Psychedelics: PCP

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Questions and Answers

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?

  • 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?

  • 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?

<p>More detached and psychotic-like experiences (C)</p> Signup and view all the answers

What is a potential effect of high doses of PCP?

<p>Catatonic stupor or frenetic activity (D)</p> Signup and view all the answers

One of the following is NOT a common side effect of PCP intoxication at low doses:

<p>Severe hallucinations (D)</p> Signup and view all the answers

Tolerance to PCP can develop due to its influence on which type of receptors?

<p>Opiate receptors (C)</p> Signup and view all the answers

What can be a long-term consequence of chronic PCP use related to cognitive function?

<p>Persistent cognitive deficits (C)</p> Signup and view all the answers

Which of the following describes a common toxic effect of PCP?

<p>Psychotic-like behavior and paranoia (A)</p> Signup and view all the answers

In terms of its method of administration, PCP is often encountered in which form?

<p>Powder or crystalline form for smoking or snorting (B)</p> Signup and view all the answers

What was the primary medical advantage of PCP when it was initially developed?

<p>It did not depress blood pressure, heart rate, or respiration. (A)</p> Signup and view all the answers

Which of the following is a common street name for PCP?

<p>Angel Dust (C)</p> Signup and view all the answers

What is the least common route of administration for PCP?

<p>Injected (D)</p> Signup and view all the answers

Which of the following best describes the pharmacokinetics of PCP?

<p>Its effects can last up to 3 days due to a long half-life. (D)</p> Signup and view all the answers

What is one potential behavioral effect of PCP that users may experience?

<p>Partial or total memory loss for events during intoxication. (A)</p> Signup and view all the answers

What mechanism does PCP primarily use to exert its psychoactive effects?

<p>Antagonist at NMDA receptors. (D)</p> Signup and view all the answers

What is a common pharmacological treatment for agitation caused by PCP overdose?

<p>Antipsychotics (D)</p> Signup and view all the answers

Which effect is NOT associated with high-dose toxicity of PCP?

<p>Severe anxiety (A)</p> Signup and view all the answers

Which of the following is NOT a reported effect of PCP usage?

<p>Significant enhancement of cognitive functions. (B)</p> Signup and view all the answers

What is the primary characteristic of psychological dependence on PCP?

<p>Strong cravings for the drug (B)</p> Signup and view all the answers

What is one reason why human medical use of PCP was discontinued?

<p>It caused adverse recovery reactions including hallucinations. (B)</p> Signup and view all the answers

What is the average hospital stay duration for patients recovering from PCP toxicity?

<p>2 weeks (C)</p> Signup and view all the answers

Which of the following metabolites of PCP may contribute to its prolonged effects?

<p>Active metabolites that prolong or intensify effects. (D)</p> Signup and view all the answers

What is a significant feature of tolerance related to PCP usage?

<p>Tolerance to its effects often leads to daily use. (C)</p> Signup and view all the answers

Which of the following is a potential fetal effect associated with PCP usage during pregnancy?

<p>Neuromuscular issues (C)</p> Signup and view all the answers

In terms of tolerance development, how does PCP affect first-time users compared to chronic users?

<p>Chronic users require larger doses for the same effects (D)</p> Signup and view all the answers

What neurological effect is commonly associated with high doses of PCP?

<p>Generalized seizures (C)</p> Signup and view all the answers

What does the withdrawal syndrome associated with PCP dependence suggest?

<p>There is no evidence of withdrawal in humans (A)</p> Signup and view all the answers

Which of the following is a potential effect of fetal exposure to PCP during pregnancy?

<p>Attention deficits (A)</p> Signup and view all the answers

What is a notable long-term effect observed in animal studies of high-dose PCP exposure?

<p>Widespread loss of brain cells (B)</p> Signup and view all the answers

Which statement accurately reflects the history and initial use of PCP?

<p>PCP was first synthesized in the 1950s for use as an anesthetic. (D)</p> Signup and view all the answers

What is the most common form in which PCP is encountered in recreational use?

<p>Powder form for snorting or smoking. (A)</p> Signup and view all the answers

Which of the following effects is least likely to be associated with low doses of PCP?

<p>Increased heart rate and blood pressure. (A)</p> Signup and view all the answers

What best describes the cognitive disruptions caused by PCP use?

<p>Impairments primarily affecting short-term memory and decision-making. (D)</p> Signup and view all the answers

At what dosage range does PCP primarily induce psychotic-like behaviors?

<p>High doses of 10-15 mg or more. (D)</p> Signup and view all the answers

What is a significant feature of tolerance development in PCP users?

