The Journal of Substance Abuse Treatment published a new study which found that methamphetamine use was associated with more than twice the risk for dropping out of treatment for opioid-use disorder.
The origins of the study are interesting. Apparently, Judith Tsui, a UW Medicine clinician specializing in addiction treatment, was seeing more and more patients she was treating for opioid-use disorder also using methamphetamines, a powerful, highly addictive stimulant that affects the central nervous system.
She would start the patients on buprenorphine, a medication to treat opioid use disorder, but they would often drop out. So she and colleagues wanted to see if this was a common problem. They conducted a large study (799 people) at three sites — Harborview Adult Medicine Clinic in Seattle and Evergreen Treatment Services in Olympia and Grays Harbor.
“This study confirms anecdotally what we sensed,” said Tsui. “The next step is to build into treatment models how we can help those patients who struggle both with opioids and methamphetamines to be successful.”
“A substantial proportion of these patients are homeless and may use meth to stay awake at night just to stay safe and keep an eye on their belongings.” ~Judith Tsui, UW Medicine Clinician
Dr. Tsui also said patients also tell her the streets are flooded with the drug and it’s hard for them to say no. Some patients have requested treatment with prescribed stimulant medications like Adderall and Ritalin to help them stop using methamphetamines.
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