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DR.UMA KADAM   M.B.B.S. MD ASSOCIATE PROFESSOR PHARMACOLOGY SKNMC
Drug of abuse/addiction/dependence: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definitions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
I.  Drug abuse ,[object Object],[object Object],[object Object],[object Object],[object Object]
II.  Drug dependence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
II.  Drug dependence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
II.  Drug dependence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
III.  Drug addiction ,[object Object],[object Object],[object Object]
V.  Cross-dependence ,[object Object],[object Object],[object Object]
VII.  Co-administration/Co-abuse ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Because of the diverse character of these drugs, there is no “single reason” for their use,  nor is there an “addictive personality". ,[object Object],[object Object],[object Object],[object Object]
 
Dopamine Synapse DA L-DOPA Tyrosine Tyrosine
GABA-neuron
 
 
Dopamine receptor Dopamine reuptake pump
 
cAMP G-Protein cocaine
Cocaine/Amphetamines ,[object Object],DRUG TAKING CRAVING DRUG TAKING DRUG TAKING CRAVING CRAVING The Blues FATIGUE DEPRESSION HYPERPHAGIA CRASH DRUG TAKING sleep
Cannabinoids/
 
cAMP G-Protein Cannabinoids
 
Positive actions  Negative actions
Nicotine ,[object Object],[object Object],[object Object],[object Object]
 
Drugs of Abuse: Opiates
Introduction: ,[object Object]
General Comments: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General Comments: ,[object Object],[object Object],[object Object]
General Comments: ,[object Object],[object Object],[object Object]
OPIOIDS or NARCOTICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THE MESOLIMBIC DOPAMINERGIC REWARD PATHWAY
VTA Nucleus accumbens Prefrontal  cortex Opioids
 
 
[object Object]
Withdrawal: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment of Sympathetic effects during withdrawal. ANS EFFECTS Clonidine Motivational: Pleasure Reward Euphoria NE DA  2-AR
Treatment of Dependence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antagonist Treatment . ,[object Object],[object Object],[object Object]
[object Object]
OPIOID DETOX ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CNS DEPRESSANTS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Alcohol Withdrawal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Delirium Tremens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alcohol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alcohol DETOX ,[object Object],[object Object],[object Object],[object Object]
Sedative/Hypnotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sedative/Hypnotics ,[object Object],[object Object],[object Object],[object Object]
Sedative Hypnotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sedative Hypnotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sedative/Hypnotics ,[object Object],[object Object],[object Object]
Sedative/Hypnotics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sedative/ Hypnotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU

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Dependence