PsychopharmacologyiMidterm
pharmacologyi-i
iiiiiiiiiiiiiiiitheiscientificistudyiofitheiactionsiofidrugsianditheirieffectsioniailivingiorganism
psychopharmacologyi-i
iiiiiiiiiiiiiiiitheiscientificistudyithatiincludesipharmacologyiandiisiespeciallyiconcernediwithidru
giactionsithatiresultiinichangesiinimoodi(affect),icognition,iandibehavior
not,iintruderi-i
iiiiiiiiiiiiiiiiAidrugiisi___iaifamiliarifrienditoitheibrainianditoiitsichemicaliprocesses.iItiisiani___
_____.
onlyionei-i
iiiiiiiiiiiiiiiiNoidrugihasi____i___ieffect
favorableibalancei-i
iiiiiiiiiiiiiiiiAipsychotropicimedicationiatibesticaniachieveiai_________i_______ibetweenihelpi
ngiandiharmingieffects.
non-drugi-i
iiiiiiiiiiiiiiiiWheniappropriate,ialwaysiconsideritheiuseiofi________itreatmentsiinicombinationi
withimedications.
heightenioridiminishi-i
iiiiiiiiiiiiiiiiAniexogenousipsychotropicimedicationiwilli________i__i________itheiendogenous
ifunctionalineurochemistryiofitheibrain.
exogenousichemicali-i
iiiiiiiiiiiiiiiiDrugsiarei"Ani_________i________inotinecessaryiforinormalicellularifunctioningith
atisignificantlyialtersitheifunctionioficertainicellsiofitheibodyiwhenitakeniinirelativelyilowidos
es."
effects,isitesiofiactioni-i
iiiiiiiiiiiiiiiiDrugsihavei________i(i.e.,ichangesithaticanibeiobservediiniphysiologicaliprocessesi
andibehavior)iandi_____i__i______i(sitesiwhereidrugimoleculesiinteractiwithicellularistructur
es).
isinoti-i
iiiiiiiiiiiiiiiiAineurotransmitteriis/isinotiaidrug.
d.ialliofitheiabovei-i
iiiiiiiiiiiiiiiiAidrugicanimakeiaipresynapticiactionipotentiali______i__________itoichangeitheip
ostsynapticipotential.
a.imoreilikely
b.ilessilikely
c.iTheidrugihasinoiimpactioniwhetheriaipresynapticiactionipotentialichangesitheipostsynaptici
potential.
1i|iP a g e
,d.ialliofitheiabove
pharmacokineticsi-i
iiiiiiiiiiiiiiiiThisiisihowitheibodyihandlesidrugs.
pharmacodynamicsi-i
iiiiiiiiiiiiiiiiThisiisihowidrugsiactionitheibody.
synapticigapi-i
iiiiiiiiiiiiiiiiThisiisithei"fieldiofiplay"ibetweenitheipresynapticiandipostsynapticineurons.
presynaptic,ipostsynaptici-i
iiiiiiiiiiiiiiiiEndogenousifunctioningiofisignalitransmissioniandineuronalicommunicationiviaiacti
onipotentials,ineurotransmitters,iandipostsynapticipotentialsioccursifromithei__________ineur
onitoithei____________ineuron.
endocannabinoids,initricioxide,iNGFi-i
iiiiiiiiiiiiiiiiTheseiNT'siactuallyipassifromitheipostsynapticineuronitoitheipresynapticineuron.
synapticivesiclesi-i
iiiiiiiiiiiiiiiiTheseistoreiconcentrationsiofineurotransmitter.
enzymesi-i
iiiiiiiiiiiiiiiiTheseisynthesizeiandidegradeineurotransmitter.
mitochondriai-i
iiiiiiiiiiiiiiiiInilargeinumbers,itheseiprovideienergyitoineurons.
presynapticireceptors,iionichannels,iautoreceptorsi-i
iiiiiiiiiiiiiiiiTheseiareispecialisurfaceistructuresionipresynapticineurons.
postsynapticireceptorsi-i
iiiiiiiiiiiiiiiiOnitheipostsynapticineuron,ithereiareiNTi_________i_________ofiseveralidifferenti
typesithatiareispecializedisurfaceistructures.
