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CH 15 Drug Use Addiction Brains Reward Circuits
CH 15 Drug Use Addiction Brains Reward Circuits
Chapter 15 – Drug Use, Drug Addiction, and the Brain’s Reward Circuits (p.389 – 415)
Chapter 15 – Drug Use, Drug Addiction, and the Brain’s Reward Circuits (p.389 – 415)
1) Cross tolerance – one drug can produce tolerance to other drugs that act by the same
mechanism.
2) Drug tolerance often develops to some effects of a drug but to others
Drug sensitization – increasing sensitivity to a drug
3) There is no single mechanism that underlies it
Metabolic tolerance – Tolerance that results from a reduction in the amount of a drug getting to its
sites of action.
Functional tolerance – Drug tolerance that results from changes that reduce the reactivity of the
sites of action to the drug.
- Tolerance is largely functional – can result in several different types of adaptive neural
changes: EX >> reduce number of receptors
Chapter 15 – Drug Use, Drug Addiction, and the Brain’s Reward Circuits (p.389 – 415)
Chapter 15 – Drug Use, Drug Addiction, and the Brain’s Reward Circuits (p.389 – 415)
LO 15.8 Alcohol
Alcohol invades all parts of the body
o because alcohol molecules are small and soluble in both fat and water
Classified as a depressant, because at moderate-to-high doses it depresses neural firing; however, at
low doses, it can stimulate neural firing and facilitate social interaction.
o Moderate doses >> cognitive, perceptual, verbal, and motor impairment
o High doses (blood levels at 0.5) >> risk of death from respiratory depression
Tolerance & physical dependence
o Functional tolerance
o Withdrawal symptoms: headache, nausea, vomiting, and tremulousness (hangover)
4 Phases of Withdrawal
Phase 1: 6 to 8 hours Anxiety, tremor, nausea, and tachycardia (rapid heartbeat).
Phase 2: 10 to 30 Hyperactivity, insomnia, and hallucinations
hours
Phase 3: 12 – 48 hours Convulsive activity
Phase 4: 3 to 5 days; Delirium tremens (DTs) = characterized by disturbing hallucinations,
can last to a week bizarre delusions, disorientations, agitation, confusion, hyperthermia
(high body temperature), and tachycardia.
Chronic alcohol consumption can cause…
o Korsakoff’s syndrome = neuropsychological disorder characterized by memory loss, sensory
and motor dysfunction, and, in its advanced stages, severe dementia
(indirectly cause); by inducing thiamine deficiency
o Affects the brain function
o Extensive scarring (cirrhosis) of the liver – major cause of death for alcohol users
Even low to moderate regular drinking (a drink or two per day) is associated with elevated levels of
many cancers, including breast, oral cavity, and colorectal cancer.
Alcohol Consumption and Effects on Children
o Offspring of mothers who consume substantial quantities of alcohol during pregnancy can
develop fetal alcohol syndrome (FAS) >>>
causing: brain damage, intellectual disability, poor coordination, poor muscle tone,
low birth weight, retarded growth, and/or physical deformity.
o Transgenerational epigenetic effects = even if mother doesn’t drink but father is an alcoholic,
children are born with the effects of FAS
Moderate alcohol consumption has NO BENEFIT in terms of reducing mortality
LO 15.9 Marijuana
Commonly given to the dried flower buds of Cannabis – the common hemp plant of which there are
3 species >> cannabis sativa, cannabis indica, and cannabis ruderalis
Mode of consumption: (1) smoke in a joint (cigarette) or (2) orally ingested (aka brownies)
Chapter 15 – Drug Use, Drug Addiction, and the Brain’s Reward Circuits (p.389 – 415)
Chapter 15 – Drug Use, Drug Addiction, and the Brain’s Reward Circuits (p.389 – 415)
Chapter 15 – Drug Use, Drug Addiction, and the Brain’s Reward Circuits (p.389 – 415)
Effects of Opioids
Heroin rush – wave of intense abdominal, orgasmic pleasure that evolves into a state of serene,
drowsy euphoria.
Opioid tolerance encourages users to progress to higher doses, to more potent drugs, and to more
direct routes of administration + physical dependence highly addictive
Withdrawal Syndrome
Begins 6-12 hours after last dose = increase in restlessness
o User begins to pace and fidget
o Watering eyes, running nose, yawning, and sweating
Then... person falls into fitful sleep (lasts several hours)
o When they wake up = original symptoms + extreme case of chills, shivering, profuse
sweating, gooseflesh, nausea, vomiting, diarrhea, cramps, dilated pupils, tremor, muscle
pains and spasms
o “going cold turkey”
2nd or 3rd day = most severe
7th day = all symptoms disappear
Health Risks
Main direct risks = constipation, pupil constriction, menstrual irregularity, and reduced sex drive
There are no serious ill effects
Opioid addiction is prevalent among doctors, nurses, and dentists
Treatment
Methadone and buprenorphine – have high and long-lasting affinity for opioid receptors
Both are opioids with many the same adverse effects as heroin – but produce less pleasure
Strategy – block heroin withdrawal effects with either methadone or buprenorphine until the
individual can be weaned from heroin.
Buprenorphine has fewer adverse side effects, but less effective than methadone.
LO 15.13 Comparison of the Hazards of Tobacco, Alcohol, Marijuana, Cocaine, and Heroin
Society as a whole: Tobacco and alcohol have a greater negative impact than marijuana, cocaine, and
heroin. Globally as well – Tobacco: 5 million deaths/year and Alcohol = 2 million deaths/per
Chapter 15 – Drug Use, Drug Addiction, and the Brain’s Reward Circuits (p.389 – 415)
Chapter 15 – Drug Use, Drug Addiction, and the Brain’s Reward Circuits (p.389 – 415)
o Main advantage: the measure of the incentive value of a drug is not confounded by other
effects the drugs may have on behavior.
Chapter 15 – Drug Use, Drug Addiction, and the Brain’s Reward Circuits (p.389 – 415)
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