MEDICINES and DRUGS Depressants Medicines and Drugs 1 What are depressants? • Substances that calm and relax (depress) the central nervous system by interfering with nerve impulse transmission. They slow down brain activity They slow down heart activity They reduce breathing rate They dull emotional responses Medicines and Drugs 2 How do depressants work? • Depressants change the communication between brain cells by altering the concentration or the activity of chemicals called neurotransmitters • Depressants causes a depression, or a decrease in brain activity. • Depressants can be categorized by dosage effect – this categorization includes tranquilizers, sedatives and hypnotics. Medicines and Drugs 3 What are anti-depressants? • Antidepressants are drugs used to treat the clinical condition known as depression (mood changes, insomnia, fatigue, despair, inability to concentrate) Medicines and Drugs 4 It’s the dose…..not the drug… Low doses Moderate doses Sedation Soothing Reduction of anxiety High doses Little or no effect Sleep Slurred speech Extremely high doses Coma Death Medicines and Drugs 5 Tranquilizers Mild action Relieve anxiety and tension Ethanol & Valium Medicines and Drugs 6 Sedatives Soothing of distress Not producing sleep at normal doses Barbiturates Medicines and Drugs 7 Use and abuse of ethanol Doses 30-50mg /100ml of blood Euphoria 100mg / 100ml of blood Slurred speech, staggering, aggressive behavior 200mg / 100ml of blood Difficult movement and vision 400mg / 100ml of blood Coma, death Medicines and Drugs 8 Use and abuse of ethanol Social effects Sickness, death - Cost of treatment - Lost productivity Violent crimes Car accidents Alcoholism, family problems Medicines and Drugs 9 Use and abuse of ethanol Physiological effects Short-term effects euphoria sociability relaxation decreased inhibitions loss of judgement impairment of perception/memory increased reaction time violent behavior dizziness loss of balance nausea, vomitting death Medicines and Drugs 10 Use and abuse of ethanol Physiological effects Long-term effects: cirrhosis of liver liver cancer coronary heart disease high blood pressure strokes gastritis peptic ulcers anxiety/depression fetal abnormalities physical dependence/tolerance Medicines and Drugs 11 Use and abuse of ethanol Synergistic effects Alcohol + aspirin risk of stomach bleeding Alcohol + sedatives heavy sedation comma, death Alcohol + cocaine high blood pressure irregular heart beat Medicines and Drugs 12 Detection of ethanol Breathalyzer Road-side test Ethanol in breath Oxidation of ethanol to ethanoic acid Use of acidified K2Cr2O7 Orange to green color Transfer of electrons > current > voltage measured Medicines and Drugs 13 Medicines and Drugs 14 Detection of ethanol Chromatography (GLC) Ethanol in breath, blood and urine Inert gas through liquid or solid Compounds separated by b.p. Different retention times recorded Amount = area under peak Other drugs can be detected, too Medicines and Drugs 15 Medicines and Drugs 16 Medicines and Drugs 17 Detection of ethanol Intoximeter (infra-red spectroscopy) Ethanol in breath Transmittance versus wavenumber =IR spectrum Characteristic peak of -OH @ 3340cm-1 Comparison of sample and reference Amount = size of peak Medicines and Drugs 18 Medicines and Drugs 19 Other depressants Diazepan (Valium) Sedative Medicines and Drugs 20 Other depressants Nitrazepan (Mogadon) Sleeping pill Medicines and Drugs 21 Other depressants Fluoxetin hydrochloride (Prozac) Anti-depressant Amine+HCl=hydrochloride: water soluble Medicines and Drugs 22