Astral Codex Ten Podcast feed 2024年07月17日
Cognitive Enhancers: Mechanisms and Tradeoffs
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近期,“聪明药”引起了广泛关注,它们被宣称能够增强记忆力和学习能力。例如, piracetam这种药物,自1964年合成以来,在多个国家被批准用于治疗,但美国仅限于研究目的销售。用户表示,这种药物能提升记忆、集中注意力、增强免疫系统,甚至改善个性。同时,一些其他物质,如尼古丁,也被认为具有类似的认知增强效果。

🧠piracetam是一种被广泛研究的药物,用户称其能显著提升记忆力和专注力,同时还有助于提高免疫系统和改善个性。

🚬尼古丁被认为是目前最可靠的认知增强剂,其效果比其他药物更显著,尽管这听起来有些不可思议。

🔒大脑中的乙酰胆碱系统是piracetam和尼古丁共同作用的靶点,激活这一系统似乎能改善记忆和认知功能。

🎓这些所谓的“聪明药”引起了人们对于大脑如何从“思考更差”转向“思考更好”状态的探究,以及是否存在一种没有副作用的持续改善认知的方法。

💊piracetam和其他类似药物如阿尔茨海默病药物donepezil、rivastigmine和galantamine一样,都作用于乙酰胆碱系统,这表明该系统在记忆和认知中的重要性。

[Epistemic status: so, so, so speculative. I do not necessarily endorse taking any of the substances mentioned in this post.]

There’s been recent interest in “smart drugs” said to enhance learning and memory. For example, from the Washington Post:

When aficionados talk about nootropics, they usually refer to substances that have supposedly few side effects and low toxicity. Most often they mean piracetam, which Giurgea first synthesized in 1964 and which is approved for therapeutic use in dozens of countries for use in adults and the elderly. Not so in the United States, however, where officially it can be sold only for research purposes. Piracetam is well studied and is credited by its users with boosting their memory, sharpening their focus, heightening their immune system, even bettering their personalities.

Along with piracetam, a few other substances have been credited with these kinds of benefits, including some old friends:

“To my knowledge, nicotine is the most reliable cognitive enhancer that we currently have, bizarrely,” said Jennifer Rusted, professor of experimental psychology at Sussex University in Britain when we spoke. “The cognitive-enhancing effects of nicotine in a normal population are more robust than you get with any other agent. With Provigil, for instance, the evidence for cognitive benefits is nowhere near as strong as it is for nicotine.”

But why should there be smart drugs? Popular metaphors speak of drugs fitting into receptors like “a key into a lock” to “flip a switch”. But why should there be a locked switch in the brain to shift from THINK WORSE to THINK BETTER? Why not just always stay on the THINK BETTER side? Wouldn’t we expect some kind of tradeoff?

Piracetam and nicotine have something in common: both activate the brain’s acetylcholine system. So do three of the most successful Alzheimers drugs: donepezil, rivastigmine, and galantamine. What is acetylcholine and why does activating it improve memory and cognition?

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聪明药 piracetam 尼古丁 乙酰胆碱 认知增强
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