Pharmacological Treatment of Methamphetamine Amphetamine Dependence: A Systematic Review PMC
METH relapse remains the biggest problem in MUD and warrants more pre-clinical and clinical studies. Various non-pharmacological approaches have effectively reduced METH use in study participants, with CM producing the strongest effect. For now, psychotherapy is considered the first line of treatment for MUD even https://ecosoberhouse.com/ though it cannot serve as a standalone treatment of MUD due to poor compliance and high relapse rates once participants are out of a program. Apart from psychotherapy, other non-pharmacological interventions such as rTMS/tDCS or immunotherapies targeting MUD have been studied over recent years and show promise.
What Are the Symptoms of Amphetamine Addiction?
Participating in a 12-step treatment program and getting individual counseling may reduce your chances of relapse and improve your chances for recovery. When used illegally, pure amphetamines may be mixed with other substances—such as sugar, glucose, or bi-carb soda—that can be poisonous. This may cause collapsed veins, tetanus, abscesses, and damage to the heart, lungs, liver, and brain. Amphetamine users may also use other drugs inappropriately to manage the side effects of amphetamines.
What Is Amphetamine Addiction, Tolerance, and Dependence?
- These medications are part of the phenethylamine group, which includes drugs that can cause hallucinations, enhance a desire for social contact, or act as stimulants.
- Twelve-step facilitation therapy consists of a structured and brief intervention to facilitate early recovery from alcohol and drug misuse [102].
- The reasons for lack of efficacy of clinically tested medications include heterogeneity of METH-abusing population and comorbidity between METH and other psychiatric disorders [19].
- For subjective outcomes (global state, craving, and withdrawal symptoms), blindness of participants, personnel, and outcome assessors were conducted in only one study and was determined to be at low risk of bias.
- Medication adherence also needs to be better examined and monitored in trials, particularly when using medications with abuse liability (e.g. psychoactive medications such as stimulants).
Studies were considered at low risk of bias if they provided a clear method of generating an allocation sequence to produce comparable groups, i.e. random number table, computer random number generator, coin tossing, shuffling cards or envelopes, throwing dice. Studies were considered at high risk of bias if they used some systematic, non‐random approach, i.e. date of birth, date of admission, clinic record number, by clinician. While relapse is a normal part of recovery, for some drugs, it can be very dangerous—even deadly.
References to studies included in this review
Amphetamines and other stimulant drugs are second only to cannabis as the most widely used class of (illicit) drugs globally, accounting for 68 million past-year consumers [1]. Approximately 29 million people worldwide aged 15–65 years were estimated to have consumed amphetamines in the past year to 2017 [1]. Even getting patients in the opioid treatment programs to use the app proved challenging. DynamiCare’s technology blocks the use of its gift cards at liquor stores or for cash withdrawals.
Srisurapanont 1999b published and unpublished data
The most effective treatments for amphetamine addiction are cognitive-behavioral intervention and contingency-management models. Contingency management interventions, which provide tangible incentives in exchange for engaging in treatment and maintaining abstinence, have also been shown to be effective. A few recent reviews of medications tested for MUD between 2000 and 2020 have provided exhaustive information on different classes of medications that have been examined and the results of their clinical trials [ ]. Pharmacotherapies evaluated for MUD aimed to decrease the reinforcing/rewarding effects of METH, decrease cravings and negative effects of withdrawal from METH, or ameliorate comorbid psychiatric conditions and METH abuse-related cognitive impairments.
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With Oregon facing rampant public drug use, lawmakers backpedal on pioneering decriminalization law – PBS NewsHour
With Oregon facing rampant public drug use, lawmakers backpedal on pioneering decriminalization law.
Posted: Tue, 23 Jan 2024 08:00:00 GMT [source]
As with similar stimulants, methamphetamine is most often used in a “binge and crash” pattern. Because the pleasurable effects disappear even before the drug concentration in the blood falls significantly, users try to maintain the high by bingeing on the drug. In some cases, abusers indulge in a form of bingeing known as a “run,” forgoing food and sleep while continuing abuse for up to several days. The review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
Description of studies
The grant also included federal anti-kickback language which, Mahoney said, prevented the state from offering the app to people not already enrolled in the opioid treatment programs. Otherwise, she said, the state might be seen as using the app’s monetary rewards to recruit people into the program. In April 2023, the state signed a 12-month $389,815 no-bid contract with DynamiCare. At the time, the contract said, there was only one other vendor, Pear Therapeutics, that offered an app-based program. (Pear has since gone out of business.) But other digital health companies such as Affect Therapeutics, Chess Health and Q2i also now provide app-based addiction treatment. All outcomes were reported for the short term (4 weeks or 1 month), medium term (more than 4 weeks or 1 month to 12 weeks or 3 months), and long term (more than 3 months).
- Recovery means different things to different people, according to their experiences, belief systems, culture, identity, and method of recovery.
- Future research should address small sample sizes and low participant retention and treatment adherence rates, leading to underpowered studies lacking meaningful results.
One study (2%) examined amineptine [300 mg oral (po) daily (OD)], an atypical tricyclic antidepressant, in inpatient participants for AMPH withdrawal over 14 days [43]. Participants randomised to amineptine were significantly less depressed at Day 7 and had improved clinical global impression scores at Day 14 in the completer analysis (i.e. only those completing study protocol) compared with placebo. In terms of feasibility, amineptine has never been approved by the US Federal Drug Administration (FDA) and has been suspended in other jurisdictions due to hepatotoxic effects and abuse liability. Conducting a traditional systematic review and meta-analyses is predicated on the assumption of studies reporting on similar outcomes, using similar outcome measures, and with similar methodology.
What are the principles of effective treatment?
More significantly, this level of abuse can lead to more severe, illicit use of the drug to get high. When you call our helpline, you’ll be connected with a representative who can assist you in finding mental health and addiction treatment resources at any of the Ark Behavioral Health addiction treatment facilities. The success of mindfulness training in Cooperman’s study may stem Amphetamine Addiction from its ability to help patients manage pain. Most patients began the study with significant chronic pain — and, thus, a strong incentive to use pain-killing opioids — but patients who received MORE reported a 10 percent reduction in pain over the 16 weeks of the study. “Opioid use disorder changes your brain so that opioid use becomes the only thing that feels rewarding.
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