Me tha mphe ta mine : I mpa c t o n He a lth MART I N L E - - PowerPoint PPT Presentation

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Sep 30, 2023 396 likes •504 views

Me tha mphe ta mine : I mpa c t o n He a lth MART I N L E AMON, MD UC DAVI S ADDI CT I ON PSYCHI AT RY US Custo ms & Bo rde r Pa tro l Drug Se izure s 90 80 70 60 ho usa nds o f Po unds Opioids 50 40 30 T 20 10 0 F

SLIDE 1

Me tha mphe ta mine : I mpa c t o n He a lth

MART I N L E AMON, MD UC DAVI S ADDI CT I ON PSYCHI AT RY

SLIDE 2 10 20 30 40 50 60 70 80 90

F Y 2012 F Y 2013 F Y 2014 F Y 2015 F Y 2016 F Y 2017 F Y 2018 T D

T ho usa nds o f Po unds

US Custo ms & Bo rde r Pa tro l Drug Se izure s

Co c a ine He ro in Me tha mphe ta mine

Opioids

SLIDE 3

SLIDE 4

SLIDE 5

Me tha mphe ta mine -Re la te d Co nditio ns

 Dire c t to xic ity

a c ute
c hro nic

 Co lla te ra l dise a se

infe c tio us
to xic itie s

 Be ha vio ra l diso rde r

a c ute  I

nto xic a tio n/ Withdra wa l

c hro nic  Use Diso rde r

SLIDE 6

Dire c t to xic ity

 Psyc ho sis

 Me th-induc e d psyc ho sis  Mo re se ve re psyc ho sis in sc hizo phre nia

 Co g nitive dysfunc tio n

 Ma y re c o ve r in mo nths to ye a rs

 Ca rdio va sc ula r dise a se

 Pulmo na ry a rte ry hype rte nsio n  Myo c a rdia l infa rc tio n, stro ke

 Ne uro lo g ic dise a se (Pa rkinso n’ s)  Hype rthe rmia with kidne y fa ilure

SLIDE 7

Co lla te ra l Dise a se

 E

xc o ria tio ns, skin-pic king (“c ra nk b ug s”)

 “Me th mo uth”

 F

ro nt, e xte rna l surfa c e s o f te e th in pa rtic ula r  I

nje c tio n c o mplic a tio ns

 He pa titis C

 Se xua lly tra nsmitte d dise a se s

 HI

V, syphilis

 He pa titis C

 Po lysub sta nc e use

SLIDE 8

Be ha vio ra l Diso rde rs

 I

nto xic a tio n

 8-12 ho urs  e upho ria , a ro usa l, re duc e d fa tig ue , ta c hyc a rdia ,

hype rte nsio n, pupil dila tio n, hype rthe rmia , a no re xia , disinhib itio n, sho rt-te rm c o g nitive impro ve me nt, a nxie ty  Withdra wa l

 Ac ute : da ys. Pro tra c te d: we e ks  a nhe do nia , hype rso mnia , irrita b ility, a nxie ty, a g g re ssio n

 Use diso rde rs (a ddic tio n)

 Psyc ho so c ia l tre a tme nts o nly  No re lia b le pha rma c o the ra py

SLIDE 9

CA T re a tme nt Admissio ns: 2017, prima ry sub sta nc e

12% 10% 29% 13% 32%

Alc o ho l o nly Alc o ho l with se c o nda ry drug Opio ids Co c a ine Ma rijua na Amphe ta mine s Othe r