Introduction To Cns Pharmacology
Introduction To Cns Pharmacology
Introduction To Cns Pharmacology
CNS
PHARMACOLOGY
Diffuse systems
are broadly distributed, single cell (axon)
sending processes to many different areas.
The transmitters in diffuse system are
norepinephrine, dopamin, serotonin or
peptides that action on metabotropic
receptors.
Criteria for neurotransmitter :
Must present in high concentration in
synaptic area.
Must be released by stimulation via calciumdependent mechanism
Must produce the same sort of postsynaptic
response
ACETYLCHOLINE
Brain neurons have reseptor for ACh and most
CNS response to ACh.
Drugs affecting the activity of cholinergic
system in the brain include the
acethylcholinesterase inhibitors used in
Alzheimers disease (eg.tacrine) and muscarinic
blocking agents used in parkinsonism
(eg.benztropine).
DOPAMINE
Dopamine reseptor the major in basal ganglia
neurons and widely distributed at the
supraspinal level.
Drugs affecting the activity of dopaminergic
include antipsikotics (eg.chlorpromazine), CNS
stimulants (eg.amphetamine) and
antiparkinsonsm drugs (eg.levodopa)
NOREPINEPHRINE
Are mainly located in the brain stem and the
lateral tegmental area of the pons.
Excitatory effects are caused by activation of
alpha1 and beta1 reseptors.
Inhibitory effects are caused by activation of
alpha2 and beta2 reseptors.
SEROTONIN
Serotonin pathways from cell bodies or midline
regions of the pons and upper brain stem.
Used in the treatment of major depressive
disorder (eg.tricyclic antidepressant, selective
serotonin reuptake inhibitors)
GLUTAMIC ACID
Most neurons in the brain are excited by
glutamic acid.
Subtypes of glutamate reseptors include the
NMDA reseptor which is blocked by
phencyclidine and ketamin.
GABA AND GLYCINE
Is the primary neurotransmitter IPSP in neurons
in the brain.
Drugs that influence GABAergic system include
sedative-hypnotic (eg.barbiturates,
benzodiazepines), anticonvulsants
(eg.gabapentin).
Glycine reseptors more numerous in the cord,
are blocked by strychnine (a spinal convulsant)
PEPTIDE TRANSMITTER
Identified in the CNS. Important therapeutic
action for opioid analgesics (eg.morphine)
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