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Prim Care. 2011 Mar;38(1):41-58. doi: 10.1016/j.pop.2010.11.004. Epub 2011 Jan 11.

Stimulant abuse: pharmacology, cocaine, methamphetamine, treatment, attempts at pharmacotherapy.

Author information

1
Department of Family and Community Medicine, University of California San Francisco, 500 Parnassus Avenue, MU-3E, Box 0900, San Francisco, CA 94143-0900, USA. Electronic address: ciccaron@fcm.ucsf.edu.

Abstract

The high prevalence of stimulant abuse and its harmful consequences make the screening, diagnosis, and referral for treatment of persons with stimulant abuse a top concern for primary care providers. Having a working knowledge of use patterns, clinical symptomatology, end-organ effects, and advances in treatment of stimulant abuse is essential. Although cocaine and amphetamine have different use patterns, duration of action, and so forth, the consequences of use are remarkably similar. Primary care is at the forefront of screening, brief risk reduction interventions, and diagnosis of medical sequelae, with referral to addiction specialist treatment when necessary.

PMID:
21356420
PMCID:
PMC3056348
DOI:
10.1016/j.pop.2010.11.004
[Indexed for MEDLINE]
Free PMC Article

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