Prescribed psychostimulants have already been used off-label for this purpose on a small scale in certain parts of the country
Canada should consider prescribing psychostimulant medications to reduce the use and harms from illegal stimulants, such as cocaine and methamphetamine, since nearly half of all people who died from drug poisonings in the country last year had illegal stimulants in their system, according to a doctor on the front lines of the toxic drug crisis.
Prescribed psychostimulants, such as methylphenidate and dextroamphetamine, are central nervous system stimulants that are often used to treat attention-deficit hyperactivity disorder. Similar to opioid agonist treatment, which uses medications such as methadone, Suboxone or Kadian, to reduce the harms of opioid use, prescribed psychostimulants can help manage cravings and withdrawal symptoms in people with stimulant use disorder, the authors said. They cited a recent systematic review of 38 clinical trials that concluded prescribed psychostimulants constituted a safe, effective intervention.
He added prescribed psychostimulants can be used together with medications for treating opioid disorder. If someone is already visiting a pharmacy daily for opioid agonist medications, it can be relatively easy to have them pick up or take a witnessed dose of a prescribed psychostimulant at the same time, he said.
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