<p>Regular users require higher doses to achieve the same effects. (A)</p> Signup and view all the answers

Which of the following is a common psychological effect at moderate doses of PCP?

<p>Amnesia related to events occurring during intoxication. (C)</p> Signup and view all the answers

How does PCP primarily exert its analgesic effects?

<p>Through NMDA receptor antagonism affecting pain pathways. (A)</p> Signup and view all the answers

What is a notable toxic effect seen in individuals using high doses of PCP?

<p>Frenzied motor activity or catatonic stupor. (D)</p> Signup and view all the answers

What is a characteristic feature of psychological dependence on PCP?

<p>Users often seek PCP to avoid pain or discomfort from other substances. (C)</p> Signup and view all the answers

What led to the restriction of PCP for human medical use?

<p>Adverse recovery reactions were frequently reported. (B)</p> Signup and view all the answers

Which of the following forms of PCP is the least common for recreational use?

<p>Liquid (B)</p> Signup and view all the answers

Which method of PCP administration can lead to the most intense and rapid effects?

<p>Intravenous injection (A)</p> Signup and view all the answers

What physiological measure does PCP notably NOT affect during its use?

<p>Blood pressure (D)</p> Signup and view all the answers

Which effect of PCP is primarily linked to its blockade of NMDA receptors?

<p>Amnesia and cognitive disruption (B)</p> Signup and view all the answers

What is a common after-effect experienced by PCP users after intoxication?

<p>Retrograde amnesia (B)</p> Signup and view all the answers

What is a characteristic feature of tolerance development in users of PCP?

<p>Need for higher doses to achieve the same effect (D)</p> Signup and view all the answers

Which demographic is most likely to encounter recreational use of PCP?

<p>Street drug users (B)</p> Signup and view all the answers

What is one of the psychoactive metabolites of PCP responsible for prolonging its effects?

<p>Phencyclidine metabolites (D)</p> Signup and view all the answers

Which of the following terms best describes the psychological state induced by PCP's effects?

<p>Dissociation from reality (C)</p> Signup and view all the answers

What is a potential consequence of high-dose PCP usage during pregnancy?

<p>Neuromuscular issues in infants (A)</p> Signup and view all the answers

How does the tolerance development to PCP differ between first-time and chronic users?

<p>Chronic users may require higher doses to feel effects (D)</p> Signup and view all the answers

What major respiratory effect might occur with high doses of PCP?

<p>Respiratory depression (B)</p> Signup and view all the answers

In the context of PCP intoxication, what is one of the most common pharmacological interventions to manage agitation?

<p>Benzodiazepines (A)</p> Signup and view all the answers

Which neurological effect is associated with high doses of PCP?

<p>Generalized seizures (D)</p> Signup and view all the answers

What is one characteristic of psychological dependence on PCP?

<p>Strong craving and habitual use (B)</p> Signup and view all the answers

What is a significant acute effect of PCP at high doses?

<p>Pulmonary edema (B)</p> Signup and view all the answers

What distinguishes the anti-convulsant effects of PCP in terms of dose specificity?

<p>No tolerance develops at low doses (D)</p> Signup and view all the answers

Which method of PCP administration might be least recognized among users?

<p>Injection (C)</p> Signup and view all the answers

What factor contributes to the psychological dependence associated with PCP?

<p>Immediate pleasurable effects (D)</p> Signup and view all the answers

Flashcards

Respiratory Depression

A condition where breathing is slowed or impaired, often occurring due to high doses of PCP.

Pulmonary Edema

Fluid buildup in the lungs, a serious complication associated with high PCP doses.

Generalized Seizures

Uncontrolled electrical activity in the brain, a potential risk of high PCP doses.

Tolerance

A state where the body's response to a drug is reduced, requiring higher doses to achieve the same effect.

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Psychological Dependence

The development of an intense desire and compulsive use of a drug, often despite negative consequences.

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Physical Dependence

A situation where the body becomes physically dependent on a drug, leading to withdrawal symptoms when use is stopped.

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Withdrawal Syndrome

A range of symptoms experienced when stopping a drug abruptly, which may include cravings, anxiety, and physical discomfort.

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Depression

A mental health condition impacting mood, such as sadness, hopelessness, and loss of interest in life.

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Gastric Lavage

The process of washing out the stomach contents to remove ingested substances.

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Antipsychotics

A class of medications used to treat psychosis, characterized by delusions and hallucinations.

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What is PCP?

PCP is a synthetic drug that was initially developed as an anesthetic but was discontinued due to adverse effects during recovery.

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What is the half-life of PCP?

The effects of PCP can last for up to 3 days, and can be detected in urine for even longer periods.

