112 CHAPTER 4
4.1 • Using Medication to Change
Brain Functioning Medications can alter
events at the synapse, and thereby change brain
functioning. A medication can (a) mimic the effects
of a neurotransmitter substance (that is, act as an
agonist); (b) bind to receptors and thereby prevent
neurotransmitter molecules from binding (that is,
act as an antagonist); (c) cause extra amounts of a
neurotransmitter to be released from the terminal
button into the synapse; or (d) partially block
reuptake of leftover neurotransmitter molecules
in the synaptic cleft (that is, act as a reuptake
inhibitor). Drugs can also alter the level or activity
of other substances that are produced in glial cells
that surround a synapse, which in turn infl uence the
amount of neurotransmitter in the synaptic cleft.
Figure 4.1g 4
Axon of
sending neuron
(a)
(b)
(c)
(d)
Synaptic
cleft
Agonist
drug molecules
Receptor
sites
Dendrite of
receiving neuron
Neurotransmitter
molecules
Neurotransmitter
molecules
Neurotransmitter
molecules
Reuptake
blocked
Antagonist
drug molecules
Neural impulse Neural impulse
Neural impulse blocked
Neural impulse Neural impulse
Neural impulse
Neural impulse Neural impulse
Reuptake
channels
- binding to a receptor site, which prevents the neurotransmitter in the synapse from bind-
ing to the receptor (or causes less of it to bind); such medications are called antagonists. - causing the release of extra amounts of a neurotransmitter from the terminal
button into the synapse. - increasing or decreasing the level or activity of other substances that activate or
inactivate a neurotransmitter.
Antagonists
Medications that bind to a receptor site on
a dendrite (or cell body) and prevent the
neurotransmitter in the synapse from binding
to that receptor or cause less of it to bind.