The Curbsiders Addiction Medicine Podcast S1 Ep5: #5 Amp Up Your Treatment of Stimulant Use Disorder with Dr. Paxton Bach
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Aug 4, 2022 Dr. Paxton Bach, Co-Medical Director at the British Columbia Centre on Substance Use, delves into stimulant use disorder. He discusses the intricacies of stimulant consumption and effective patient communication. Key topics include recognizing signs of 'overamping,' managing stimulant intoxication in emergency settings, and the role of contingency management in treatment. The conversation highlights harm reduction strategies and the importance of a supportive environment for patients on their recovery journey.
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Managing Stimulant Intoxication
- Treat stimulant intoxication by minimizing stimulation and providing a calm environment.
- Offer lorazepam for agitation and involve psychiatry for psychosis.
Stimulant Withdrawal
- Stimulant withdrawal, often overlooked, can cause exhaustion, sadness, and dysphoria.
- This can last for days or weeks and often leads to relapse.
Naloxone for Stimulant Users
- Offer naloxone to individuals who use stimulants, even if they don't primarily use opioids.
- The increasing presence of fentanyl in the drug supply poses a significant overdose risk.