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MCAT
Course: MCAT > Unit 10
Lesson 7: Drug dependence- Drug dependence questions
- Overview of psychoactive drugs
- Psychoactive drugs: Depressants and opiates
- Psychoactive drugs: Stimulants
- Psychoactive drugs: Hallucinogens
- Drug dependence and homeostasis
- Routes of drug entry
- Reward pathway in the brain
- Tolerance and withdrawal
- Substance use disorders
- Treatments and triggers for drug dependence
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Psychoactive drugs: Hallucinogens
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- "Regular users need less of the drug to achieve the same high". Just doesn't seem right.(24 votes)
- THC is a fat soluble molecule which is why it stays in your body longer than something water soluble like alcohol. I think what she meant was that regular users would need less marijuana to get high because they already have some levels present in their system bringing them closer to the "high threshold" than someone who would be smoking not as often because they would not have those prelevels of THC.(25 votes)
- How exactly the ecstasy damage the neurons and the serotonin receptors?(10 votes)
- When your body releases a lot of serotonin all at once, your body tried to compensate for that and bring you down to normal levels of functioning. One of the ways that it does this is by decreasing the number of serotonin on the postsynaptic cell. The problem is that when you return to a normal level of serotonin release, there are now fewer serotonin receptors that can be activated. Too much serotonin can also lead to over-excitability which could damage the cell.(7 votes)
- Will a sad person be forced to be happy if eating ecstasy? (even if he don't want to?) Sorry if this is a stupid question.(7 votes)
- Not stupid at all. Ecstasy does not make you happy, but rather makes you feel euphoric (like in a dream). Speaking from first hand experience with drugs, most drugs can affect people differently based on the state of mind before taking the drug. If you are stressed out and take most any kind of drug, you could be extra paranoid. If you were in a good mood and take the same drug, you could get giggly.(11 votes)
- often on TV we see that when people hallucinate they see large and vivid sights. do things like that happen in real life (say seeing things that look like they are on fire or seeing creatures out the corner of our eyes, and does their vision become blurred and is it hard for them to concentrate?)(2 votes)
- No, this is not what it's like at all. You see the same world, just differently. There are no unicorns or dragons. It's subtler than that. Rooms seem to shrink and swell gently, as if breathing. Your face changes subtly as you look at it in the mirror, facial hair appears to grow before your eyes, and clouds look like they fold in on themselves as they float across the sky. Visual acuity is increased; it is easier to notice and follow birds or insects as they fly, for example. Aural acuity too; you notice parts of songs that you never have before (and that are still there when listening sober.) You don't actually see things that aren't there unless you take a very high dose, or a more potent psychedelic like DMT (N,N-dimethyltryptamine)(16 votes)
- If a person is really depressed and doesn't want to take ecstasy but some of his friends and family finally manage to give it to him or her so what will happen?
Really kinda weird question . Please answer(3 votes)- Before I even begin, nobody should ever, ever be given drugs that they don't want without their knowledge: that's poisoning, and a fundamental breach of trust.
Ecstasy has a high chance of being diluted with other chemicals, as drug dealers will 'cut' the drug in order to reduce its purity by mixing in other chemicals. There's no way of telling what has been mixed in with the MDMA to make the Ecstasy; it could be laced with harmful chemicals and there would be no way for the end user to tell. Occasionally, people die when consuming ecstasy because it has been laced with something toxic.
In terms of pharmacology, Ecstasy in its pure form, prior to being cut, is MDMA. MDMA is an amphetamine derivative and has similar effects to other amphetamines, such as euphoria, hyperactivity, insomnia and anorexia, increased pulse, temperature and blood pressure. MDMA also has effects that increase sociability in users. As dose increases, the chance of overdose increases; overdose on MDMA will result in failure of several organ systems including the lungs, heart, brain, and kidneys.
