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Health and medicine
Course: Health and medicine > Unit 9
Lesson 6: Drug abuse and drug addictions- Drug abuse and drug addiction
- Overview of psychoactive drugs
- Psychoactive drugs: Depressants and opiates
- Psychoactive drugs: Stimulants
- Psychoactive drugs: Hallucinogens
- Routes of drug entry
- Drug dependence and homeostasis
- Reward pathway in the brain
- Tolerance and withdrawal
- Risk factors for drug use and drug abuse
- Substance use disorders
- The development of substance use - Why do people use legal and illegal substances?
- Why do some people but not others develop substance use problems?
- Treatments and triggers for drug dependence
- How does substance use develop into substance abuse
- Drug use prevention - school programming and protective factors
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Psychoactive drugs: Stimulants
Visit us (http://www.khanacademy.org/science/healthcare-and-medicine) for health and medicine content or (http://www.khanacademy.org/test-prep/mcat) for MCAT related content. These videos do not provide medical advice and are for informational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any Khan Academy video. Created by Carole Yue.
Want to join the conversation?
- How long does the effect of cocaine last after, let's say, one line of cocaine?(6 votes)
- Depends on how it is administered; generally between 5 minutes to 2 hours depending on the method chosen.(4 votes)
- How does nicotine inhibe appetite?(2 votes)
- Most likely overstimulation of sympathetic nervous system causes a decrease in PNS which correlates to digestionand appetite.(10 votes)
- In another video it is mentioned that cocaine prevents the reuptake of dopamine from the synaptic clefts of neurons, whereas this video states that more dopamine is released. I was just wondering if anyone knew which mechanism is at play, or perhaps both are because either mechanism can deplete the body's dopamine levels?(3 votes)
- On one side of the cleft where the dopamine is released there also transporters which take dopamine back inside. Cocaine blocks these transporters and causes more and more dopamine to flood the synapse without being taken back up. However, cocaine also sets of dopamine in reward pathways causing addiction.(5 votes)
- Would it be more appropriate to say that caffeine alters one's perception of fatigue rather than indicating it increases energy? Caffeine is a competitive inhibitor of AMP receptors. AMP receptors are involved with the feeling of being tired. When AMP levels are high (low energy state), it becomes more likely that they will bind to AMP receptors. This elicits a feeling of fatigue. However, when caffeine is present it competes for the AMP receptors. As such, the perception of feeling tired is blunted because caffeine does not indicate a low energy state like the binding of AMP does.(3 votes)
- Why would someone eat more because of nicotine aka smoking if atthe drawing showed a down arrow next to appetite?? This is confusing. Don't you need an actual appetite to eat? I don't get it at all...... 1:28(2 votes)
- when you stop smoking you get more of an appetite.(2 votes)
- I would like to know how, in big dosis, a drug which is estimulating can causes a relaxing effect. Thank you so much! Excelent lessons and excelent website!! =)(2 votes)
- psychoactive drugs mean that drugs function on central neurotransmitters like dopamine and serotonin...or function on CNS and bodily functions...?(2 votes)
- Yes, certain neurotransmitters function in the process of psychoactive drugs.(1 vote)
- There was a correction to establish that cocaine prevents reuptake of dopamine and not that it causes the release of more. Then the video goes on and likens the mechanism of amphetamines to cocaine by saying that it "also" induces dopamine release. Since the first assertion was actually not exactly right, can someone lemme know if the mechanism of meth is actually also inhibited reuptake, as opposed to increased release? Muchas Gracias.(2 votes)
- how much coffaine is in coffee(1 vote)
- That depends on how caffeinated the coffee is, how much you drink, what kind of coffee it is... There are several variables to consider.(3 votes)
- Is there any drug that is both depressant and stimulant or which is either?(2 votes)
- As far as I know there is no such thing, however it is very common to pair both as separate drugs/substances. This is because it can "counteract" or "enhance" how a person may react. For example a drunk person may drink an energy drink to feel more alert and awake, although their central nervous system is still depressed, or may take wild swings between being stimulated and depressed. Although I guess the only exception to this is caffeine, having been shown to depress a stimulated nervous system (specifically those with ADHD) and also Marijuana depending on the person even though it is more of a hallucinogen.(1 vote)
Video transcript
- [Voiceover] We talked about depressants, which depress neural activity
and bodily functions. On the other hand, we have
stimulants, which stimulate or intensify neural activity
and bodily functions. These can range from
your everyday stimulants, like caffeine, to more hardcore drugs, like cocaine, amphetamines,
methamphetamines and ecstasy. In between those extremes are nicotine, which is found in cigarettes. If you've ever tried to stay awake by drinking coffee or a
soda or something like that, then you know that caffeine adds energy and can disrupt your
sleep for several hours. Nicotine actually acts similarly. It increases your heart
rate and blood pressure and arouses the brain to a
state of heightened alertness. Nicotine also suppresses your
appetite, which is one reason that people sometimes gain
weight when they quit smoking. Without the nicotine, their appetite return, so they eat more. In very high levels, nicotine can actually cause muscles to relax
and cause the release of certain neurotransmitters
that may reduce stress. That's your body's natural response to try to counteract all
that heightened alertness and tension caused by the nicotine. Both caffeine and nicotine
are physiologically addictive, meaning that your body grows accustomed to them and starts to experience negative reactions when
you don't get enough. For example, you might know people who drink a lot of coffee everyday, or you might be one of those people. If you don't get your coffee, think about if you
experience any headaches, irritability, difficulty
concentrating, even depression. That's withdrawal symptom
from the caffeine and coffee. Nicotine is even more addictive than that. This is one reason that it's
so hard to quit smoking. Once the body gets used to nicotine, its absence can lead to
withdrawal symptoms like anxiety, insomnia, distractibility,
and irritability. Cocaine is an even stronger stimulant. It causes your brain to release so much dopamine, serotonin
and norepinephrine that it basically depletes
your brain's supply. Once the drug wears off, you experience this intense crash and
become very depressed. Regular cocaine users can
experience emotional disturbances, suspicion, convulsions, cardiac
arrest, or respiratory failure. Amphetamines and methamphetamines also trigger the release of dopamine, and meth can cause a feeling of euphoria that can last up to eight hours, but after that wears off,
people experience, again, intense irritability, insomnia, or even seizures and depression. Meth is highly addictive, and people will literally just devote their
lives to getting another fix. Long-term addicts might
even lose the ability to maintain normal levels of dopamine, as their brain tries to
adjust to the intense highs.