GABA,iGlutamate,iAcetylcholine,iSerotonin,iDopamine,iNorepinephrinei-i
iiiiiiiiiiiiiiiiThei"classicisix"ineurotransmitters
Aminoiacidsi-i
iiiiiiiiiiiiiiiiGlutamateiandiGABAiareiinithisicategoryiofiNT's,ialongiwithiaspartate.
Acetylcholinei-i
iiiiiiiiiiiiiiiiThisiclassiciNTiisiiniaimajoricategoryiofiitsiown.
Amines/monoaminesi-i
iiiiiiiiiiiiiiiiSerotonin,idopamine,inorepinephrine,ihistamine,iandiepinephrineiareiinithisimajoric
ategoryiofiNT's.
peptidesi-i
iiiiiiiiiiiiiiiiEndogenousiopioidsiareiinithisicategoryiofiNT's.
2i|iP a g e
, lipidsi-i
iiiiiiiiiiiiiiiiEndogenousicannabinoidsiareiinithisicategoryiofiNT's.
solubleigasesi-i
iiiiiiiiiiiiiiiiNitricioxideiandicarbonimonoxideiareiinithisicategoryiofiNT's.
adenosinei-i
iiiiiiiiiiiiiiiiThisiisiani"other"iNTinotiiniaimajoricategory,iwhichimayiresolveitoiNT'siorineurom
odulators.
exogenousi-i
iiiiiiiiiiiiiiiiInitheisynapticigap,i_________ifunctioningiofimedicinalidrugs,irecreationalidrugs,id
rugsiofiabuse,ianditoxinsimeansithatitheyicomeiinifromitheisidei(notitheipre-ioripost-
synapticineurons),iwhichiisialsoitheiendogenousifunctioningiforisomeineuromodulatorsiandih
ormones.
targetisitesiofiactioni-i
iiiiiiiiiiiiiiiiTransportersi(~30%),ig-protein-linkedireceptorsi(~30%),ienzymesi(~10%),iligand-
gatediion-channelireceptorsi(~20%),iandivoltage-
gatediionichannelsi(~10%)icaniallibei______i_____i__i______iforidrugs.
30,ipresynapticireuptakeitransporters,ivesicleistorageitransportersi-i
iiiiiiiiiiiiiiiiApprox.i__%ioficurrentipsychoactiveimedicationsiactionitransporters,iandithereiareit
woisubtypes:i____________i______i____________i(moreicommon)iandi______i______i___
___________i(moreirare).
Presynapticireuptakei-i
iiiiiiiiiiiiiiiiTheseiareialli________i________itransporters:
Sodium/Chloride-CouplediTransporters
Monoamines
SerotoniniTransporteri(SERT)
NorepinephrineiTransporteri(NET)
DopamineiTransporteri(DAT)
GABAiTransporter
GlycineiTransporter
High-Affinity*iGlutamateiTransporters
affinityi-i
iiiiiiiiiiiiiiii________iisiaimeasureiofitheistrengthiofiattractionibetweeniaireceptoriandiitsiligand.
monoaminei-i
iiiiiiiiiiiiiiii"Drugsithatiblocki__________itransportersiareiamongitheimostifrequentlyiprescribe
dipsychotropicidrugs.iInifact,iroughlyiaithirdiofitheicurrentlyiprescribediessentialipsychotropi
cidrugsiactibyitargetingioneiofimoreiofitheithreei(ofithese)itransporters."
antidepressants,istimulantsi-i
iiiiiiiiiiiiiiiiManyiofitheseitypesiofipsychotropicimedsiblockimonoamineitransporters.
