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Drugs and Behaviour Psychology - Part 6 Lecture Notes

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Drugs and Behaviour Psychology - Part 6 Lecture Notes

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  • January 24, 2021
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Drugs and Behaviour - Andy Parrott

Lecture 6: MDMA and Neurohormones – 24th October 2016

Overview:

 Acute Cortisol: MDMA plus environmental stimulation. Key is total
psychophysiolgical-metabolic activation.
 MDMA in energetic situations: Stronger cortisol response, also acute
effects, and more severe recovery problems.
 Cortisol possibly a unitary factor for acute energetic stress?
 Chronic Cortisol: A modulatory co-factor for the long term effects of regular
MDMA. Individual diffs in cortisol may help explain the variance in
functional and structural findings with recreational Ecstasy users.
 Oxytocin: Pro-social aspects and sexual behaviours
 Others: Various implications (Dumont and Verkes, 2006)
 Cortisol: A key homeostatic neurohormone – all drugs.
 Energetic stimulation and homeostatic disruption with cocaine and
amphetamine?
 HPA axis and psychiatric distress – Help explain why every CNS stimulant is
associated with more problems
 Oxytocin only recently studied, may be involved in many aspects of
psychoactive drug use (McGregor et al 2008)
 Other neurohormones and involvements in general health, fluid retention
etc (Dumont/Verkes ‘06)

MDMA and Neurohormones

,  MDMA has well documented effects on neurotransmitter systems,
including serotonin and dopamine (5-HT, DA) and others (Green et 2003;
Parrott, 2013a,b)
 MDMA also has a range of neurohormonal effects.
o Cortisol an energetic stress hormone (Selye 1956).
o Cortisol most studied hormone in E users (Dumont ‘06)
o Acute and chronic changes in Ecstasy users
o Energetic stress model for MDMA (Parrott, 2006)
o Oxytocin as a pleasure hormone and MDMA.
o Other neurohormones and MDMA.
o Neurohormones and psychoactive drug

This lecture illustrates that drugs have a much wider effect on the brain, other
than just on neurotransmitters.

MDMA is a CNS stimulant.

MDMA is Ecstasy.

MDMA  3,4-methylenedioxy-methamphetamine

HPA  Hypothalamic-pituitary-adrenal axis

From core: MDMA is a synthetic amphetamine derivative that boosts serotonin
and several other monoamine neurotransmitters. The acute effects can be
extremely pleasant, with strong feelings of elation and empathy towards other
people. However, lethargy, midweek depression and other psychobiological
deficits develop during the period of neurochemical depletion afterward.

, Pharmacological and psychological effects

 MDMA affects several neurotransmitter systems but its main effect is as an
indirect serotonin agonist.
 Serotonin is involved in various psychological functions: feeling states,
memory, executive planning, psychobiological functions such as sleep and
sex.
 MDMA is a powerful sympathomimetic and allows physical exertion to be
maintained for prolonged periods.
 Impairs temperature control in the hypothalamus  leading to many
ravers becoming over heated and hyperthermic (Dafters, 1994).
 This increase in body temperature is an important contributory factor in
causing serotonergic neurotoxicity (see later for research)
 Many people die from excessive fluid intake as a result of trying to prevent
the dangers of exertion by drinking plenty of water. However, is too much
fluid is taken, the electrolytes in the blood circulation can be diluted to
dangerous levels, resulting in hyponatraemia which is fatal.
 Curran and Travill (1997) reported clinically borderline levels of depression
in the midweek period that followed an Ecstasy trip.

Cortisol: An energetic stress neurohormone

 Selye (1956): Original concept of stress. Based on physical stressors -
extremes of heat and cold, distance running.
 Cortisol and HPA axis activation. Cortisol ‘Stimulates the sympathetic
nervous system, increases catecholamine synthesis, releases stored glucose

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