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PSYCHO
PHARMACOLOGY



       Dr. James M. Alo, RN, MAN, MAP PHD
                                     ,

           drjAlo
“And while we are on the subject of medication you always
           need to look at risk versus benefit. “
                                           Temple Grandin




                                  drjAlo
Psychopharmacology
¨   The systematic study of the effects of drugs on
    behavior, cognitive processing, and emotions.

¨   These drugs are called psychoactive or psychotropic
    drugs – drugs that change behavior, emotions, and
    cognitive processes by changing the normal activity
    of the nervous system




                                  drjAlo
Derivation of the Term
Psychopharmacology
¨   Psyche – mind

¨   Pharmaka – drugs and medicine (pharmakus)

¨   Logos - study




                               drjAlo
Factors Influencing the Effects of Drugs

¨   Factors related to the drug itself
    ¤ 1.the chemical structure
    ¤ 2.the dosage – how much was taken

    ¤ 3.how frequently the drug is taken

    ¤ 4.how long since last taken




                                    drjAlo
Factors Influencing the Effects of Drugs

¨   Factors not related to the drug
    ¤ 1.mind  set of person taking the drug
    ¤ 2.the setting where the drug was taken

    ¤ 3.the person’s unique biomedical make up




                                    drjAlo
Good drugs and Bad Drugs?
¨   Drugs are chemicals, they are neither good nor
    bad. Whether viewed as good or bad depends
    upon
    ¤ 1.how  much is taken
    ¤ 2.why it is taken

    ¤ 3.the context in which is taken




                                        drjAlo
History of Drug Use
¨   Use of naturally occurring psychoactive drugs has
    existed as long as human history

¨   The use of mushrooms, opium, cannabis, morning
    glory seeds, alcohol, coca leaves, and even toads
    have been used for thousands of years




                                  drjAlo
Other Species Use of Drugs
¨   Apes, horses, and horses prefer water with alcohol
    over plain water
¨   Some birds prefer fermented berries over fresh
¨   Bees prefer the intoxicating nectar of certain flowers
¨   Llamas chew coca leaves
¨   Reindeer have been known to seek hallucinogenic
    mushrooms
¨   Some ants maintain groups of beetles that secrete
    intoxicating substances

                                    drjAlo
Drugs in the        19th   Century
¨   Major change in the use of drugs –isolation or
    distillation of the active chemical that caused
    behavioral changes
¨   1805 – morphine isolated from opium – used to
    treat periods of “insanity”
¨   1857- cocaine isolated from coca leaves – used to
    treat depression



                                 drjAlo
Recreational and Social Use of Drugs
¨   Most likely existed before recorded history

¨   19th century saw the use of therapeutic drugs becoming used
    for recreation

¨   Jacque-Joseph Moreau a French psychiatrist, wrote about the
    medicinal and social use of hashish in 1845

¨   Drugs were widely used and their use was acceptable



                                        drjAlo
Recreational and Social Use of Drugs

¨   Recreational use of drugs began to be seen as bad
    and immoral
    ¤ Addictiveproperties became known
    ¤ More powerful drugs isolated

    ¤ Larger quantities became available

¨   Latter part of the 19th century laws prohibiting drug
    use and penalties for use began to be written – not
    very successful


                                   drjAlo
1950’s
¨   Psychopharmacology said to have begun in the
    1950’s with the widespread use of chlorpromazine or
    Thorazine
¨   Thorazine used as a pre-anesthesia in France to calm
    people. Tested on people with schizophrenia
¨   Promazine – an antihistamine used in surgery also
    found to reduce symptoms of schizophrenia
¨   Dramatic increase in the testing of other drugs to
    treat mental illness and development of new drugs

                                  drjAlo
Illegal Drugs
¨   Making certain drugs illegal or controlled
    substances, only to be used by MD’s, has done little
    to curtail the use of these drugs.
¨   May have prevented a major increase in the use of
    drugs.
    ¤ Many  people see no reason to stop
    ¤ Drug abuse is wrong, but I am not abusing drugs




                                    drjAlo
What is Drug Abuse?
¨   The self administration of any drug in a manner that
    deviates from approved medical or societal pattern
    within a culture.

¨   Problem – What is considered a “deviation”?

¨   Problem – people may not recognize or admit when
    they meet the criteria of drug abuse


                                   drjAlo
Effects of the “War on Drugs”
¨   Use of narcotics has remained fairly constant since
    1975 – use of pharmacological narcotics has
    dramatically increased
¨   Use of cocaine has fallen, but number of frequent
    users hasn’t
¨   For young adults major decline in use of cigarettes,
    hallucinogens, and cannabis. Alcohol use constant –
    binge drinking has increased



                                  drjAlo
Purpose of This Course
¨   Education about the chemicals we call drugs:
    ¤ What are drugs?
    ¤ What are their intended effects and side effects?

    ¤ How do they work?

    ¤ When can they be beneficial? Harmful?

¨   Remember, just being legal does not make a drug a
    “good” drug
    ¤ Nicotine   and alcohol


                                     drjAlo
Side Effects of the “War on Drugs”
¨   Development of new more powerful drugs that can
    be shipped in smaller amounts

¨   Increase in more hazardous ways of taking drugs

¨   Issue of decreasing drug abuse a very complex
    problem that requires more than just attempting to
    stop the flow of drugs


                                   drjAlo
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“You shouldn't be told you're completely irresponsible and be left
alone with too much medication. It's too easy to forget. You take
a couple of sleeping pills and you wake up in twenty minutes and
  forget you've taken them. So you take a couple more, and the
           next thing you know you've taken too many.”

