Amphetamine-related disorders

Answers from DSM-IV-TR, First and Tasman or Sadock & Sadock’s 10th,

unless otherwise indicated.As of 3Sep08.

Prevalence - gender

Q. Which gender predominates?

Prevalence - gender

Ans. Men.

Urine +

Q. Urine is positive for amphetamines for how long?

Urine +

Ans. 1 – 3 days.

Oral finding

Q. Common oral finding with methamphetamine use?

Oral finding

Ans. Dental condition has deteriorated.

Intoxication

Q. DSM expects at least two of nine signs. List the nine intoxication signs with amphetamines.

Intoxication - 1

Ans. 1]Tachycardia or bradycardia2]Pupillary dilation3] BP up or down4] Perspiration or chills5] Nausea or vomiting6] weight loss7] psychomotor agitation or retardation8] see next slide

Intoxication - 2

Continued:

8] muscle weakness, R down, chest pain, or cardiac arrhythmias

9] confusion, seizure, dystonias, or coma.

Amphetamines - withdrawal

Q. DSM expects at least two of five signs of withdrawal. Name the five.

Amphetamines - withdrawal

Ans.

1] fatigue

2] vivid, unpleasant dreams

3] insomnia or hypersomnia

4] increased appetite

5] psychomotor retardation or agitation

Pregnancy

Q. Use during pregnancy increases what?

Pregnancy

Ans.

1] fetal loss

2] developmental delays in the baby

3] childhood learning disabilities.

Intoxication - treatment

Q. What is the treatment of intoxication, generally speaking?

Treatment - intoxication

Ans. There is no specific treatment. Instead, symptomatic. In answering examiner’s questions keep in mind that restraints are a bad idea because increase chance of NMS-like result.

Treatment - withdrawal

Q. Treatment of withdrawal?

Treatment of withdrawal

Ans. No specific treatment. Symptomatic.

Treatment of dependencePsychosocial treatments

Q. Psychosocial treatment of amphetamine dependence?

Amphetamine dependencepsychosocial treatments

Ans. None established that are specific to amphetamine dependence, so education, NA, and so forth should suffice.

Amphetamine dependencemeds

Q. What meds are used for amphetamine dependence?

Amphetamine dependencemeds

Ans. None established, but Sadock and Sadock does mention bupropion has an option after withdrawal.