Ion channels and neurotransmitter receptors in the central nervous system include voltage-gated calcium and potassium channels that respond to changes in membrane potential, and ligand-gated channels that open when neurotransmitters bind to receptor subunits forming an integral channel complex. Communication between neurons occurs through chemical synapses. Drugs can act at various sites including transmitter synthesis, storage, release, reuptake, degradation, and receptors to increase or decrease ion conductance. The brain is organized into hierarchical and diffuse neuronal systems.