Ethanol and the CNS Flashcards

1
Q

What is BAC?

A

Blood alcohol concentration

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2
Q

What inhibitory neurotransmitters are enhanced in alcohol intoxication?

A

Glycine and GABA

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3
Q

What exitory neurotransmitters are depressed in alcohol intoxication?

A

Acetylcholine, 5-HT3 and glutamate

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4
Q

What receptors does glutamate (excitatory) work on

A

Sodium channels

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5
Q

What receptors does GABA/glycine (inhibitory) work on?

A

Chlorine channels

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6
Q

Which neurotransmitters have a pentamer receptor?

A

Cys-loop receptor:
ACh
5-HT3
GABA

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7
Q

Which neurotransmitters have a tetramer receptor?

A

Glutamate

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8
Q

What is the overall effect of acute ethanol intoxication?

A

Enhancement of GABAergic inhibitory neurotransmission and a suppression of exitatory glutamateric transmission leading to overall CNS depression

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9
Q

Through which pathway does ethanol activate the reward system?

A

Mesolimbic dopaminergic pathway

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10
Q

How does the mesolimbic dopaminergic pathway work?

A

Drugs capable of causing dependence via exciting, directly or indirectly VTA neurones which stimulate the release of dopamine which inhibits neurones in the NAc

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11
Q

How does nicotine work in the mesolimbic dopaminergic pathway?

A

It directly excited VTA neurones

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12
Q

How do opioids and cannabinoids work in

the mesolimbic dopaminergic pathway?

A

Inhibit GABAergic neurones that inhibit VTA neurones

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13
Q

How do amphetaines and cocaine work in the mesolimbic dopaminergic pathway?

A

Enhance the release of dopamine from the terminals of VTA neurones or preventing its reuptake

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14
Q

How does ethanol work in the mesolimbic dopaminergic pathway?

A

Inhibits NAc neurones

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15
Q

What are some symptoms of alcohol withdrawel?

A

Anxiety
Dysphoria
Seizures

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