • Blood enters the brain via the carotid arteries

  • Blood exits the brain via the jugular vein













Metabolism

Primary Organ

  • The liver plays the primary role in drug metabolism

Key Terms

Hepatic Biodegradation
  • The liver breaking down a drug or chemical

Hepatocytes
  • Liver cells that release enzymes to break down drugs

Biotransformation
  • The process of transforming a drug into another substance

Metabolites
  • The products of drug metabolism

  • Important note:

    • Not all metabolites are equal

    • Some are:

      • Inactive

      • Active

      • Toxic




Brain Structures & Their Functions

Limbic System & Related Structures

Amygdala

  • Plays a major role in fear, threat detection, and emotional processing

  • Involved in emotional memory (especially fear-related memories)

Hippocampus

  • Responsible for learning and forming new memories

  • Works closely with the temporal lobe

  • Damage can impair the ability to form new memories

Temporal Lobe

  • Involved in memory, auditory processing, and language comprehension




Motor Control Structures

Basal Ganglia

  • Controls voluntary motor movement

  • Important for movement accuracy and coordination

  • Dysfunction is linked to movement disorders (e.g., Parkinson’s disease)




Sensory Relay & Homeostasis

Thalamus

  • Acts as a sensory and motor relay station

  • Sensory information from the body goes to the thalamus before being sent to the cortex

Hypothalamus

  • Located below the thalamus

  • Regulates:

    • Body temperature

    • Eating

    • Drinking

  • Drug effects:

    • MDMA/Ecstasy → increases body temperature

    • Stimulants → decrease appetite by affecting the hypothalamus

Pituitary Gland

  • Known as the “master gland”

  • Releases hormones into the body

  • Works closely with the hypothalamus




Midbrain & Pain Regulation

Midbrain

  • Involved in arousal, movement, and sensory processing

Reticular Formation / Reticular Activating System (RAS)

  • Regulates alertness and arousal

  • Affects adrenaline levels

Substantia Nigra

  • Produces dopamine

  • Degeneration is associated with Parkinson’s disease

Periaqueductal Gray (PAG)

  • Plays a major role in pain management

  • Brain releases:

    • Endorphins

    • Enkephalins

  • These chemicals reduce pain perception

  • Opiates (e.g., heroin) mimic endorphins to relieve pain




Hindbrain Structures

Locus Coeruleus

  • Group of cells in the reticular formation

  • Releases norepinephrine

  • Involved in arousal, attention, and stress

Raphe Nucleus

  • Releases serotonin

  • Drugs affecting serotonin:

    • LSD

    • Psilocybin

Cerebellum

  • Controls balance, coordination, and fine motor movement

  • Alcohol significantly affects cerebellar function

Pons

  • Plays a role in respiratory control

  • Works in conjunction with the medulla

Medulla

  • Controls vital functions:

    • Heart rate

    • Respiration

  • Drug effects:

    • Stimulants increase heart rate

    • Alcohol, especially when combined with benzodiazepines or barbiturates, can dangerously suppress respiration

    • Narcan (naloxone) blocks the effects of opiates




Nervous System & Brain Protection

Sympathetic Nervous System

  • Responsible for fight-or-flight response

Ventricles

  • Filled with cerebrospinal fluid (CSF)

  • Cushion and protect the brain

Meninges

  • Protective layers that surround the brain and spinal cord

Blood Supply

  • Blood enters the brain through the carotid arteries




Effects of Drugs on the Brain

Neurons

  • The brain contains approximately 100 billion neurons

  • Each neuron has four main parts:

1. Dendrites
  • Branch-like structures at the end of the neuron

  • Receive information from other neurons

  • Many drugs bind to receptors on dendrites

  • Ions enter dendrites (not neurotransmitters)

2. Cell Body (Soma)
  • Integrates information from dendrites

  • Produces proteins and receptors

3. Axon
  • Long tube-like structure

  • Carries electrical signals from one neuron to another

4. Terminal Buttons
  • Located at the end of the axon

  • Release neurotransmitters

Neurotransmission

  • Neurotransmitters:

    • Do not enter dendrites

    • Bind to receptors on the surface of dendrites

  • Binding causes ion channels to open, allowing ions to enter the neuron








General Definitions
  • Drug: A chemical substance that, when taken into the body, alters the structure or functioning of the body in some way, excluding nutrients considered related to normal functioning.