reuptake,ilonger,istronglyi-i
3i|iP a g e
pharmacologyi-i
iiiiiiiiiiiiiiiitheiscientificistudyiofitheiactionsiofidrugsianditheirieffectsioniailivingiorganism
psychopharmacologyi-i
iiiiiiiiiiiiiiiitheiscientificistudyithatiincludesipharmacologyiandiisiespeciallyiconcernediwithidru
giactionsithatiresultiinichangesiinimoodi(affect),icognition,iandibehavior
not,iintruderi-i
iiiiiiiiiiiiiiiiAidrugiisi___iaifamiliarifrienditoitheibrainianditoiitsichemicaliprocesses.iItiisiani___
_____.
onlyionei-i
iiiiiiiiiiiiiiiiNoidrugihasi____i___ieffect
favorableibalancei-i
iiiiiiiiiiiiiiiiAipsychotropicimedicationiatibesticaniachieveiai_________i_______ibetweenihelpi
ngiandiharmingieffects.
non-drugi-i
iiiiiiiiiiiiiiiiWheniappropriate,ialwaysiconsideritheiuseiofi________itreatmentsiinicombinationi
withimedications.
heightenioridiminishi-i
iiiiiiiiiiiiiiiiAniexogenousipsychotropicimedicationiwilli________i__i________itheiendogenous
ifunctionalineurochemistryiofitheibrain.
exogenousichemicali-i
iiiiiiiiiiiiiiiiDrugsiarei"Ani_________i________inotinecessaryiforinormalicellularifunctioningith
atisignificantlyialtersitheifunctionioficertainicellsiofitheibodyiwhenitakeniinirelativelyilowidos
es."
effects,isitesiofiactioni-i
iiiiiiiiiiiiiiiiDrugsihavei________i(i.e.,ichangesithaticanibeiobservediiniphysiologicaliprocessesi
andibehavior)iandi_____i__i______i(sitesiwhereidrugimoleculesiinteractiwithicellularistructur
es).
isinoti-i
iiiiiiiiiiiiiiiiAineurotransmitteriis/isinotiaidrug.
d.ialliofitheiabovei-i
iiiiiiiiiiiiiiiiAidrugicanimakeiaipresynapticiactionipotentiali______i__________itoichangeitheip
ostsynapticipotential.
a.imoreilikely
b.ilessilikely
c.iTheidrugihasinoiimpactioniwhetheriaipresynapticiactionipotentialichangesitheipostsynaptici
potential.
1i|iP a g e
,d.ialliofitheiabove
pharmacokineticsi-i
iiiiiiiiiiiiiiiiThisiisihowitheibodyihandlesidrugs.
pharmacodynamicsi-i
iiiiiiiiiiiiiiiiThisiisihowidrugsiactionitheibody.
synapticigapi-i
iiiiiiiiiiiiiiiiThisiisithei"fieldiofiplay"ibetweenitheipresynapticiandipostsynapticineurons.
presynaptic,ipostsynaptici-i
iiiiiiiiiiiiiiiiEndogenousifunctioningiofisignalitransmissioniandineuronalicommunicationiviaiacti
onipotentials,ineurotransmitters,iandipostsynapticipotentialsioccursifromithei__________ineur
onitoithei____________ineuron.
endocannabinoids,initricioxide,iNGFi-i
iiiiiiiiiiiiiiiiTheseiNT'siactuallyipassifromitheipostsynapticineuronitoitheipresynapticineuron.
synapticivesiclesi-i
iiiiiiiiiiiiiiiiTheseistoreiconcentrationsiofineurotransmitter.
enzymesi-i
iiiiiiiiiiiiiiiiTheseisynthesizeiandidegradeineurotransmitter.
mitochondriai-i
iiiiiiiiiiiiiiiiInilargeinumbers,itheseiprovideienergyitoineurons.
presynapticireceptors,iionichannels,iautoreceptorsi-i
iiiiiiiiiiiiiiiiTheseiareispecialisurfaceistructuresionipresynapticineurons.
postsynapticireceptorsi-i
iiiiiiiiiiiiiiiiOnitheipostsynapticineuron,ithereiareiNTi_________i_________ofiseveralidifferenti
typesithatiareispecializedisurfaceistructures.
