PSYC62H3 Lecture 9: Inhalants, Opioids, and Cannabinoids

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3 May 2018
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PSYC62
LECTURE 9
Inhalants
Volatile substances with psychoactive properties
Repurposed from home or workplace products
Some have clinical purposes
o e.g., anesthetic & vasodilation
Volatile solvents are the most abused
Molecular structure
o They're all hydrocarbons
Adolescents represent the largest portion of inhalant users
Only class of substance that is abused by younger vs. older teenagers
Local impact
o Native children of Davis Inlet
Young children huffing gasoline
Altered psychological experiences
Doing it bc they’re depressed and poor
Live in a rural, isolated community = not really much access to other drugs like
cocaine
Routes of administration
Pharmacokinetics
o Rapid absorption and distribution within CNS -- why?
Cross the BBB easily
Volatile = achieves gaseous states really quickly
Quickly reaches the different surfaces in lungs
Similar CNS effects as ethanol
o NMDA receptor antagonism
o GABAa + modulation
Inhalant effects vary across time
o Initial: stimulating
o Progressively: depressant effects
o Overdose: sudden sniffing death syndrome
Question on the final on this
Why would it cause sudden sniffing death syndrome
o Chronic use (dependence)
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PSYC62
LECTURE 9
Weak/brief withdrawal symptoms
Psychological factors
They don’t continue to abuse it because they’re addicted but mostly to
escape thsir depression and shit
Opioids
Elicit pharmacological effects by acting on opioid receptors
Natural
o Morphine and codeine (from opium poppies)
Semisynthetic
o Heroin and oxycodone
Require the precursors from natural to be formed
Fully synthetic
o Fentanyl and methadone
Don’t require natural precursors
Pharmacokinetics and opioid abuse
o Intravenous injection or inhalation is typically preferred (recreational)
o Opioids permeate the BBB
Lipid solubility varies among opioids
Play a role in how well the drug has an impact on the CNS
o Opioids are primarily metabolized in the liver
Active metabolites
Compare ability of two opioids crossing BBB
All end with morphine-6-glucuronide
The ones in blue have CNS effects
Endogenous opioid system
o It’s beta endorphin
o Endogenous opioid NTs derived from propeptides
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Document Summary

Inhalants: volatile substances with psychoactive properties, repurposed from home or workplace products. Local impact: native children of davis inlet, young children huffing gasoline, altered psychological experiences, doing it bc they"re depressed and poor. Similar cns effects as ethanol: nmda receptor antagonism, gabaa + modulation. Initial: stimulating: progressively: depressant effects, overdose: sudden sniffing death syndrome, question on the final on this, why would it cause sudden sniffing death syndrome, chronic use (dependence) Opioids: weak/brief withdrawal symptoms, psychological factors, they don"t continue to abuse it because they"re addicted but mostly to escape thsir depression and shit, elicit pharmacological effects by acting on opioid receptors, natural, morphine and codeine (from opium poppies) Semisynthetic: heroin and oxycodone, require the precursors from natural to be formed. Fully synthetic: fentanyl and methadone, don"t require natural precursors, pharmacokinetics and opioid abuse. Intravenous injection or inhalation is typically preferred (recreational: opioids permeate the bbb. It"s beta endorphin: endogenous opioid nts derived from propeptides.

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