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Treatment of Methamphetamine / Stimulant Crisis
1. Sleep. No sleep = No recovery. They have to sleep.
Treat any agitation with benzodiazepine +/- antipsychotic
Let them rest. Assist to find shelter.
Example: Trazodone 50-100mg nightly x 1 week
2. Antipsychotic. Any hint of psychosis
Example: Olanzapine 5-10mg twice a day X 1 week
Explain it is OK to take as needed to: "slow down your thoughts and help you sleep."
3. Mirtazapine May help reduce withdrawal symptoms.
30mg at night
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