Pharmacotherapy for methamphetamine withdrawal

Summary of the evidence

Rating
  • Unknown effectiveness

Different pharmacotherapy options for methamphetamine withdrawal were assessed in a systematic reivew with meta-analysis (Acheson et al., 2022, 9 RCTS of 6 medications, N= 242). Results found that:

  • Amineptine may reduce discontinuation rates (RR 0.22, 95% confidence interval [CI] 0.07, 0.72, p = 0.01), and improve global state (MD -0.49, 95% CI -0.80, -0.17), compared with placebo, however, this medication is no longer approved.
  • No other medications improved any domain when compared with placebo.
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