  • Psychoactive Drug: A drug that influences the functioning of the brain and consequently affects human behavior and experience.

Neurotransmitter Activity and Regulation
The "Lock and Key" Analogy
  • Receptors and neurotransmitters operate like a lock and key; specific neurotransmitters are designed to fit into specific receptor sites to trigger a response.

Mechanisms of Deactivation
  1. Degrading Enzymes

    • Chemicals that break down neurotransmitters post-release, disabling their binding to receptors (e.g., breaking dopamine into inactive components).

  2. Reuptake

    • The process of recycling where neurotransmitters are pulled back from the synaptic cleft into the terminal buttons of the presynaptic neuron.

Binding Sites and Drug Effects
Agonists vs Antagonists
  • Agonists: Drugs that enhance the function of a neurotransmitter.

    • Promote synthesis (creating more neurotransmitters in the neuron).

    • Promote release from the terminal buttons.

    • Block degrading enzymes or reuptake to keep neurotransmitters in the synapse longer.

    • Stimulate receptors by mimicking the neurotransmitter.

  • Antagonists: Drugs that decrease the function of a neurotransmitter.

    • Inhibit synthesis.

    • Block release.

    • Stimulate degrading enzymes or reuptake.

    • Block receptors, preventing the actual neurotransmitter from binding.

  • Binding Sites: Some drugs have their own unique binding sites rather than competing for the primary neurotransmitter site.

Major Neurotransmitter Systems
1. Acetylcholine (ACh)
  • Synthesis and Distribution: Produced in 3 brain areas and released throughout the brain. synthesized from Choline and Acetyl coenzyme A (Acetyl−CoA)

    • Choline Acetyltransferase (ChAT): The enzyme that synthesizes ACh by transferring an acetate ion.

    • Acetylcholinesterase (AChE): The enzyme that breaks down ACh.

  • Receptors: Can be excitatory or inhibitory depending on receptor type (Nicotinic and Muscarinic receptors).

  • Drug Interactions:

    • Curare: A competitive antagonist that blocks ACh at the neuromuscular junction, causing paralysis.

    • Botulinum Toxin: Inhibits ACh release, leading to paralysis.

    • Other Toxins: Black widow venom, Tetanus, and Nerve gas also target the ACh system.

2. Glutamate (Glu)
  • Characteristics: An amino acid and the primary excitatory neurotransmitter; found and made throughout the brain.

  • Receptors: AMPA and NMDA receptors.

  • Drugs/Toxins: MSG, Phencyclidine (PCP), and Carbon Monoxide (CO).

    • CO Toxicity: Disrupted ventilation leads to oxygen replacement and toxicity affecting glutamate signaling.

3. GABA (Gamma−AminobutyricAcid)
  • Characteristics: Synthesized from glutamate; the primary inhibitory neurotransmitter found throughout the brain.

  • Receptors: GABAA and GABAB.

  • Drug Interactions:

    • Agonists: Antiepileptics ( Tegretol, Phenobarbital) and Antianxiety meds (Benzodiazepines, Valium, Xanax, Klonopin).

    • Antagonists: Strychnine is a neurotoxin that blocks GABA, resulting in seizures.

    • Lithium also affects this system.

4. Dopamine (DA)
  • Synthesis: Converted from Tyrosine. Produced in 2 specific parts of the brain.

  • Functions: Can be excitatory or inhibitory; utilizes metabotropic receptors. Degraded by MAO and COMT.

  • Drug Interactions:

    • Agonists: Amphetamines (stimulants that promote release), Cocaine (blocks reuptake), and Methylphenidate (Ritalin).

    • Antagonists: Antipsychotics (Thorazine, Haldol, Clozapine) which block DA receptors.

5. Norepinephrine (NE)
  • Synthesis: Made in the Locus Coeruleus and released everywhere. Epinephrine is synonymous with Adrenaline.

  • Functions: Excitatory (alpha - ionotropic) or inhibitory (beta - metabotropic). Degraded by MAO and COMT.

