ASAM Pocket Guidelines and Patient Guide

Stimulant Use Disorder

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25 Indications Other considerations Acute agitation with psychosis Agitation not responding to BZDs Toxic psychosis Consider atypical or newer generation antipsychotics as alternatives Consider risk of QT prolongation Anxiety or agitation with psychotic features Stimulant-induced psychosis Stimulant-induced sleep derangements Consider risk of QT prolongation For olanzapine, degree of symptoms to balance need for PO vs. IM For severe agitation as primary or secondary agent Rapid IM onset of action compared to other agents

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