Pharmacology of Cocaine Effects

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Questions and Answers

What is one of the effects of cocaine on the central nervous system?

  • Stimulates serotonin production
  • Increases dopamine uptake
  • Decreases epinephrine levels
  • Blocks uptake of dopamine (correct)

Which cardiac condition can result from cocaine-induced thrombus formation?

  • Multiple Infarction MI (correct)
  • Atrial septal defect
  • Valvular heart disease
  • Heart rhythm disorder

What systemic response is a result of neurotransmitters accumulating in synapses due to cocaine use?

  • Hypertension (correct)
  • Bradycardia
  • Vasodilation
  • Hypotension

Which organ is particularly at risk from the effects of cocaine when consumed?

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

What is a primary source of exposure to cocaine-related contamination?

<p>Eating contaminated fish (A)</p> Signup and view all the answers

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Study Notes

Neurotransmitter Uptake Blockage

  • Cocaine inhibits dopamine uptake in the central nervous system (CNS).
  • It also blocks the reuptake of epinephrine and norepinephrine at adrenergic nerve endings.
  • Accumulation of neurotransmitters in synapses leads to hyperstimulation.

Symptoms of Hyperstimulation

  • Tachycardia (increased heart rate) results from neurotransmitter accumulation.
  • Hypertension (high blood pressure) occurs due to enhanced adrenergic stimulation.
  • Peripheral vasoconstriction is induced by elevated norepinephrine levels.

Effects on the Cardiovascular System

  • Cocaine induces vasoconstriction of coronary arteries, increasing the risk of heart complications.
  • Promotes thrombus (blood clot) formation by enhancing platelet aggregation.
  • Location of thrombus formation determines specific health outcomes:
    • In the heart: Multiple infarction myocardial infarctions (MI) can occur.
    • In the brain: Risk of stroke increases with cerebral thrombus formation.

Damage to Organs

  • Cocaine is damaging to the CNS, particularly affecting the developing fetus.
  • It negatively impacts various organs, including:
    • GI tract: Damage to the lining epithelium occurs upon ingestion.
    • Kidneys: Cocaine can cause harm during the excretion process.

Source of Exposure

  • The primary source of cocaine exposure is consuming contaminated fish.

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