Ace the Chemical Dependency Counselor Exam 2025 – Empower Change and Rock Your Career!

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How does cocaine affect dopamine in the brain?

It decreases its availability

It increases its reuptake

It prevents its re-entry into neurons

Cocaine has a significant impact on dopamine levels in the brain primarily by preventing its re-entry into neurons, a process known as reuptake. Normally, dopamine is released into the synaptic cleft— the space between neurons— where it binds to receptors on the receiving neuron, leading to feelings of pleasure and reward. After its action is complete, dopamine is typically reabsorbed back into the neuron that released it, a process that helps regulate its levels and effects.

Cocaine disrupts this cycle. By binding to the dopamine transporter, which is responsible for reabsorbing dopamine back into the presynaptic neuron, cocaine effectively blocks this reuptake mechanism. This blockage results in an accumulation of dopamine in the synaptic cleft, enhancing and prolonging its effects. The increased concentration of dopamine amplifies the signals associated with pleasure, leading to the drug’s euphoric effects.

This is why understanding cocaine's action on dopamine is crucial in recognizing its addictive nature. The sustained high levels of dopamine associated with cocaine use contribute to intense feelings of euphoria, reinforcing the behavior and making it difficult for users to refrain from the substance.

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It diminishes pleasure responses

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