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Monday, July 27, 2020

Methamphetamine

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emDocs - July 27, 2020 - By Cisewski D, Schimmel J
Reviewed by: Koyfman A and Long B

"Summary:
  • Methamphetamine (MA) is a highly addictive substance that has reached epidemic proportions;
  • Unlike opioids, there is no analogous acute reversal agent or Medication-Assisted Treatment to curb cravings.
  • MA is used by individuals of all ages, ethnicities, and socioeconomic classes.
  • Maintain a suspicion for sympathomimetic drug use in patients presenting to the ED with acute psychosis.
  • Benzodiazepines and antipsychotics are first-line treatments for acute MA toxicity.
  • Treat hyperthermia and rhabdomyolysis aggressively to reduce sequelae.
  • While diagnostic testing may be deferred in select low-risk patients, the multiorgan effects of MA should be considered."