stimulant use disorder Flashcards
What are weak stimulants?
nicotine and caffeine
What are mild stimulants?
cough and cold stuff
What Are the strong stimulants?
illicit drugs
What are the acute stimulant intoxication symptoms?
mania, psychosis, paranoia, chest pain, high BP, agitation, sweatu
Do you need to treat stimulant intoxication?
No
What can we do for agitation?
lorazepam
What can we do for psychotic symptoms?
risperidone low dose
What do you do for CV complications?
beta blockers, anti arrhythmic agent
Stages of stim withdrawal?
1: crash (4-7days), agitation, fatigue, anorexia
2:1-10 weeks, first it is fine then progresses into high anxiety/depression, fatigue, cravings, anhedonia
What is contingency management?
give gift card if doing good to replace dopamine hit
Which antidepressants may be fine (may have help) in stim withdrawal?
bupropion
mirtazepine
but all such for abstinence
Why shouldn’t we use sertraline for withdrawal?
due to no efficacy and increase s/e risk
Do antipsychotics help for withdrawal?
no help
Why is aripiprazole avoided in withdrawal?
increased craving and use
Is it a good idea to prescribe stimulants for withdrawal?
No and not recommended
