Psychopharmacology: Basic Concept | Medications | Mechanism |
Psychopharmacology is a branch of Pharmacology and psychiatry that deals with medications used to treat mental disorders. This field has come a long way in recent years, and many effective treatments are now available for mental illnesses. The study of medications and their effects on the human body is pharmacology, and the study of drugs only treating mental disorders is known as Psychopharmacology. Every day some discoveries help us understand how these drugs work, allowing medical experts to better treat mental disorders with an improved understanding of the mechanism of medicines on our brain and nerve system. So, psychopharmacology is the scientific study of how different drugs affect mood, sensation, and thinking. Anyone who studies the effects of psychotropic drugs on the human brain is known as Psychopharmacologist. Psychopharmacologists need to understand all the clinically relevant principles of pharmacokinetics, and pharmacodynamics, such as protein binding half-life, which can vary greatly depending on everyone’s genes, mechanism of action of all psychotropic drugs, and interactions between different medications. The use and application of psychoactive substances have been used throughout history. Still, it’s only recently that these applications have attained the same level as scrutiny given to lab-made compounds. The term “psychopharmacology” was likely coined by David Macht in the 1920s when he introduced this new field that studied how different drugs affect brain function. Psychopharmacologists should understand basic concepts like how these psychoactive drugs work. This article will specifically discuss Neurotransmitters and Hormones because these drugs work by acting on them. Neurotransmitter Neurotransmitters are the messengers of our body’s systems. They are endogenous chemicals that allow signals to be passed between cells in different parts or organs while transmitting information from one cell type (such as muscle) to another through these receptor channels. Communication between two neurons happens in the synaptic cleft (the small gap between the synapses of neurons). The brain needs neurotransmitters like dopamine and serotonin because they regulate many important functions, including heart rate and many other functions. Modern Psychopharmacology is largely due to advances in our understanding of chemical neurotransmission. Knowing about chemical neurotransmission is essential if you truly want to understand how drugs impact our brains. Some of the most popular psychoactive drugs affect neurotransmitters and can be viewed as chemicals through which neurons primarily communicate. Following are some of the mechanisms by which psychoactive drugs affect the Neurotransmitter; One way they do this is by serving as a precursor for the Neurotransmitter; Others include the blocking of neurotransmitter production, Some drugs are also responsible for preventing the storage of neurotransmitters in the presynaptic vesicle. They can also wholly activate or inhibit the release of neurotransmitters, Sometimes they can restore or block the post-synaptic receptors, Primarily inhibit neurotransmitter reuptake by the presynaptic neuron. Psychoactive drugs almost exert their mind-altering effects by acting on these neurotransmitters and modifying one or more aspects of synaptic transmission. Here is a list of essential neurotransmitters affected by psychotropic drugs; Acetylcholine—this Neurotransmitter is involved in the body’s learning, memory, and mood. It’s a part of the autonomic nervous system that contracts smooth muscles, increases bodily secretions, dilates blood vessels, and slows the heart rate. Dopamine— is another neurotransmitter in motor circuits for reward and pleasure centers. This one is also involved in Parkinson’s Disease and Schizophrenia. GABA (Gamma Amino Butyric Acid)—This NT involves anxiety, epilepsy, fear, stress, and inhibitory neurotransmitter diseases. It blocks impulses between nerve cells in the brain; a low level of this NT can cause chronic pain, anxiety, and epilepsy. Glutamate— is an amino acid and one of the brain’s most commonly found excitatory neurotransmitters. It helps in learning, memory, communication, and excitatory neurotransmitter diseases. Norepinephrine—(another name is Noradrenaline) is a naturally occurring chemical in the body that acts as a stress hormone and Neurotransmitter. The adrenal medulla in the human brain produces this hormone in reaction to low BP as it cause constriction of blood vessels, that’s why it causes an increase in blood pressure. Too much of this Neurotransmitter can cause anxiety, high blood pressure, increased heart rate, stress, and sleep disturbances. Norepinephrine can be crucial in your body’s “fight-or-flight” response. Serotonin— Also known as 5HT, is a monoamine neurotransmitter primarily found in the digestive system but involved in aggression, wound healing, bone health, depression, desire, mood, sleep, schizophrenia, and sexual desire. Hormones Hormones are secreted by endocrine glands into the bloodstream and convey messages within the body to act on the distant target cells. At the same time, the neurotransmitters are secreted by nerve cells in the brain and travel across the synapse to act on the nearby cells. Hormones work slowly, over time, affecting many different processes like growth, development, and metabolism, while the Neurotransmitter is fast and short-acting. Psychoactive drugs can also work by affecting the communication between cells through hormones. Hormones and neurotransmitters work in very different ways. Neurotransmitters can only travel a microscopic distance before reaching their target at the other side of your synaptic cleft. At the same time, hormones often have long-distance traveling abilities that allow them to reach cells anywhere throughout our bodies. Here is how the psychoactive drugs work on hormones; Psychotropic medications can change the secretion of many hormones; Hormones may also improve the behavioral responses to drugs. Some hormones themselves sometimes have psychoactive properties; and The secretion of some hormones, mainly those dependent on the pituitary gland, is controlled by neurotransmitter systems in the brain. Psychotropic Medication/Drugs Psychopharmacology [1] can be further classified into many different classes of psychotropic medications. In this section of the article, we will discuss them one by one; Antidepressants Antidepressants are a class of medications that can relieve symptoms in people who suffer from depression, social anxiety disorder, or other conditions. Antidepressants are a medication that has been used for over 50 years. They’re increasingly popular these days, too. These drugs can cause various side effects, including tremors, sleep disturbances, Nausea, nervousness, and sexual problems. The list of medications for depression is further classified into many different groups of drugs like SSRIs, SNRIs, Tricyclic antidepressants, MAO inhibitors, and Noradrenaline
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