In addition, giving MDMA to someone with depression is probably a bad idea, especially if they don't want it; while MDMA does cause feelings of euphoria and increased socialization, it is associated with anxiety and depression when users come off their high, and can cause users to find less enjoyment in things they previously found pleasurable.(8 votes)
- So how come people don't study hallucinogens and schizophrenia together?(4 votes)
- They do. Some mouse models of schizophrenia employ the use of drugs such as hallucinogens to model some of the positive symptoms or large amounts of cocaine to induce dopamine-driven psychosis.(4 votes)
- I don't understand PTSD treatment(4 votes)
- It can also help them see the experience in a positive light, without all the trauma attached to it.(4 votes)
- I was really hoping you would connect the psychoactive effects of drugs to the Consciousness video series by elucidating on how these kind of drugs cause altered states.
What sort of brain waves do we see in stimulants vs depressants? Or in Hallucinogenic states?(3 votes) - Has the human body no enzyme or way to degrade the THC on their receptors since THC stays longer than alcohol inside the body?(2 votes)
- It does, and the enzyme carboxylates it to make carboxy-THC, which is inactive. So it's actually inaccurate to say THC is in the body for days/weeks—it's just the metabolite. This is why a chronic smoker could feel sober as a rock after only a day, but have traceable amounts in hair/urine for as much as 60 days(2 votes)
- What is the difference between THC and CBD?(2 votes)
- THC is the psychedelic component. To simplify it all significantly, it excites and stimulates you, enhancing tastes and touch and sight and sounds. It can also create some symptoms resembling psychosis at high doses. CBD, on the other hand, calms and soothes, and keeps the effects of THC from being too pleasant. It's thought to be anti-inflammatory and good for anxiety.(2 votes)
Video transcript
- [Voiceover] Okay, last
type of psychoactive drug we'll talk about here is hallucinogens. These drugs, as you might expect, cause users to experience hallucinations. Or sensations that aren't really there. Even though all hallucinogens
do cause altered perceptions and feelings, there are
many different types of hallucinogens that
can have a wide range of specific physiological effects. Some hallucinogens even have medical uses which we'll get to towards
the end of this video. First though, we'll talk about
a drug that straddles the line between stimulants
and hallucinogens, ecstasy. Ecstasy is a synthetic
drug that sort of lives in both the stimulant world
and the hallucinogen world. Like a stimulate, it
greatly increases dopamine and serotonin and leads
to a feeling of euphoria. It also stimulates the body's
central nervous system. Right after taking ecstasy, people experience high blood pressure, dehydration, overheating. Sometimes to the point of death. Ecstasy can actually
damage the neurons that produce serotonin. Serotonin has several functions, one of which is moderating your mood. If you don't produce
serotonin you may experience a permanently depressed mood. That can be a side effect of ecstasy. So that's the stimulant side, and on the hallucinogen side, ecstasy causes hallucinations
and heightened sensations. People often get an artificial feeling of social connectedness and intimacy as well as potentially seeing
things that aren't there. So just to recap, like a stimulant ecstasy increases your heart rate
and other bodily functions and like a hallucinogen it causes you to perceive things that aren't there. Another popular hallucinogen, really the prototypical
hallucinogen, is LSD. LSD like many hallucinogens
interferes with serotonin transmission which causes
people to experience sensations that didn't actually
come from the environment, in other words hallucinations. With LSD, most of the
hallucinations are visual as opposed to auditory. So you see things that
aren't there rather than hear things that aren't there. Marijuana is also considered
a mild hallucinogen though it shares properties with some other types of drugs as well. The main active chemical
in marijuana is THC. Which heightens sensitivity to colors, sounds, tastes and smells, that's the hallucinogenic part. Like alcohol though,
marijuana reduces inhibition, relaxes the central nervous system, and impairs motor coordination
and perceptual skills. So don't smoke marijuana and drive. Marijuana can also
disrupt memory formation, and interfere with short term recall. Unlike alcohol however, THC stays in the body for up to a week. Meaning that regular users
actually need less of the drug rather than more to achieve the same high. Sometimes marijuana is
also used to relieve pain and nausea in medical situations, but just like any
medication you have to weigh the potential side effects
against the potential benefits. Other medical uses of hallucinogens include treatment for PTSD. Some types of hallucinogens
seem to allow people to access painful memories from their past but in a way that's detached from any strong emotional reactions. So this can mean that they
can recall a traumatic memory and come to terms with it
in a way that's not possible under normal circumstances.