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

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 Y F Y F Y F Y F Y F Y F Y 2012 2013 2014 2015 2016 2017 2018 T D Co c a ine He ro in Me tha mphe ta mine

Me tha mphe ta mine -Re la te d Co nditio ns  Dire c t to xic ity o a c ute o c hro nic  Co lla te ra l dise a se o infe c tio us o to xic itie s  Be ha vio ra l diso rde r o a c ute  I nto xic a tio n/ Withdra wa l o c hro nic  Use Diso rde r

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

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

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

CA T re a tme nt Admissio ns: 2017, prima ry sub sta nc e Alc o ho l o nly 12% Alc o ho l with se c o nda ry drug 10% Opio ids 32% Co c a ine Ma rijua na Amphe ta mine s 29% Othe r 13%