Special Topic: Drugs and the Mind

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Transcription:

BIOLOGY OF HUMANS Concepts, Applications, and Issues Fifth Edition Judith Goodenough Betty McGuire 8a Special Topic: Drugs and the Mind Lecture Presentation Anne Gasc Hawaii Pacific University and University of Hawaii Honolulu Community College

Special Topic: Drugs and the Mind OUTLINE: Psychoactive Drugs and Communication between Neurons Drug Dependence Alcohol Marijuana Stimulants Hallucinogens Opiates

Psychoactive Drugs and Communication between Neurons A psychoactive drug alters one s mood or emotional state Can cross the blood-brain barrier Alters communication between neurons by affecting the actions of neurotransmitters

Psychoactive Drugs and Communication between Neurons Ways in which psychoactive drugs alter communication between neurons Stimulate release of neurotransmitter Inhibit release of neurotransmitter Prolongs effects of the neurotransmitter

Psychoactive Drugs and Communication between Neurons Web Activity: Psychoactive Drugs and the Brain

Figure 8a.1 Psychoactive drugs alter a person s mental state by affecting communication between neurons.

Drug Dependence Occurs when someone can no longer function normally without the drug, the drug is needed for physical or psychological well-being Certain drugs stimulate the pleasure centers in the limbic system and encourage continued use

Drug Dependence Tolerance Occurs when higher and higher doses of a drug are needed to generate a response Develops because the body steps up production of enzymes that break down the drug Cross-tolerance Occurs when tolerance to one drug results in a lessened response to another, usually similar, drug

Alcohol Alcoholism is America s number one drug problem The effects of alcohol on a person s behavior depend on the blood alcohol level Grams of alcohol per 100 ml of blood 1 g alcohol/100 ml blood blood alcohol level of 1% The blood alcohol level is affected by How much alcohol is consumed How quickly it is consumed The rates of absorption, distribution, and metabolism of the consumed alcohol

Alcohol The amount of ethanol per ounce of alcoholic beverage varies widely Some distilled spirits are 100 proof (50% alcohol) The differences in the alcohol content are reflected in the standard amounts in which they are served as drinks

Figure 8a.2 Caloric content by serving size of different drinks.

Absorption and Distribution The intoxicating effects of alcohol begin when it is absorbed from the digestive system into the blood and reaches the brain 20% of alcohol is absorbed at the stomach The effects of alcohol are felt in about 15 minutes Food in the stomach slows alcohol absorption The remaining alcohol is absorbed through the intestines Alcohol is then distributed to all body tissues

Absorption and Distribution As a rule, the higher the concentration of alcohol, the faster the rate of absorption Overall body size affects one s blood alcohol level and degree of intoxication

Figure 8a.3 Alcohol consumption can impair driving.

Rate of Elimination Liver converts alcohol to carbon dioxide and water Rate of metabolism is about one-third of an ounce of pure ethanol per hour If intake is faster than metabolism, then a person becomes more intoxicated as more alcohol is consumed and continues to circulate in the blood Alcohol has a negative effect on nearly every organ in the body

Health-Related Effects Nervous system Alcohol is a depressant and slows neurons activity Areas of the brain are affected in sequence Higher cortical ( thinking ) centers Balance and coordination centers Regions responsible for consciousness Excessive amounts of alcohol can cause unconsciousness, coma, and death from respiratory failure

Health-Related Effects Liver Excessive alcohol consumption damages the liver, which performs many vital functions Causes the buildup of fat, which reduces blood flow through the liver Causes inflammation of the liver (alcoholic hepatitis) Causes the buildup of fibrous scar tissue in the liver (cirrhosis) Can result in death

Health-Related Effects Cancer A person who drinks heavily is at least twice as likely to develop cancer of the mouth, tongue, or esophagus as compared to a nondrinker People who smoke and drink are especially at risk of developing cancer

Health-Related Effects Heart and blood vessels In moderation, alcohol can be good Reduces stress Raises HDL in the blood Reduces the likelihood of clots formation In excess, alcohol is bad Weakens the heart muscle Promotes deposition of fat in blood vessels

Health-Related Effects Women and Alcohol

Health-Related Effects Fetal alcohol syndrome (FAS) Patterns of growth abnormalities and birth defects common among children of women who drink alcohol during pregnancy Mental retardation Growth deficiency Characteristic facial features

Marijuana (Cannabis sativa) Most widely used illegal drug in the United States today Principal psychoactive ingredient in the leaves, flowers, and stems is delta-9-tetrahydrocannabinol (THC) Binds to receptors in brain regions involved in thinking, memory, and motor control One neurotransmitter that normally binds to the receptors is anandamide May regulate mood, memory, pain, appetite, and movement

Figure 8a.4 A rat s brain areas with marijuana receptors.

