Treatment of Methamphetamine 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​

Cadet, Jean Lud, and M. S. Gold. "Methamphetamine-induced psychosis: who says all drug use is reversible." Curr. Psychiatry 16 (2018): 15-20.

THE BAD THINGS HAPPEN HERE