Psychoactive drugs
The brain has many synapses that vary in their organization and use a wide variety of neurotransmitters. There are over a hundred different brain neurotransmitters that are known today. “Psychoactive drugs affect the brain and personality by altering the functioning of some of these synapses. Some drugs are excitatory, because they increase post-synaptic transmission. Others are inhibitory because they decrease it.” One example of each will be described below.
Cocaine
“Cocaine acts at synapses that use dopamine as a neurotransmitter. It binds to dopamine reuptake transporters, which are membrane proteins that pump dopamine back into the pre-synaptic neuron. Because cocaine blocks these transporters, dopamine builds up in the synaptic cleft and the post-synaptic neuron is continuously excited. Cocaine is therefore an excitatory psychoactive drug. Synapses that use dopamine are part of what is known as the reward pathway that gives us pleasurable feelings during certain activities. Cocaine gives feelings of euphoria that are not related to any particular activity. Excitatory drugs can also work by mimicking excitatory neurotransmitters, for example, heroin mimics endorphins.”
Tetrahydrocannabinol (THC)
“THC binds to cannabinoid receptors in pre-synaptic membranes. Binding inhibits the release of neurotransmitters that cause excitation of post-synaptic neurons. THC is therefore an inhibitory psychoactive drug. Cannabinoid receptors are found in synapses in various parts of the brain, including the cerebellum, hippocampus and cerebral hemispheres. Several naturally occurring or endogenous cannabinoids have been discovered. They are an unusual example of retrograde signaling as they are released by the post-synaptic neuron and convey a message to the pre-synaptic neuron. People have reported a wide variety of feelings due to THC. The main effects are disruption of psychomotor behavior, short term memory impairment, intoxication and stimulation of appetite.”
Drug addiction and its causes
According to the American Psychiatric Association, addiction is:
“a chronically relapsing disorder that is characterized by three main elements:
- compulsion to seek and take the drug
- loss of control in limiting intake and
- emergence of a negative emotional state when access to the drug is prevented”
Only certain drugs can cause addiction and usually repeated use over a prolonged period of time is needed. If a few drugs are being used at once, addiction will develop more rapidly. Some people are more prone to addiction than others. The causes of addiction are clearly not simple and three areas need to be considered.
- “Dopamine secretion is associated feelings of well-being and pleasure. Many addictive drugs, including opiates, cocaine, nicotine, and alcohol affect dopamine secreting synapses”
- “Genetic predisposition is the increased chance of developing an addiction that some people have because of their genes. One example is the gene, DRD2, that codes for the dopamine receptor protein. There are multiple alleles of this gene and a recent study showed that people with one or more copies of the A1 allele consumed less alcohol than those homozygous for the A2 allele.”
- “Social factors affect drug use and addiction. Cultural traditions are very important and help to explain why different drugs cause problems in different parts of the world. Peer pressure, poverty and social deprivation, traumatic life experiences and mental health problems may also contribute.”