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DRUG TREATMENT OF PSYCHOSIS www.freelivedoctor.com
Psychosis ,[object Object],[object Object],[object Object],www.freelivedoctor.com
Psychosis Producing Drugs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Schizophrenia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Schizophrenia ,[object Object],[object Object],[object Object],www.freelivedoctor.com
Schizophrenia ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Etiology of Schizophrenia ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Etiology of Schizophrenia ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Dopamine Theory of Schizophrenia ,[object Object],www.freelivedoctor.com
Dopamine Theory of Schizophrenia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Pharmacodynamics ,[object Object],[object Object],Frontal cortex Amygdala Hippocampus Nucleus accumbens Limbic Cortex DA DA DA DA DA www.freelivedoctor.com
Dopamine Theory of Schizophrenia ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Dopamine System ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
THE DOPAMINERGIC SYSTEM www.freelivedoctor.com
Catecholamines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Dopamine Synapse DA L-DOPA Tyrosine Tyrosine www.freelivedoctor.com
Dopamine System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
www.freelivedoctor.com
Dopamine System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Dopamine Reuptake System www.freelivedoctor.com
Antipsychotic treatments ,[object Object],[object Object],www.freelivedoctor.com
Antipsychotic treatments ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotic treatments ,[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotics treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotics/Neuroleptics ,[object Object],www.freelivedoctor.com
Antipsychotics/Neuroleptics ,[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],OLDER DRUGS www.freelivedoctor.com
Antipsychotics/Neuroleptics ,[object Object],dopamine receptor antagonist D 2 www.freelivedoctor.com
Antipsychotics/Neuroleptics ,[object Object],[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[ 3 H]Haloperidol binding IC 50  (mol/L) Clinical dose of drug [mg d -1 ] haloperidol clozapine thiothixene chlorpromazine promazine spiroperidole www.freelivedoctor.com
Antipsychotics/Neuroleptics ,[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotics/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Pharmacokinetics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Pharmacokinetics ,[object Object],[object Object],[object Object],www.freelivedoctor.com
Pharmacokinetics ,[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],* Most likely to cause extrapyramidal effects. www.freelivedoctor.com
Antipsychotic/Neuroleptics [Drug dose] Effect Piperazine Aliphatic Piperidine www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics [Drug dose] Effect Phenothiazine d. Thioxanthene d. Butyrophenone d. www.freelivedoctor.com
Antipsychotics/Neuroleptics ,[object Object],[object Object],www.freelivedoctor.com
Antipsychotics/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotics/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Newer Drugs www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],Chlorpromaz.  Low Medium Medium High Haloperidol   High Very High Very High Low Thiothixene   High Medium Medium Medium Clozapine   Medium Very low Low Medium Ziprasidone   Medium Very Low Low Very low Risperidone   High Low Low Low Olanzapine   High Very Low Medium Very low Sertindole   High Very Low Very low Very Low www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
The Nigro-Striatal Pathway www.freelivedoctor.com Inhibition of  Motor Activity DA neuron ACh neuron GABA neuron GABA neuron Substantia Nigra + - - - - Striatum
Antipsychotic/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Antipsychotic/Neuroleptics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

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Antipsychotics

Notas del editor

  1. Slide 4: The synapse and synaptic neurotransmission Describe the synapse and the process of chemical neurotransmission. Indicate how vesicles containing a neurotransmitter, such as dopamine (the stars), move toward the presynaptic membrane as an electrical impulse arrives at the terminal. Describe the process of dopamine release (show how the vesicles fuse with the presynaptic membrane). Once inside the synaptic cleft, the dopamine can bind to specific proteins called dopamine receptors (in blue) on the membrane of a neighboring neuron. Introduce the idea that occupation of receptors by neurotransmitters causes various actions in the cell; activation or inhibition of enzymes, entry or exit of certain ions. State that you will describe how this happens in a few moments.
  2. Slide 6: Dopamine and the production of cyclic AMP Using the close-up view, explain what happens when dopamine binds to its receptor. When dopamine binds to its receptor, another protein called a G-protein (in pink) moves up close to the dopamine receptor. The G-protein signals an enzyme to produce cyclic adenosine monophosphate (cAMP) molecules (in green) inside the cell. [Sometimes the signal can decrease production of cAMP, depending on the kind of dopamine receptor and G-protein present.] Point to the dopamine receptor-G-protein/adenylate cyclase complex, and show how cAMP is generated when dopamine binds to its receptor. Indicate that cAMP (point to the cyclic-looking structures) controls many important functions in the cell including the ability of the cell to generate electrical impulses.
  3. Slide 12: Dopamine binding to receptors and uptake pumps in the nucleus accumbens Explain that cocaine concentrates in areas of the brain that are rich in dopamine synapses. Review dopamine transmission in the nucleus accumbens. Point to dopamine in the synapse and to dopamine bound to dopamine receptors and to uptake pumps on the terminal.