                                                        Judy Garland




                                        drjAlo
drjAlo
drjAlo
Thank You




       drjAlo

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Psychopharmacology.drjma

  • 1. PSYCHO PHARMACOLOGY Dr. James M. Alo, RN, MAN, MAP PHD , drjAlo
  • 2. “And while we are on the subject of medication you always need to look at risk versus benefit. “ Temple Grandin drjAlo
  • 3. Psychopharmacology ¨ The systematic study of the effects of drugs on behavior, cognitive processing, and emotions. ¨ These drugs are called psychoactive or psychotropic drugs – drugs that change behavior, emotions, and cognitive processes by changing the normal activity of the nervous system drjAlo
  • 4. Derivation of the Term Psychopharmacology ¨ Psyche – mind ¨ Pharmaka – drugs and medicine (pharmakus) ¨ Logos - study drjAlo
  • 5. Factors Influencing the Effects of Drugs ¨ Factors related to the drug itself ¤ 1.the chemical structure ¤ 2.the dosage – how much was taken ¤ 3.how frequently the drug is taken ¤ 4.how long since last taken drjAlo
  • 6. Factors Influencing the Effects of Drugs ¨ Factors not related to the drug ¤ 1.mind set of person taking the drug ¤ 2.the setting where the drug was taken ¤ 3.the person’s unique biomedical make up drjAlo
  • 7. Good drugs and Bad Drugs? ¨ Drugs are chemicals, they are neither good nor bad. Whether viewed as good or bad depends upon ¤ 1.how much is taken ¤ 2.why it is taken ¤ 3.the context in which is taken drjAlo
  • 8. History of Drug Use ¨ Use of naturally occurring psychoactive drugs has existed as long as human history ¨ The use of mushrooms, opium, cannabis, morning glory seeds, alcohol, coca leaves, and even toads have been used for thousands of years drjAlo
  • 9. Other Species Use of Drugs ¨ Apes, horses, and horses prefer water with alcohol over plain water ¨ Some birds prefer fermented berries over fresh ¨ Bees prefer the intoxicating nectar of certain flowers ¨ Llamas chew coca leaves ¨ Reindeer have been known to seek hallucinogenic mushrooms ¨ Some ants maintain groups of beetles that secrete intoxicating substances drjAlo
  • 10. Drugs in the 19th Century ¨ Major change in the use of drugs –isolation or distillation of the active chemical that caused behavioral changes ¨ 1805 – morphine isolated from opium – used to treat periods of “insanity” ¨ 1857- cocaine isolated from coca leaves – used to treat depression drjAlo
  • 11. Recreational and Social Use of Drugs ¨ Most likely existed before recorded history ¨ 19th century saw the use of therapeutic drugs becoming used for recreation ¨ Jacque-Joseph Moreau a French psychiatrist, wrote about the medicinal and social use of hashish in 1845 ¨ Drugs were widely used and their use was acceptable drjAlo
  • 12. Recreational and Social Use of Drugs ¨ Recreational use of drugs began to be seen as bad and immoral ¤ Addictiveproperties became known ¤ More powerful drugs isolated ¤ Larger quantities became available ¨ Latter part of the 19th century laws prohibiting drug use and penalties for use began to be written – not very successful drjAlo
  • 13. 1950’s ¨ Psychopharmacology said to have begun in the 1950’s with the widespread use of chlorpromazine or Thorazine ¨ Thorazine used as a pre-anesthesia in France to calm people. Tested on people with schizophrenia ¨ Promazine – an antihistamine used in surgery also found to reduce symptoms of schizophrenia ¨ Dramatic increase in the testing of other drugs to treat mental illness and development of new drugs drjAlo
  • 14. Illegal Drugs ¨ Making certain drugs illegal or controlled substances, only to be used by MD’s, has done little to curtail the use of these drugs. ¨ May have prevented a major increase in the use of drugs. ¤ Many people see no reason to stop ¤ Drug abuse is wrong, but I am not abusing drugs drjAlo
  • 15. What is Drug Abuse? ¨ The self administration of any drug in a manner that deviates from approved medical or societal pattern within a culture. ¨ Problem – What is considered a “deviation”? ¨ Problem – people may not recognize or admit when they meet the criteria of drug abuse drjAlo
  • 16. Effects of the “War on Drugs” ¨ Use of narcotics has remained fairly constant since 1975 – use of pharmacological narcotics has dramatically increased ¨ Use of cocaine has fallen, but number of frequent users hasn’t ¨ For young adults major decline in use of cigarettes, hallucinogens, and cannabis. Alcohol use constant – binge drinking has increased drjAlo
  • 17. Purpose of This Course ¨ Education about the chemicals we call drugs: ¤ What are drugs? ¤ What are their intended effects and side effects? ¤ How do they work? ¤ When can they be beneficial? Harmful? ¨ Remember, just being legal does not make a drug a “good” drug ¤ Nicotine and alcohol drjAlo
  • 18. Side Effects of the “War on Drugs” ¨ Development of new more powerful drugs that can be shipped in smaller amounts ¨ Increase in more hazardous ways of taking drugs ¨ Issue of decreasing drug abuse a very complex problem that requires more than just attempting to stop the flow of drugs drjAlo
  • 44. “You shouldn't be told you're completely irresponsible and be left alone with too much medication. It's too easy to forget. You take a couple of sleeping pills and you wake up in twenty minutes and forget you've taken them. So you take a couple more, and the next thing you know you've taken too many.” Judy Garland drjAlo
  • 47. Thank You drjAlo