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Where drugs act: the brain's regions

Gives you the geography: which region controls breathing, movement, reward and mood — so a drug's effects map to places.

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CortexBasal gangliaThalamusLimbicMidbrainHindbrain
Hindbrain: brain stem (breathing, heart rate) and cerebellum (balance).

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Hindbrain — life support

The brain stem controls breathing, heart rate, blood pressure, digestion and sleep–wake cycles. Inhibiting breathing is the major fatal overdose risk (opioids — but not cannabis). The cerebellum coordinates balance and movement; inhibiting it causes ataxia, as with alcohol.

Analogy and worked example

Analogy: The brain is like a city. The hindbrain is the power plant and water works (stop them and everything fails). The midbrain's VTA is a dispatch office sending 'this is worth it' messages to the limbic neighborhood. The basal ganglia are the traffic system for movement. The cortex is city hall, planning ahead.

Why can an opioid overdose kill, while a large dose of cannabis usually doesn't?

  1. Ask which region controls the life-critical function at risk: breathing → brain stem (hindbrain).

Tip: the ← and → keys move through the lesson.

Full lesson: CNS/PNS and brain regions

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