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Questions and Answers
Which pharmacological action of PCP primarily contributes to its analgesic effects?
Which pharmacological action of PCP primarily contributes to its analgesic effects?
- Activation of dopamine receptors
- Inhibition of serotonin reuptake
- Agonism at opiate receptors (correct)
- NMDA receptor antagonism
What are the primary cognitive disruptions caused by PCP?
What are the primary cognitive disruptions caused by PCP?
- Enhanced memory recall
- Impaired learning and decision-making (correct)
- Increased focus and concentration
- Improved problem-solving skills
Which of the following effects would most likely be experienced at a moderate dose of PCP?
Which of the following effects would most likely be experienced at a moderate dose of PCP?
- Enhanced tactile sensation with sensory overload
- Experiencing feelings of euphoria and drowsiness (correct)
- Intense hallucinations with vibrant colors
- Loss of consciousness and severe agitation
Which descriptor best characterizes the effects of PCP compared to LSD?
Which descriptor best characterizes the effects of PCP compared to LSD?
What is a potential effect of high doses of PCP?
What is a potential effect of high doses of PCP?
One of the following is NOT a common side effect of PCP intoxication at low doses:
One of the following is NOT a common side effect of PCP intoxication at low doses:
Tolerance to PCP can develop due to its influence on which type of receptors?
Tolerance to PCP can develop due to its influence on which type of receptors?
What can be a long-term consequence of chronic PCP use related to cognitive function?
What can be a long-term consequence of chronic PCP use related to cognitive function?
Which of the following describes a common toxic effect of PCP?
Which of the following describes a common toxic effect of PCP?
In terms of its method of administration, PCP is often encountered in which form?
In terms of its method of administration, PCP is often encountered in which form?
What was the primary medical advantage of PCP when it was initially developed?
What was the primary medical advantage of PCP when it was initially developed?
Which of the following is a common street name for PCP?
Which of the following is a common street name for PCP?
What is the least common route of administration for PCP?
What is the least common route of administration for PCP?
Which of the following best describes the pharmacokinetics of PCP?
Which of the following best describes the pharmacokinetics of PCP?
What is one potential behavioral effect of PCP that users may experience?
What is one potential behavioral effect of PCP that users may experience?
What mechanism does PCP primarily use to exert its psychoactive effects?
What mechanism does PCP primarily use to exert its psychoactive effects?
What is a common pharmacological treatment for agitation caused by PCP overdose?
What is a common pharmacological treatment for agitation caused by PCP overdose?
Which effect is NOT associated with high-dose toxicity of PCP?
Which effect is NOT associated with high-dose toxicity of PCP?
Which of the following is NOT a reported effect of PCP usage?
Which of the following is NOT a reported effect of PCP usage?
What is the primary characteristic of psychological dependence on PCP?
What is the primary characteristic of psychological dependence on PCP?
What is one reason why human medical use of PCP was discontinued?
What is one reason why human medical use of PCP was discontinued?
What is the average hospital stay duration for patients recovering from PCP toxicity?
What is the average hospital stay duration for patients recovering from PCP toxicity?
Which of the following metabolites of PCP may contribute to its prolonged effects?
Which of the following metabolites of PCP may contribute to its prolonged effects?
What is a significant feature of tolerance related to PCP usage?
What is a significant feature of tolerance related to PCP usage?
Which of the following is a potential fetal effect associated with PCP usage during pregnancy?
Which of the following is a potential fetal effect associated with PCP usage during pregnancy?
In terms of tolerance development, how does PCP affect first-time users compared to chronic users?
In terms of tolerance development, how does PCP affect first-time users compared to chronic users?
What neurological effect is commonly associated with high doses of PCP?
What neurological effect is commonly associated with high doses of PCP?
What does the withdrawal syndrome associated with PCP dependence suggest?
What does the withdrawal syndrome associated with PCP dependence suggest?
Which of the following is a potential effect of fetal exposure to PCP during pregnancy?
Which of the following is a potential effect of fetal exposure to PCP during pregnancy?
What is a notable long-term effect observed in animal studies of high-dose PCP exposure?
What is a notable long-term effect observed in animal studies of high-dose PCP exposure?
Which statement accurately reflects the history and initial use of PCP?
Which statement accurately reflects the history and initial use of PCP?
What is the most common form in which PCP is encountered in recreational use?
What is the most common form in which PCP is encountered in recreational use?
Which of the following effects is least likely to be associated with low doses of PCP?
Which of the following effects is least likely to be associated with low doses of PCP?
What best describes the cognitive disruptions caused by PCP use?
What best describes the cognitive disruptions caused by PCP use?
At what dosage range does PCP primarily induce psychotic-like behaviors?
