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10/13/13 Psychoactive Drugs • "If we could sniff or swallow something that would, for five or six hours each day, abolish our solitude as individuals, atone us with our fellows in a glowing exaltation of affection and make life in all its aspects seem not only worth living, but divinely beautiful and significant, and if this heavenly, world-transfiguring drug were of such a kind that we could wake up next morning with a clear head and an undamaged constitution-then, it seems to me, all our problems (and not merely the one small problem of discovering a novel pleasure) would be wholly solved and earth would become paradise." • ALDOUS HUXLEY 1894 - 1963 Psychoactive Drugs • Influence central nervous system (brain) • Stimulants – Enhance alertness and physical activity – Reduce fatigue and suppress hunger • Depressants – Dull mental awareness, induce sleep – Trance-like state • Hallucinogens – Changes in mood, thought, perception – Dream-like state • Medical, psychoactive, toxic Psychoactive Drugs • Psychological dependence – Desire to re-experience the pleasure • Physiological dependence – The body needs the drug to avoid withdrawal symptoms • Tolerance – Body needs stronger doses for same effect • Addictive • Narcotic – Vague term – Originally a drug that induces sleep (opiates) – Currently an illegal drug 1 10/13/13 Psychoactive Drugs Lancet 369 (9566): 1047–53 March 20078 Neurons Synapse 2 10/13/13 Modification of Neuronal Activity by Drugs • Mimic the neurotransmitter – Drug acts like neurotransmitter • Alter the release of the neurotransmitter – Enhance or decrease • Modify the receptor site – Affinity change – Blockage • Influence the removal of the neurotransmitter – Enzyme splits neurotransmitter – Reuptake into knobs Psychoactive Drugs • Agonists • Antagonists • Drug tolerance – Decreased sensitivity to the drug – Higher doses needed – Synapse not as effective Psychoactive Drugs • “The mind is its own place, and in itself can make a Heav'n of Hell, a Hell of Heaven” • Satan, in Milton's Paradise Lost 3 10/13/13 Tobacco Nicotiana tabacum • • • • Nicotine Increases the effect of dopamine in the brain Increases adrenalin release Highly addictive – "To cease smoking is the easiest thing I ever did. I ought to know, because I've done it a thousand times" Mark Twain Tobacco • Medicinally – Ease pain of childbirth – Decreases hunger – Headache remedy • Psychoactive use – Biphasic effect of invigoration and relaxation – Pleasure – Reduces anxiety and tension Tobacco - History • New world (60+ species) • Domesticated 1000 years before Columbus • Tetraploid hybrid • Smoked, eaten, or snuffed • Rituals and initiations • Sweep across Europe and Asia from 1600-1700 • Unsubstantiated uses – Lung strengthener, plague cure, aphrodisiac, etc. 4 10/13/13 Tobacco - History • Wealthy men in England and colonies • Wealth of tobacco trade aided the French and Indian War, and the Revolutionary • War • 25% of signers of Declaration of Independence wealthy tobacco owners • Washington, Jefferson, etc. • Virginian slavery – Better relationship – Knowledge of tobacco Tobacco - History • Curing tobacco – Dry – Fire – Flue 1839 curing tobacco changed type of smoke • Alkaline to acidic smoke – Needs to be inhaled – More nicotine and more addictive • Bright Burley tobacco 1864 • Cigarette machine 1881 Tobacco - History • Duke and American Tobacco • Duke the most aggressive • Sherman Anti-trust act split Am. Tobacco • Shift from chewing tobacco to cigarettes • 1900s aggressive marketing 5 10/13/13 Tobacco - Health • 1948 AMA “more can be said in behalf of smoking as a form of escape from tension than against it…there does not seem to be a preponderance of evidence that would indicate the abolition of the use of tobacco as a substance contrary to the public health” Tobacco - Health • • • • AMA Today Smoking causes about 30% of all cancers. The risk of developing