Drugs and Behavior General Issues Chapter 1 WHAT ARE DRUGS? Drug – A Definition • A chemical or mixture of chemicals that alters biological function when administered • Psychotropic drug – Any chemical that alters behavior, cognition or emotion • Psychoactive drug – For our purposes, the same as the above Names of Drugs Drugs have many names, most commonly: Brand, trade, ‘proprietary’ name: e.g., Desoxyn® different preparations, companies, etc. Generic, trivial, ‘nonproprietary’ name: e.g., methamphetamine Chemical name: N,alpha-dimethylphenethylamine Street name: e.g. ‘ice’ or ‘crank’ - same name may refer to different several different drugs. Mostly I will use the generic name. The Science of Drugs • Pharmacology – The scientific study of drugs and drug action • Psychopharmacology – The subfield of pharmacology concerning the effects of drugs on behavior, emotion, and cognition Classifying Drugs • • • • • • • • Therapeutic vs. non-therapeutic Legal vs. illegal Recreational vs. medicinal Mechanism of action Site of action By origin By chemical structure Behavioral effects Classifying Drugs • Ultimately, as practiced, the classification of drugs is political/social as much as it is scientific. • Two main classifications – Scheduling – Behavioral effects Schedule of Controlled Substances • Current schedule system has 5 schedules based on: – Safety – Medical use – Abuse potential Schedule I • Includes heroin, LSD, marijuana, MDMA – The drug or other substance has a high potential for abuse. – The drug or other substance has no currently accepted medical use in treatment in the United States. – There is a lack of accepted safety for use of the drug or other substance under medical supervision. Schedule II • Includes morphine, cocaine, Ritalin, amphetamine, methamphetamine, OxyContin – The drug or other substance has a high potential for abuse. – The drug or other substance has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions. – Abuse of the drug or other substance may lead to severe psychological or physical dependence. Schedule III • Includes anabolic steroids and Marinol. – The drug or other substance has a potential for abuse less than the drugs or other substances in Schedules I and II. – The drug or other substance has a currently accepted medical use in treatment in the United States. – Abuse of the drug or other substance may lead to moderate or low physical dependence or high psychological dependence. Schedule IV • Includes most benzodiazepines (Valium, Xanax, Ativan) and prescription sleep aids – The drug or other substance has a low potential for abuse relative to the drugs or other substances in Schedule III. – The drug or other substance has a currently accepted medical use in treatment in the United States. – Abuse of the drug or other substance may lead to limited physical dependence or psychological dependence relative to the drugs or other substances in Schedule III. Schedule V • Includes codeine-containing cough medicines and some antidiarrheals. – The drug or other substance has a low potential for abuse relative to the drugs or other substances in Schedule IV. – The drug or other substance has a currently accepted medical use in treatment in the United States. – Abuse of the drug or other substance may lead to limited physical dependence or psychological dependence relative to the drugs or other substances in Schedule IV. NC Schedule VI • No currently accepted medical use in the United States • Relatively low potential for abuse in terms of risk to public health and potential to produce psychic or physiological dependence liability based upon present medical knowledge • Need for further and continuing study to develop scientific evidence of its pharmacological effects. Behavioral Effects Classification • Classified by effects on behavior and/or central nervous system – – – – Depressants Stimulants Narcotics/Analgesics Psychedelics Depressants • Depress CNS activity leading to decreased physiological activity and sedation – Alcohol – Legal, Non-therapeutic – Barbiturates – Legal, Therapeutic – Benzodiazepines – Legal, Therapeutic Stimulants • Stimulate CNS leading to increases in physiological processes and motor behavior – – – – Cocaine – Illegal, Therapeutic Amphetamine – Illegal, Therapeutic Caffeine – Legal, Non-therapeutic Nicotine – Legal, Non-therapeutic Narcotic Analgesics (Opiates) • Act to increase activity in the endogenous opiate system leading to pain suppression, feelings of euphoria, well-being, and respiratory depression – – – – Heroin – Illegal, Therapeutic Codeine – Legal, Therapeutic Morphine – Legal, Therapeutic Vicodin, Percocet, etc. – Legal, Therapeutic Psychedelics • Alter mood state and perception via action on the CNS. Group by convenience. All illegal, some with therapeutic use. – LSD (acid) – Psylocibin (mushrooms) – Phencyclidine (PCP) Marijuana • In a class by itself – Complex behavioral effects – Main effect is on cannabinoid neurotransmitter system – Better fit with other classification systems • Origin - Alkaloid • Mechanism of action – Cannabinoid agonist Take-Home Message • Ultimately we create our own “classification system” • A combination of many systems • We base this system on who we are, where we come from, and how drugs make us feel • With VERY few exceptions, everyone uses some kind of drug • At the same time, too many people take too much drugs Video • http://www.youtube.com/view_play_list?p= C1387DACE613B755&playnext=1&playne xt_from=PL