At what dosage range does PCP primarily induce psychotic-like behaviors?
What is a significant feature of tolerance development in PCP users?
What is a significant feature of tolerance development in PCP users?
Which of the following is a common psychological effect at moderate doses of PCP?
Which of the following is a common psychological effect at moderate doses of PCP?
How does PCP primarily exert its analgesic effects?
How does PCP primarily exert its analgesic effects?
What is a notable toxic effect seen in individuals using high doses of PCP?
What is a notable toxic effect seen in individuals using high doses of PCP?
What is a characteristic feature of psychological dependence on PCP?
What is a characteristic feature of psychological dependence on PCP?
What led to the restriction of PCP for human medical use?
What led to the restriction of PCP for human medical use?
Which of the following forms of PCP is the least common for recreational use?
Which of the following forms of PCP is the least common for recreational use?
Which method of PCP administration can lead to the most intense and rapid effects?
Which method of PCP administration can lead to the most intense and rapid effects?
What physiological measure does PCP notably NOT affect during its use?
What physiological measure does PCP notably NOT affect during its use?
Which effect of PCP is primarily linked to its blockade of NMDA receptors?
Which effect of PCP is primarily linked to its blockade of NMDA receptors?
What is a common after-effect experienced by PCP users after intoxication?
What is a common after-effect experienced by PCP users after intoxication?
What is a characteristic feature of tolerance development in users of PCP?
What is a characteristic feature of tolerance development in users of PCP?
Which demographic is most likely to encounter recreational use of PCP?
Which demographic is most likely to encounter recreational use of PCP?
What is one of the psychoactive metabolites of PCP responsible for prolonging its effects?
What is one of the psychoactive metabolites of PCP responsible for prolonging its effects?
Which of the following terms best describes the psychological state induced by PCP's effects?
Which of the following terms best describes the psychological state induced by PCP's effects?
What is a potential consequence of high-dose PCP usage during pregnancy?
What is a potential consequence of high-dose PCP usage during pregnancy?
How does the tolerance development to PCP differ between first-time and chronic users?
How does the tolerance development to PCP differ between first-time and chronic users?
What major respiratory effect might occur with high doses of PCP?
What major respiratory effect might occur with high doses of PCP?
In the context of PCP intoxication, what is one of the most common pharmacological interventions to manage agitation?
In the context of PCP intoxication, what is one of the most common pharmacological interventions to manage agitation?
Which neurological effect is associated with high doses of PCP?
Which neurological effect is associated with high doses of PCP?
What is one characteristic of psychological dependence on PCP?
What is one characteristic of psychological dependence on PCP?
What is a significant acute effect of PCP at high doses?
What is a significant acute effect of PCP at high doses?
What distinguishes the anti-convulsant effects of PCP in terms of dose specificity?
What distinguishes the anti-convulsant effects of PCP in terms of dose specificity?
Which method of PCP administration might be least recognized among users?
Which method of PCP administration might be least recognized among users?
What factor contributes to the psychological dependence associated with PCP?
What factor contributes to the psychological dependence associated with PCP?
Flashcards
Respiratory Depression
Respiratory Depression
A condition where breathing is slowed or impaired, often occurring due to high doses of PCP.
Pulmonary Edema
Pulmonary Edema
Fluid buildup in the lungs, a serious complication associated with high PCP doses.
Generalized Seizures
Generalized Seizures
Uncontrolled electrical activity in the brain, a potential risk of high PCP doses.
Tolerance
Tolerance
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Psychological Dependence
Psychological Dependence
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Physical Dependence
Physical Dependence
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Withdrawal Syndrome
Withdrawal Syndrome
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Depression
Depression
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Gastric Lavage
Gastric Lavage
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Antipsychotics
Antipsychotics
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What is PCP?
What is PCP?
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What is the half-life of PCP?
What is the half-life of PCP?
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How does PCP affect the nervous system?
How does PCP affect the nervous system?
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How is dopamine affected by PCP?
How is dopamine affected by PCP?
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How is PCP typically administered?
How is PCP typically administered?
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What are the typical effects of PCP?
What are the typical effects of PCP?
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What is retrograde amnesia?
What is retrograde amnesia?
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How do active metabolites influence PCP's effects?
How do active metabolites influence PCP's effects?
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What is the typical duration of PCP's effects?
What is the typical duration of PCP's effects?
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What is the current medical use of PCP?
What is the current medical use of PCP?
