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Summary Alcohol addiction

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summary of condition and associated drugs

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  • May 16, 2024
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  • 2023/2024
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Alcohol Addiction
How does ethanol work?
 interacts with ligand and voltage gated ion channels
o GABA A: acts as a positive allosteric modulator
 alcohol Binds to another area on GABA A
 And increases the binding of GABA
 Inhibitory neurotransmitter
 Over time this causes increased expression of alpha subunits
 Alpha subunits are responsible for inhibiting this receptor
 So there is upregulation of these subunits to counteract and restore
balance of this receptor
 Causing tolerance and dependence to alcohol
 So you need more alcohol to have the same effect
 Without maintaining alcohol levels you will get withdrawal effects
o NMDA: it acts as a negative allosteric modulator
 Binds to another site on NMDA
 Prevents binding of glutamate
 Preventing the excitatory effects of glutamate
 Preventing firing
 In response to this suppression of this receptor this causes
upregulation of these receptors to restore balance
o Glycine, nACh, 5HT3: interacts with these at higher concs
 Alcohol stimulates dopamine transmission in the dopamine mesolimbic pathway
o Associated with reinforcement of alcohol consumption
 Alcohol works in the cerebellum to affect motor coordination and balance
 Works in the hippocampus to decrease memory
 Acts as a dehydrating agent as an osmolyte to disrupt osmotic balance across cell
membranes
What is an NMDA receptor?
- Glutamate receptor
- Which is a primary excitatory neurotransmitter in the brain
What is alcohol use disorder?
 chronic
 relapsing disorder
 genetic and environmental factors contribute to AUD
o e.g. stress
Symptoms of AUD
 mild intoxication:
o initial stimulation
o then sleepiness
 memory, judgement and reaction time impaired
 easier to talk to people etc
 acute alcohol poisoning: severe respiratory depression and death
What happens to repeated exposure of alcohol?
 tolerance can be substantial
 high blood levels can be achieved without sedation

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