lung cancer is 10 times greater for smokers than for nonsmokers. Those who smoke 2 or more packs of cigarettes a day are 15 to 25 times more likely to die of lung cancer than nonsmokers. This year, more than 450,000 Americans will die prematurely of diseases linked to smoking. It is also a major cause of heart disease, emphysema and chronic bronchitis. Pregnant women who smoke have higher rates of miscarriage, stillbirth, premature birth and complications of pregnancy. More of their babies die soon after birth than newborns of nonsmoking mothers. Smoking • Smoking kills an estimated 440,000 Americans each year. • On average, men who smoke cut their lives short by 13.2 years, and female smokers lose 14.5 years. • The economic toll exceeds $157 billion each year in the United States -- $75 billion in direct medical costs and $82 billion in lost productivity. 6 10/13/13 Coca - Erythroxylum coca • Peru • Leaves chewed with lime to release alkaloids • Integral part of Inca social, mystical, religious, and medicinal. • Reduces – – – – Altitude sickness Hunger Fatigue Pain 7 10/13/13 Coca - Erythroxylum coca • 1551 Catholic bishop banned coca leaves – Evil agent of the devil – Natives couldn’t work to mine gold – Catholics legalized its use in Peru • Spanish brought coca to Europe Cocaine • Cocaine isolated in 1855, never synthesized • Synthesized anesthetics • Procaine • Novocain • Lidocaine Cocaine • Stimulant – Prolongs the feeling of well-being • Blocks uptake of dopamine in brain • Constricts coronary blood vessels (death) • Psychological addiction 8 10/13/13 Cocaine • Isolated in 1855 • Sigmund Freud – Recommended cocaine for alcoholism and morphine addiction • Angelo Mariani – Coca wine beverage rage of Europe & U.S. • John Pemberton – Invented Coca Cola (coca and kola nut) • Banned in 1914 Harrison Narcotic Act Cocaine • Illegal trade • Coca leaves mixed with sulfuric acid to extract alkaloids • Evaporation • Cut with fillers (inositol or baby powder) • Freebase and crack (water insoluble) Cocaine • Iran-Contra affair • Reagan Administration sold weapons to Iran (arms embargo) • Profits funding the Contras to topple the government in Nicaragua • Planes used to deliver weapons were used to bring cocaine in U.S. 9 10/13/13 Cocaine • "Cocaine's for horses and not for men, Doctor says it'll kill me, but he won't say when”. • from "Cocaine Blues" Opium Poppy Papaver somniferum • • • • • • • Alkaloids (26 types) Morphine, codeine, papaverine Latex from fruit capsule Poppy straw Analgesic (pain medicine) Addictive properties Licit production India, Turkey and Australia (Tasmania) – 15% licit - morphine and codeine 85% illicit - heroin Opiates • • • • • Depressant Highly addictive physiologically Toxic stops respiratory centers Endorphin receptors Reduces pain and enhances feelings of pleasure 10 10/13/13 Opiates • 3,400 B.C. Sumerians joy plant • Trade with Assyrians, Babylonians, Egyptians • Hippocrates dismisses magical properties, but great narcotic • Alexander brought poppy to Persia and India • 400 A.D. opium to China for medicine • 1300s illegal during Inquisition (anything from East was Devil inspired) Opiates • • • • Opium smoking in China 17th century 1729 first Chinese anti-opium eddicts Late 1700s England controls trade with China China no need for Western goods so British traded opium for silk and spices • 1799 Chinese emperor bans growing, sale and trade of opium • 1837-1841 first Opium War – British acquire Hong Kong Opiates • 1827 Merck company manufactures morphine • Morphine addiction after Civil War • 1874 C.R. Wright synthesizes Heroin • 1998 Bayer introduces Heroin • Used for two decades 11 10/13/13 Opiates • • • • Heroin addiction after WW II 1914 law prohibits possession of opiates 1924 manufacture of heroin illegal Illegal opium production – Afghanistan, Golden Triangle (Myanmar, Laos, Thailand), Pakistan, Iran, Mexico, and Columbia – 90% from Afghanistan – 33 fold increase