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How does PCP affect the nervous system?

PCP acts as an antagonist to the NMDA receptor, blocking the activity of glutamate and aspartate.

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How is dopamine affected by PCP?

PCP's blockade of NMDA receptors indirectly increases dopamine release in the nucleus accumbens, an area associated with reward and pleasure.

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How is PCP typically administered?

PCP is commonly ingested orally, snorted intranasally, smoked, or injected.

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What are the typical effects of PCP?

PCP can cause confusion, disorientation, agitation, and hallucinations in users.

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What is retrograde amnesia?

Users of PCP may experience memory loss, making it difficult to recall events while intoxicated.

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How do active metabolites influence PCP's effects?

Active PCP metabolites can be found in the liver, prolonging and intensifying the drug's effects.

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What is the typical duration of PCP's effects?

PCP's effects often last for 4-6 hours, but some users report effects persisting for days or weeks.

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What is the current medical use of PCP?

PCP is no longer used medically due to adverse effects on humans, but is primarily used recreationally.

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Prefrontal Cortex Function

The prefrontal cortex is responsible for higher-level cognitive functions like planning, decision-making, and complex thought processes.

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Basal Ganglia Function

The basal ganglia are a group of structures involved in movement control, motivation, and reward processing.

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PCP's Effect on Serotonin

PCP inhibits the reuptake of serotonin, leading to increased levels in the brain. This enhances mood and contributes to hallucinogenic effects.

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PCP's Opiate Receptor Activity

PCP partially activates opiate receptors, contributing to pain relief and potential feelings of euphoria.

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PCP's Adenosine Receptor Activity

PCP activates adenosine receptors, which are involved in sedation, pain perception, and neural inhibition. This adds to its complex effects.

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PCP's Dissociative Effect (NMDA)

PCP's primary effect on the NMDA receptor results in a feeling of detachment from reality.

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PCP's Hallucinogenic Effects

PCP's serotonin reuptake inhibition and altered cortical activity lead to visual and auditory hallucinations.

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PCP's Euphoric Effects

PCP's dopamine increase and opiate receptor activity contribute to feelings of euphoria.

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PCP's Analgesic Effects

PCP's opiate receptor agonism contributes to its pain-relieving effects.

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PCP's Cognitive Disruption

PCP's altered dopamine and NMDA activity impair learning, memory, and decision-making.

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What does PCP do to brain cells?

High doses of PCP can lead to widespread death of brain cells in animal studies, suggesting potential long-term cognitive and neurological damage.

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What are the treatments for PCP overdose?

Antipsychotics (like Haldol) help manage delusions and agitation, barbiturates or benzodiazepines calm restlessness, and gastric lavage removes PCP from the stomach.

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What is dependence on PCP like?

PCP users develop cravings and continue using despite harm. There's no clear evidence of physical withdrawal in humans.

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How does tolerance build up to PCP?

Tolerance to PCP develops within 2-3 weeks of daily use, meaning you need more to get the same effect. This doesn't happen to the anti-convulsant effects at low doses.

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What is the impact of PCP on pregnancy and babies?

PCP can slow fetal growth, cause premature labor, and lead to fetal distress. Infants can have muscle stiffness, irritability, and attention problems.

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How do PCP's metabolites affect its effects?

PCP is metabolized in the liver into active metabolites. These metabolites prolong and intensify the drug's effects by interacting with the central nervous system (CNS), contributing to extended behavioral and psychological effects.

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What is PCP's half-life?

The half-life of PCP is long, lasting up to 3 days, so it's detectable in urine for several days. This means that even after the initial effects wear off, traces of the drug can be detected in the body.

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How does PCP affect dopamine?

PCP's blockade of NMDA receptors indirectly increases dopamine release in the nucleus accumbens. This brain region is associated with reward and pleasure, contributing to PCP's potential for euphoria and dependence.

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What are the routes of administration for PCP?

PCP can be ingested orally, snorted as a powder, smoked (often sprinkled on cigarettes or cannabis), or injected (though less common).

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What is retrograde amnesia related to PCP?

PCP can cause partial or total memory loss for events and actions during intoxication. This retrograde amnesia makes it difficult for users to recall their behavior during the high.

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How long do PCP's effects last?

PCP's effects typically last for 4-6 hours but reports suggest they can linger for days or even weeks in some individuals. This prolonged effect can be due to the presence of active metabolites in the body.

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How do PCP effects vary?

PCP's effects can vary widely and are influenced by factors such as dosage, route of administration, individual tolerance, and previous drug use. Effects can range from mild euphoria to paranoia and aggression.

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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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