Norfolk and Suffolk NHS Foundation Trust
Pharmacy, Hellesdon Hospital, Norwich, NR6 5BE
http://www.nsft.nhs.uk/

Professor Stephen Bazire
01603-421452
steve.bazire@nsft.nhs.uk

What happens when transmitter activity is low?

In many mental health problems, it is known that there is reduced activity of transmitters e.g. reduced serotonin and noradrenaline in the brain can cause the symptoms of many conditions e.g. depression, general anxiety, social anxiety, obsessive thoughts, post-traumatic stress disorder, panic, pre-menstrual syndrome and agoraphobia. We know that serotonin and noradrenaline in the brain are involved with control of sleep/wake, emotions, mood, arousal, emotion, drive, temperature regulation, feeding etc. Thus, if a person has too little serotonin and noradrenaline in the part of the brain that controls mood, this will produce too little activity, and that part of the brain become slower and less effective. This will lower mood.

As we said, there may be many possible reasons for how this occurs e.g. genetics, how the brain develops, stress etc. There may in fact be many causes and in each person there may be a combination of these. Stress may cause changes in the body and then the brain, which can then result in reduced levels of serotonin and noradrenaline.

As we have seen above, the usual sequence is:

1. A brain cell decides to send a message to another cell

synapse

2. The electrical impulse is sent from the brain cell down one of the nerve fibres

synapse

3. This message arrives and the transmitter is released.

synapse

4. The transmitters hit the receptor on the other side. However, in some people there is a lack of transmitter and/or impulse.

synapse

5. We’re not entirely sure what happens but the message that is passed is definitely less effective.

synapse

6. The transmitter is either broken or …

synapse

… taken back up again and recycled, although there appears to be less transmitter to be recycled.

synapse

7. The nerve fibre and synapse is then ready for next message

synapse

Main pharmacy contact points

Main Trust switchboard in Norwich, tel: 01603-421421
Dispensary and all enquiries, tel: 01603-421212, fax: 01603-421365
Pharmacy office tel: 01603-421319
Medicines Information tel: 01603-421212
Unthank Road pharmacy tel: 01603-750031
Deputy Director and Clinical Pharmacy Manager John Hunter, tel: 01603-421364

Opening hours:
Main pharmacy open Monday to Friday: 8.30-16.30 (open at 9.15 on Wednesdays for staff meeting)
Unthank Road pharmacy tel: 01603-671917 open 9.15-12.00 Monday to Friday, also Tuesday and Wednesday afternoons for dose assessments.

Service objectives:
The pharmacy service to Norfolk and Suffolk NHS Foundation Trust has five main aims:

  1. Efficient drug distribution and purchasing
  2. Provision of accurate and independent education and information about medicine therapy to service users and carers
  3. Information and education for Trust and other professionals, and voluntary helpers
  4. Clinical activities to help ensure the optimum use of drug therapies
  5. Medicine management to ensure the most cost-effective use is made of resources