effect on NMDA receptors (130)
effect on GABA-A receptors (131)
reason for decline in barbiturates and nonbarbiturate sedatives (131-132)
current clinical use of barbiturates (132)
sedative-induced brain dysfunction (132)
pharmacokinetics (133-135)

ultra-short acting, longer, and very long classes

  • drugs that belong in each class (Amobarbital, Mephobarbital, Phenobarbital, Thiopental) (133-134)
  • their properties (including half-life and time required for sleep induction) (133-134)

pharmacological effects (135)
psychological effects (136)
side effects and toxicity (136)
tolerance
(enzyme induction and neuron adaptation) (136)
physical dependence (136-137)
psychological dependence (137)
effects in pregnancy (137)

nonbarbiturate sedative hypnotics (properties and clinical use)

  • Methaqualone (138)
  • Meprobamate (138)
  • Chloral hydrate (138-139)
  • Paraldehyde (139)

general anesthetics

general anesthesia (139)
mechanism of general anesthetic action (139-140)
properties of GHB (142)

anti-epileptic drugs

two mechanisms for seizure suppression

  • limiting discharge (142)
  • facilitating GABA-mediated inhibition (143)

specific drug properties and use in both epilepsy and psychological disorders:

  • Felbamate (144-145)
  • Gabapentin (145)
  • Lamotrigine (145)
  • Barbiturates (147)
  • Phenytoin (147)
  • Benzodiazepines (147)
  • Carbamazepine (147)
  • Valproic acid (147)
  • Tiagabine (148)
  • Epalons (148)
     


contraindications of anxiolytic drugs for children, adolescents, and elderly (155)

benzodiazepines

  • action on the amygdala (156)
  • binding site (156)
  • difference in rate of metabolism (157-158)
  • effect on GABA site (161)
  • time required for the elderly to eliminate diazepam (161)
  • problem with short-acting drugs administered before bedtime (164)

Buspirone (BuSpar)

  • unique binding site (169)
  • unique effects (169-170)

role of amygdala in anxiety (156)

drugs

  • antidepressant drugs for long-term treatment (154-155)
  • Ambien (zolpidem) (166-167)
  • Buspirone (BuSpar) (169-170)
  • Flumazenil (Romazicon) (165-166)

maximum length of time benzodiazepines should be prescribed to avoid dependency (154)

recommended drugs for

  • chronic anxiety (155)
  • anxiety disorders in children/adolescents (155)
  • insomnia (154)
  • panic disorder/phobia (155, 163)
  • post traumatic stress syndrome (155)

site where second-generation anxiolytics work (169)


Summarize the risks of long-term anxiolytic use. Address issues of tolerance, impairment, recreational abuse, and withdrawal syndrome. (164-165)




cocaine

forms of cocaine (181-182)

pharmacokinetics

absorption (182-184)

distribution (184)

metabolism and excretion (184)

mechanism of action (185)

dopaminergic actions (185-186)

serotonergic actions (187)

effects of short-term, low-dose use (187-191)

toxic and psychotic effects of long-term, high-dose use (191)

comorbidity (191-192)

pregnancy (192-195)

pharmacological treatment of cocaine dependency (195-197)

psychosocial interventions (197)
 

amphetamines and other behavioral stimulants

mechanism of action (199)

pharmacological effects (199-201)

dependence and tolerance (201-202)

ICE (202)

pharmacokinetics (202-203)

effects and toxicity (203)
 

nonamphetamine behavioral stimulants

Methylphenidate (Ritalin) (203-205)

Pemoline (Cylert) (205)

Sibutramine (Meridia) (206)

Orlistat (Xenical) (207)

Modafinil (207)
 

pharmacological treatment of ADHD

background (208-210)

treatment (210-213)

reviews of treatment efficacy (213)


Explain why "Ice" is a serious public health hazard. Why is "Ice" more dangerous than methamphetamine? (202-203)

 


caffeine

pharmacokinetics (221-222)

pharmacological effects (223-224)

caffeinism (223-224)

mechanism of action (224-226)

caffeine risk during pregnancy (226-227)

tolerance and dependence (227-228)
 

nicotine

pharmacokinetics (229-231)

pharmacological effects (231-234)

mechanism of action (234)

tolerance and dependence (234-236)

toxicity (236)

cardiovascular effects (236-237)

pulmonary effects (237-238)

cancer (238)

passive smoke effects (238-239)

effects during pregnancy (239)

therapy for nicotine dependence (240-242)


Describe nicotine replacement devices. Compare their efficacy. How might their efficacy be boosted? (240-241)