Health-Related Effects of Long-Term Use Effects of long-term use of marijuana: Respiratory system Experiences the most harmful effects Caused by residual material in the smoke; not caused by THC Tar contains cancer-causing chemicals Carbon monoxide prevents red blood cells from carrying oxygen Air passages become inflamed and breathing capacity is reduced

Health-Related Effects of Long-Term Use Circulatory system Causes an increase in heart rate and blood pressure Reproductive systems THC is structurally similar to estrogen Male: THC reduces levels of testosterone and sperm production Female: effects of THC are unclear

Stimulants Drugs that excite the Central Nervous System (CNS) Examples of stimulants: Cocaine Amphetamines Nicotine

Cocaine Extracted from leaves of the coca plant Methods of taking Inhalation into nasal cavity (snorting) Smoking (freebase and crack) Interferes with the reuptake of dopamine Causes a rush of intense pleasure, a sense of selfconfidence and power Increases the effects of norepinephrine Prepares the body systems for emergency

Cocaine The high is very short-lived and is followed by depression, anxiety, and exhaustion Cardiovascular system Constricts arteries, possibly causing heart attack or stroke Increases blood pressure

Cocaine Respiratory system Once the high is over, respiratory centers in the brain are depressed, and breathing can stop Snorting damages the nose Smoking damages the lungs and airways

Amphetamines Synthetically produced stimulants that closely resemble dopamine and norepinephrine Example: methamphetamine ( crystal meth ) Effects Cause user to feel exhilarated and confident Suppress appetite and need for sleep Last longer than those produced by cocaine Amphetamines cross the placenta and can affect the developing fetus (premature birth, low-birth-weight baby) Tolerance to amphetamines develops along with both physical and psychological dependence

Nicotine Psychoactive ingredient in tobacco products Highly addictive Activates acetylcholine receptors In the Peripheral Nervous System (PNS), increases heart rate and blood pressure In the CNS, facilitates the release of dopamine and serotonin, which creates pleasurable feelings of relaxation

Nicotine Increases heart rate Constricts blood vessels Increases blood pressure Increases stickiness of platelets Increases the likelihood of abnormal clots forming Can cause heart attack or stroke

Hallucinogens Act by augmenting the action of serotonin, norepinephrine, or acetylcholine Effects of hallucinogenic drugs Alter sensory perception Produce unusual changes in thought and emotions Examples: Mescaline and psilocybin (natural) LSD and MDMA, ecstasy (synthetic)

Hallucinogens Physiological reactions typically are not especially harmful Real dangers result from distortions of reality that may lead to dangerous behavior Bad trips include paranoia and depression Users of ecstasy may dance all night and suffer from dehydration and heat stroke Ecstasy pills may contain additional drugs, with a variety of health effects

Opiates Natural or synthetic drugs that are medically important but have high potential for abuse Reduce pain and anxiety Produce a sense of euphoria

Opiates Examples Morphine and codeine (from the opium poppy) Heroin (synthetic derivative of morphine) Mode of action: opiates bind to the receptors of the body s natural opiates Endorphins, enkephalins, and dynomorphins function in the perception of pain and fear

Opiates Slow the breathing rate Overdose may cause coma or death If injected, inflame the veins and promote the spread of pathogens that cause diseases such as AIDS, hepatitis, and syphilis

Figure 8a.5 The effects of certain drugs on the brain.

You Should Now Be Able To: Understand how psychoactive drugs affect communication between neurons and describe drug dependence Know how alcohol is distributed in the body and how to determine blood alcohol level Know the long-term effects on the human organs caused by the intake of: Alcohol Marijuana Stimulants such as amphetamine and nicotine Hallucinogens (Mescaline, LSD, MDMA, ecstasy) Opiates