  • Drug Interactions: Same as DA, plus Beta Blockers (Propranolol, Inderal) which reduce physical anxiety symptoms by inhibiting NE receptors.

6. Serotonin (5−HT)
  • Synthesis: Made from Tryptophan in the Raphe Nuclei.

  • Characteristics: Primarily excitatory with 14 different metabotropic receptors. Degraded by MAO and COMT.

  • Drug Interactions: MAOIs, SSRIs (Paxil, Prozac, Zoloft), and LSD(a serotonin agonist).

Psychoactive Impact and Toxicity
  • MDMA (Ecstasy): Induces excitement but is noted for neurotoxicity; protective measures are important post-use.

  • Tryptophan Myth: The idea that turkey causes sleepiness via serotonin production remains inconclusive and debated.




  • Controlled substances= a drug on a federal level that is illegal to use or poses or controlled by government (perscription) 

 

  • Schedule I — high potential for abuse, no accepted medical use

    • Examples: heroin, LSD, mescaline, marijuana, PCP

  • Schedule II — high potential for abuse, some accepted medical use

    • Examples: codeine, morphine, cocaine, methadone, amphetamines, short-acting barbiturates

  • Schedule III — some potential for abuse, accepted medical use ((with potential dependence)

    • Examples: long-acting barbiturates, narcotic solutions or mixtures

  • Schedule IV — llow potential for abuse, accepted medical use

    • Examples: antianxiety drugs and sedative-hypnotics

  •  Schedule V — minimal potential for abuse, widespread medical use

    • Examples: prescription cough medicines not containing codeine, llaxatives

Drug Names:

  • Chemical name

    •  4, 5α-epoxy-14-hydroxy-3-methoxy-17-methylmorphinan-6-one hydrochloride

  • Generic name

    • Oxycodone hydrochloride

  • Brand name(s)

    • OxyContin®

  • Street names

    • “OCs”,“Oxy”



Two Types of Drug Use:



INSTRUMENTAL USE: A person iis taking a drug with a specific socially-approved goal in mind. (taking meds for headache)



RECREATIONAL USE: A person is taking a drug for the sole purpose of experiencing its psychoactive properties (e.g., to get “hiigh”).



Licit- Legal

Illicit- Illegal




Licit

Illicit

Instrumental

Taking Ritalin prescribed to you for ADHD

Taking Ritalin not perscribled to you to stay up and study

Recreational

Drinking at a bar when you are 21+

Taking LSD to experience Hallucinations




DRUG ABUSE/DRUG MISUSE



  • Drug abuse is a form of drug-taking behavior that results in some form of physical, mental, or social impairment.



  •  Drug misuse is a form of drug-taking behavior in which a prescription or nonprescription (over-thecounter) drug is used inappropriately.




Drug Effects:

  •  Therapeutic effects of a drug

    •  Desired physical or psychological effect of a drug

  •  Side effects of a drug

    •  Undesired physical or psychological effect of a drug



Motivations for Drug Use

  •  Experimentation

  • Pleasure /Escape Boredom

  • Peer Influence

  • Spiritual Purpose

  • Self Discovery

  • Social Interaction

  • Rebellion



Drug Dependence and Addiction

  • Physical Dependence

    • The use of a drug to avoid withdrawal symptoms if the drug is not taken

      •  Withdrawal

      • Abstinence syndrome (dated term)

    • Physical dependance only occurs with withdrawl

  • Psychological Dependence

    • Motivation to use a drug based on craving for the pleasurable effects

      • Positive reinforcement

      • Negative reinforcement



DRUG TOLERANCE

  • Definition: a gradually diminished physical or psychological effect of a drug upon repeated administrations

  •  Need a larger amount of drug to achieve effect originally obtained by smaller amount



MECHANISMS FOR DRUG TOLERANCE

  • Metabolic tolerance

    • The liver breaks down the drug faster after repeated administrations than it did initially

  •  Pharmacodynamic tolerance

    • Receptors that have been stimulated by the drug over time decrease in number or become less sensitive to it

  • Behavioral Tolerance

    • Conditioning to a context