in production since U.S. war in 2001 Opiates • Domestic policy “drug war” contrary to international policy of “National Security” • CIA and its support of drug traffickers – Support of drug lord allies with transport of heroin, arm sales, and political protection – Golden Triangle during Vietnam War – Golden Crescent Afghanistan and Pakistan – Support of Mujahideen guerrillas – 1999 350 square miles – Taliban reduced by 90% – Today record numbers Marijuana Cannabis sativa • • • • • Hallucinogen, stimulant and depressant Euphoria, calmness, distorted perception Resins from leaves and female bracts 60 compounds Psychoactive chemical – Tetrahydrocannabinol or THC • THC levels – Genetics, growing conditions, sex of plant – Sinsemilla • CB1 receptors in brain for endogenous cannabinoids 12 10/13/13 Marijuana Cannabis sativa • Medicinal use – Hypertension, glaucoma, MS, seizures, nausea during chemotherapy – Legality and the law • Alaska, California, Colorado, Hawaii, Maine, Montana, Nevada, Oregon, Vermont, and Washington • Low to moderate use – No addition or deleterious health effects • Heavy use – Reduced sex drive, lower sperm counts, reduced motor coordination, lung diseases Marijuana - History • • • • • • One of oldest cultivated plants 10,000 years Hemp, seed, oil, medicinal and psychoactive Native of central Asia Medicinal use 5000 years ago in China Hallucinogen 2500 years ago Scythians India one of five sacred plants religious ceremonies – Three grades of Cannabis • Bhang (leaves) • Ganja (flower tops) • Charas (pure resin or hashish). Marijuana - History • Arab world • 12th century story of Persian Leader Al-Hasan-ibnSabah cults of Hashishin (assassins) • Europe in 1800s – Intellectuals, writers, artists • Along Mississippi during 1920s and 1930s – Jazz musicians • • • • 1937 Federal Bureau of Narcotics Federal Marijuana Tax Act California law County enforcement 13 10/13/13 Marijuana - History • 1960s counterculture movement and social revolution • 1980s relaxation of criminal laws • Mr. Spud in Jamaica • California? Hallucinogens Uses • Unintentional use • Rituals and religious use – Shamans or priests experience visions/god – Medicinal knowledge • Recreational use – Pleasure to escape from daily reality – Leisure time and affluence Hallucinogens Plant Chemical Origin Peyote Mescaline Mexico, Texas Nutmeg Elemicin Spice Islands Henbane Mandrake Datura Europe, Asia Ayahuasca Solanaceous alkaloids Solanaceous alkaloids Harmine Morning glory Lysergic acid Mexico New World Amazon Rye ergot fungus Ergometrine Europe, etc. Mushrooms Mexico, etc. Psilocybin 14 10/13/13 Peyote Lophophora williamsii • Cactus Mexico and Southwest • Mescaline • Mimics norepinephrine • Religious rituals • Colorful visions • Nausea, chills, vomiting Psilocybin • • • • • Magic mushrooms Psilocybin and psilocyn LSD like Mimics serotonin Religious experiences Ergot • Rye ergot fungus • Ergotism – Chronic - Burning in fingers and toes gangrene, increase in miscarriages – Acute - convulsions, muscle spasms, hallucinations – St Anthony’s Fire in 12th century – Salem witch trials 15 10/13/13 Lysergic Acid Diethylamide • Albert Hoffman – Synthesized in 1938 in Sandoz labs – First ingestion 1943 – Illegal in late 60s • Ololiuqui (o-low-lee-oo-key) – Morning glory seeds Ipomoea tricolor – Mexico religious rituals Poisonous Plants • • • • Poison hemlock Coniine Neurologic toxin muscle tremors, muscular weakness, dim vision, coma and convulsions. Death comes from respiratory failure Poisonous Plants • Strychnos nux-vomica • Strychnine • Nerve toxin – convulsions 16 10/13/13 Poisonous Plants • Mushrooms (toadstools) • Amatoxins • Inhibits mRNA formation Poisonous Plants • Oleander • Cardiosides • Heart problems Poisonous Plants • Castor bean • Ricin • Inhibits protein synthesis • Long term organ problems 17 10/13/13 Poisonous Plants • • • • • Jimsonweed Datura wrightii Tropane alkaloids" Hallucinogen" Coma, seizures. " 18