ASAM Pocket Guidelines and Patient Guide

Stimulant Use Disorder Patient Guide

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7 Behavioral Treatment Modalities Behavioral treatments can be provided both individually (working one-on-one with a trained clinician) and in groups (where one clinician works with multiple patients at once). Additionally, some behavioral treatments can be provided through your computer or phone. Many clinicians offer telehealth services, including virtual counseling or therapy. CBT may also be available through computer or mobile phone based-applications. MEDICATIONS There are no medications that have been approved by the Food and Drug Administration (FDA) to treat stimulant use disorder. However, some medications that have been approved to treat other conditions may be helpful for some patients with stimulant use disorder. Some of these medications also help treat other substance use disorders or mental health conditions. Some medications can help with cocaine use disorder. Other medications can help with use of methamphetamine and similar drugs. Medications That May Help Treat Stimulant Use Disorder Include: • Bupropion: Bupropion is FDA-approved for the treatment of major depressive disorder, seasonal affective disorder, and smoking cessation. It can help some patients reduce or stop their use of cocaine, methamphetamine, and similar drugs. • Bupropion plus naltrexone: Naltrexone is FDA-approved for the treatment of opioid use disorder. Combining bupropion with naltrexone can help some patients reduce their use of methamphetamine and similar drugs more than bupropion alone. • Topiramate: Topiramate is a medication that is FDA-approved for the treatment of epilepsy and migraine. It can help patients reduce their use of cocaine, methamphetamine, and similar drugs. This medication may also help a patient reduce their alcohol use. • Mirtazapine: Mirtazapine is FDA-approved for the treatment of major depressive disorder and can help reduce the use of methamphetamine and similar drugs.

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