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Prefrontal Cortex Function
Prefrontal Cortex Function
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Basal Ganglia Function
Basal Ganglia Function
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PCP's Effect on Serotonin
PCP's Effect on Serotonin
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PCP's Opiate Receptor Activity
PCP's Opiate Receptor Activity
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PCP's Adenosine Receptor Activity
PCP's Adenosine Receptor Activity
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PCP's Dissociative Effect (NMDA)
PCP's Dissociative Effect (NMDA)
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PCP's Hallucinogenic Effects
PCP's Hallucinogenic Effects
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PCP's Euphoric Effects
PCP's Euphoric Effects
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PCP's Analgesic Effects
PCP's Analgesic Effects
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PCP's Cognitive Disruption
PCP's Cognitive Disruption
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What does PCP do to brain cells?
What does PCP do to brain cells?
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What are the treatments for PCP overdose?
What are the treatments for PCP overdose?
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What is dependence on PCP like?
What is dependence on PCP like?
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How does tolerance build up to PCP?
How does tolerance build up to PCP?
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What is the impact of PCP on pregnancy and babies?
What is the impact of PCP on pregnancy and babies?
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How do PCP's metabolites affect its effects?
How do PCP's metabolites affect its effects?
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What is PCP's half-life?
What is PCP's half-life?
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How does PCP affect dopamine?
How does PCP affect dopamine?
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What are the routes of administration for PCP?
What are the routes of administration for PCP?
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What is retrograde amnesia related to PCP?
What is retrograde amnesia related to PCP?
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How long do PCP's effects last?
How long do PCP's effects last?
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How do PCP effects vary?
How do PCP effects vary?
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Study Notes
PCP (Phencyclidine) Overview
- Type: Synthetic drug
- Developed in 1963, initially marketed as an analgesic and anesthetic
- Medical use advantages: Safe and effective anesthetic, did not lower blood pressure, heart rate, or respiration.
- Discontinued use in humans due to adverse reactions
- Street use emerged the same year its medical use was discontinued
PCP Forms and Routes of Administration
- Forms: Powder, tablet, capsule, and liquid
- Routes:
- Oral ingestion
- Intranasal (snorting)
- Smoked (with cigarettes or cannabis)
- Injection (less common)
PCP Pharmacokinetics
- Half-life: Up to 3 days
- Detectable in urine for several days due to slow elimination
- Psychoactive metabolites: Produced in the liver, prolong or intensify effects by interacting with the central nervous system (CNS)
PCP Effects Duration
- Typical effects: Last 4-6 hours, but some reports suggest effects lasting for days or weeks
- Possible long-term cognitive and neurological damage
PCP Mechanisms of Action
- NMDA receptor antagonist: Blocks glutamate and aspartate, disrupting neural communication and leading to dissociation.
- Increases dopamine: Indirectly increases dopamine in pleasure centers, decision-making areas, and movement centers.
- Serotonin reuptake inhibitor: Increases serotonin levels, contributing to hallucinogenic effects
- Opiate receptor agonist: Partial activation of opiate receptors contributes to pain relief and possible euphoria.
- Adenosine receptor agonist: Contributes to sedation and pain perception
PCP Effects (Low, Moderate, High Dose)
- Low dose (5 mg): Euphoria, alcohol-like effects (slurred speech, incoordination), drowsiness, tingling/numbness.
- Moderate dose (10 mg+): Increased heart rate and blood pressure, sweating, nausea, pupil dilation, analgesia, blurred vision, nystagmus, feelings of detachment, and a sense of detachment from surroundings or one's own body.
- High dose (10-15 mg+): Frenzied motor activity or catatonic stupor, sudden mood changes, disorientation, confusion, delusional thoughts (often paranoid), repetitive movements, psychotic-like behavior, and the ability to withstand significant pain.
PCP After-Effects
- Amnesia (partial or total memory loss)
- Retrograde amnesia: Difficulty recalling actions or surroundings during intoxication
PCP Tolerance and Dependence
- Development: Tolerance develops within 2-3 weeks of daily use
- Chronic users: May need to increase dose to achieve the same effects
- No clear evidence of withdrawal syndrome in humans
- Psychological dependence: Strong craving and habitual use, despite harmful consequences.
Ketamine in Depression (Study findings)
- Occurrence: 1 in 10 Canadians experience depression during their lifetime
- Treatment resistance: About 1/3 of those with depression do not respond to standard treatments
- Research: Extensive research explores ketamine's impact on treatment-resistant depression (TRD).
- Study findings: Ketamine infusions show improved everyday functioning and reduced symptoms in patients experiencing difficulties with conventional treatments.
- Immediate effects: Significant improvement in anxiety and depression within an hour of the first dose.
- Long-term effects: Continued improvement over weeks, including anxiety, depression and overall severity of illness.
- Study participants: 20 males, aged 18-60. Met ICD-10 criteria for "severe depressive episode." Administered 6 doses of ketamine over 2 weeks.
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