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Tolerance
Refers to an individuals reduced response to the drug or the need for more drug to achieve the intended effect
Dispositional Tolerance
Upregulates metabolic pathway (need more)
Functional Tolerance
How body chances due to the neural pathway changes
Behavioral Tolerance
Learned tolerance via associative conditioning 
Drug use in Same Context
Associations between environmental stimuli and drug use result in conditioned responses that reduce the effect of the drug
Cross-tolerance
Drugs of similar pharmacodynamic properties will share levels of functional tolerance
Reverse tolerance
Sensitization or reversal of drug effects
Differential tolerance
Rapid tolerance of some effects while limited tolerance to other drug effects
Thorndike's (1911) Law of Effect
Behavior is governed by its outcome (stimulus response learning)
Skinnerian Operant Conditioning
Behavior is governed by consequences (positive and negative reinforcement)
Fixed Ratio
Reinforcement contingent on a fixed number of responses
Fixed Interval
Reinforcement contingent on responding after a fixed time period
Variable Ratio
Reinforcement contingent on an average number of responses 
Variable Interval
Reinforcement contingent on responding after an average time period
Puzzle Box (cat exp)
Getting out of box was a response to learn, trial and error learning
Psychoactive Drug Use via Operant Conditioning
Feel good is a positive reinforcement, feel less bad is negative reinforcement, insensitive to punishment
History of Cocaine
Indigenous South Americans used for recreational, spiritual, and medical use (to work harder and longer)
When did isolation of the cocaine alkaloid?
1855/1860
Cocaine Binding site
Potent agonist of the mesolimbic dopamine pathway
Effects on DA neurotransmission
Cocaine prevents reuptake of dopamine, Causes release of cAMP
Difference in Pharmacokinetics in Crack
Difference in surface area and efficiency (crack has a shorter and more efficient path to the brain than snorted cocaine)
What do all amphetamines share in common?
They all share an identical amine molecular nucleus and are sympathomimetics
What do Amphetamines stimulate?
The mesolimbic dopamine pathway  VTA->NAcc->Frontal lobes Enter DA vesibles and promote release of dopamine and impede reuptake of DA from the synapse 
Behavioral treatments
Substantial heterogeneity in general Common components:  Stabilization Detoxification Psychoeducation Dyad Focused: Behavioral couples treatment
Pharmacological treatments
Anti-withdrawal medications Anti-craving medications Aversion therapy medications
Self-help/mutual help groups
Alcoholics anonymous Narcotics anonymous 
Early history of Nicotine
Indigenous Americans then widespread use in Europe, Asia, Widespread Medicinal Use
Date of the Isolation of Nicotine
1828, Jean Nicot
Peak of Nicotine Use in US
1963
Pharmacodynamics of Nicotine
Operates via stimulation of nicotine acetylcholine receptors (nAChRs)
Direct effects on nAChRs
ACh release actives DA release in VTA --> Nacc -->PFC Additional effects via GABA, glutamate, opioid neurotransmission 
Behavioral Treatments of Nicotine
Five A's: Ask, advise, Assess, Asist, Arrage a follow-up Individual counseling Group Counseling Telephone Support
FDA approved Pharmacological treatments
Nicotine replacement therapy Buproprion (zyban) DA and NE reuptake inhibitor and nicotinic antagonist  Varenicline (Chantix)- partial nicotinic agonist 
Are E-Ciggs Healthy or Harmful
Studys somewhat support both but there is a clear need for further study 
Alcohol
Chemically, any organic compound in which a hydroxyl group is bound to a carbon atom of an alkyl or substituted alkyl group
Types of Alcohol
Isopropyl Methyl Ethanol 
US Standard drink
14g of ethanol  Beer: 12oz 5% Wine 5oz 12% Liquor 1.5oz 40%
Epidemiology of US Alcohol use
Ever consume: 98% Annual Use: 80% Last Month 63%
Pharmacokinetics of Alcohol
Ingested orally, first-pass metabolism Peak plasma concentrations are 30-90 minutes following consumption  Metabolized 10-14g/hour 

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