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Clinical pharmacy 2024/2025                  Level 2 Pharm D                       Physiology and Pathophysiology (MD303)
                Excitatory Postsynaptic Potentials                  Inhibitory Postsynaptic Potentials

         •  synaptic inputs ➔ depolarize the postsynaptic    synaptic inputs ➔ hyperpolarize the postsynaptic

             cell, bringing the membrane potential closer      cell, taking the membrane potential away from
             to threshold and closer to firing an action       threshold and farther from firing an action

             potential.                                        potential.

         •  EPSPs are produced by opening Na+ and K+          IPSPs are produced by opening Cl− channels.
             channels,

         •  The membrane potential is driven to a value       The membrane potential is driven toward the Cl−

             approximately halfway between the                 equilibrium potential (approximately −90 mV),
             equilibrium potentials for Na+ and K+, or 0       which is a hyperpolarized state.

             mV, which is a depolarized state.

         •  Excitatory neurotransmitters:                     Inhibitory neurotransmitters are γ-aminobutyric
          ACh, norepinephrine, epinephrine, dopamine,          acid (GABA) and glycine.

         glutamate, and serotonin






                                      Membrane Potential & Action Potential

                                            Membrane Potential

          Intracellular fluid (ICF) & extracellular fluid (ECF) are electrically neutral solutions  containing an

            equal number of positively and negatively charged ions.

          In a non-stimulated (resting) cell:
                   a  slight  accumulation  of  -ve  charges  on  the  internal  surface  of  the  plasma  membrane  is

                   attracted to an equal number of +ve charges on the external surface  polarized.
                   This separation of charge across the plasma membrane is called the membrane potential 

                   measured in mV (millivolt)
          The membrane potential value takes –ve or +ve signs according to the predominant charge on the

            internal surface of the cell membrane.

          Nerve cells and muscles are the main cells that depend on the membrane potential in their function.















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