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Amphetamine-related disorders. Answers from DSM-IV-TR, First and Tasman or Sadock & Sadock’s 10 th , 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?.

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amphetamine related disorders

Amphetamine-related disorders

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

As of 3Sep08.

prevalence gender
Prevalence - gender

Q. Which gender predominates?

urine
Urine +

Q. Urine is positive for amphetamines for how long?

urine5
Urine +

Ans. 1 – 3 days.

oral finding
Oral finding

Q. Common oral finding with methamphetamine use?

oral finding7
Oral finding

Ans. Dental condition has deteriorated.

intoxication
Intoxication

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

intoxication 1
Intoxication - 1

Ans.

1]Tachycardia or bradycardia

2]Pupillary dilation

3] BP up or down

4] Perspiration or chills

5] Nausea or vomiting

6] weight loss

7] psychomotor agitation or retardation

8] see next slide

intoxication 2
Intoxication - 2

Continued:

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

9] confusion, seizure, dystonias, or coma.

amphetamines withdrawal
Amphetamines - withdrawal

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

amphetamines withdrawal12
Amphetamines - withdrawal

Ans.

1] fatigue

2] vivid, unpleasant dreams

3] insomnia or hypersomnia

4] increased appetite

5] psychomotor retardation or agitation

pregnancy
Pregnancy

Q. Use during pregnancy increases what?

pregnancy14
Pregnancy

Ans.

1] fetal loss

2] developmental delays in the baby

3] childhood learning disabilities.

intoxication treatment
Intoxication - treatment

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

treatment intoxication
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
Treatment - withdrawal

Q. Treatment of withdrawal?

treatment of withdrawal
Treatment of withdrawal

Ans. No specific treatment. Symptomatic.

treatment of dependence psychosocial treatments
Treatment of dependencePsychosocial treatments

Q. Psychosocial treatment of amphetamine dependence?

amphetamine dependence psychosocial treatments
Amphetamine dependencepsychosocial treatments

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

amphetamine dependence meds
Amphetamine dependencemeds

Q. What meds are used for amphetamine dependence?

amphetamine dependence meds22
Amphetamine dependencemeds

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