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​

 

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​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."​

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3. Mirtazapine May help reduce withdrawal symptoms.

• 30mg at night