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

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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