GABA,iGlutamate,iAcetylcholine,iSerotonin,iDopamine,iNorepinephrinei-i
iiiiiiiiiiiiiiiiThei"classicisix"ineurotransmitters
Aminoiacidsi-i
iiiiiiiiiiiiiiiiGlutamateiandiGABAiareiinithisicategoryiofiNT's,ialongiwithiaspartate.
Acetylcholinei-i
iiiiiiiiiiiiiiiiThisiclassiciNTiisiiniaimajoricategoryiofiitsiown.
Amines/monoaminesi-i
iiiiiiiiiiiiiiiiSerotonin,idopamine,inorepinephrine,ihistamine,iandiepinephrineiareiinithisimajoric
ategoryiofiNT's.
peptidesi-i
iiiiiiiiiiiiiiiiEndogenousiopioidsiareiinithisicategoryiofiNT's.
2i|iP a g e
, lipidsi-i
iiiiiiiiiiiiiiiiEndogenousicannabinoidsiareiinithisicategoryiofiNT's.
solubleigasesi-i
iiiiiiiiiiiiiiiiNitricioxideiandicarbonimonoxideiareiinithisicategoryiofiNT's.
adenosinei-i
iiiiiiiiiiiiiiiiThisiisiani"other"iNTinotiiniaimajoricategory,iwhichimayiresolveitoiNT'siorineurom
odulators.
exogenousi-i
iiiiiiiiiiiiiiiiInitheisynapticigap,i_________ifunctioningiofimedicinalidrugs,irecreationalidrugs,id
rugsiofiabuse,ianditoxinsimeansithatitheyicomeiinifromitheisidei(notitheipre-ioripost-
synapticineurons),iwhichiisialsoitheiendogenousifunctioningiforisomeineuromodulatorsiandih
ormones.
targetisitesiofiactioni-i
iiiiiiiiiiiiiiiiTransportersi(~30%),ig-protein-linkedireceptorsi(~30%),ienzymesi(~10%),iligand-
gatediion-channelireceptorsi(~20%),iandivoltage-
gatediionichannelsi(~10%)icaniallibei______i_____i__i______iforidrugs.
30,ipresynapticireuptakeitransporters,ivesicleistorageitransportersi-i
iiiiiiiiiiiiiiiiApprox.i__%ioficurrentipsychoactiveimedicationsiactionitransporters,iandithereiareit
woisubtypes:i____________i______i____________i(moreicommon)iandi______i______i___
___________i(moreirare).
Presynapticireuptakei-i
iiiiiiiiiiiiiiiiTheseiareialli________i________itransporters:
Sodium/Chloride-CouplediTransporters
Monoamines
SerotoniniTransporteri(SERT)
NorepinephrineiTransporteri(NET)
DopamineiTransporteri(DAT)
GABAiTransporter
GlycineiTransporter
High-Affinity*iGlutamateiTransporters
affinityi-i
iiiiiiiiiiiiiiii________iisiaimeasureiofitheistrengthiofiattractionibetweeniaireceptoriandiitsiligand.
monoaminei-i
iiiiiiiiiiiiiiii"Drugsithatiblocki__________itransportersiareiamongitheimostifrequentlyiprescribe
dipsychotropicidrugs.iInifact,iroughlyiaithirdiofitheicurrentlyiprescribediessentialipsychotropi
cidrugsiactibyitargetingioneiofimoreiofitheithreei(ofithese)itransporters."
antidepressants,istimulantsi-i
iiiiiiiiiiiiiiiiManyiofitheseitypesiofipsychotropicimedsiblockimonoamineitransporters.
reuptake,ilonger,istronglyi-i
3i|iP a g e