Pharmacotherapy treatment of stimulant use disorder

Stimulant use disorder (SUD) is a public health problem in the United States that is associated with increased morbidity and mortality. Psychosocial interventions, such as cognitive behavioral therapy and contingency management, are the main treatment modality for SUDs and no pharmacotherapy is curr...

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Main Author: Mei T. Liu, PharmD, BCPP
Format: Article
Language:English
Published: American Association of Psychiatric Pharmacists 2021-11-01
Series:Mental Health Clinician
Subjects:
Online Access:https://theijpt.org/doi/pdf/10.9740/mhc.2021.11.347
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author Mei T. Liu, PharmD, BCPP
author_facet Mei T. Liu, PharmD, BCPP
author_sort Mei T. Liu, PharmD, BCPP
collection DOAJ
description Stimulant use disorder (SUD) is a public health problem in the United States that is associated with increased morbidity and mortality. Psychosocial interventions, such as cognitive behavioral therapy and contingency management, are the main treatment modality for SUDs and no pharmacotherapy is currently FDA approved for this indication. Although some medications show promising data for the treatment of SUD, the evidence remains inconsistent, and the clinical application is limited due to the heterogenicity of the population and the lack of studies in patients with various comorbidities. Selection of pharmacotherapy treatment for methamphetamine intoxication, persistent methamphetamine-associated psychosis with methamphetamine use disorder, and cocaine use disorder in patients with co-occurring OUD are discussed in 3 patient cases.
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spelling doaj.art-28887218f01a4132a155f16dd9b638c02023-12-21T11:44:37ZengAmerican Association of Psychiatric PharmacistsMental Health Clinician2168-97092021-11-0111634735710.9740/mhc.2021.11.347i2168-9709-11-6-347Pharmacotherapy treatment of stimulant use disorderMei T. Liu, PharmD, BCPP0https://orcid.org/0000-0001-8527-93191 Clinical Assistant Professor, Ernest Mario School of Pharmacy at Rutgers, The State University of New Jersey, Piscataway Township, New Jersey; Clinical Pharmacist ? Psychiatry, Penn Medicine Princeton House Behavioral Health, Princeton, New JerseyStimulant use disorder (SUD) is a public health problem in the United States that is associated with increased morbidity and mortality. Psychosocial interventions, such as cognitive behavioral therapy and contingency management, are the main treatment modality for SUDs and no pharmacotherapy is currently FDA approved for this indication. Although some medications show promising data for the treatment of SUD, the evidence remains inconsistent, and the clinical application is limited due to the heterogenicity of the population and the lack of studies in patients with various comorbidities. Selection of pharmacotherapy treatment for methamphetamine intoxication, persistent methamphetamine-associated psychosis with methamphetamine use disorder, and cocaine use disorder in patients with co-occurring OUD are discussed in 3 patient cases.https://theijpt.org/doi/pdf/10.9740/mhc.2021.11.347methamphetaminecocaineamphetaminestimulant use disorderspharmacotherapy
spellingShingle Mei T. Liu, PharmD, BCPP
Pharmacotherapy treatment of stimulant use disorder
Mental Health Clinician
methamphetamine
cocaine
amphetamine
stimulant use disorders
pharmacotherapy
title Pharmacotherapy treatment of stimulant use disorder
title_full Pharmacotherapy treatment of stimulant use disorder
title_fullStr Pharmacotherapy treatment of stimulant use disorder
title_full_unstemmed Pharmacotherapy treatment of stimulant use disorder
title_short Pharmacotherapy treatment of stimulant use disorder
title_sort pharmacotherapy treatment of stimulant use disorder
topic methamphetamine
cocaine
amphetamine
stimulant use disorders
pharmacotherapy
url https://theijpt.org/doi/pdf/10.9740/mhc.2021.11.347
work_keys_str_mv AT meitliupharmdbcpp pharmacotherapytreatmentofstimulantusedisorder