The pharmacological treatment of methamphetamine addiction usually encompasses two objectives:
• Reducing the methamphetamine use
• Reducing methamphetamine cravings.
Reducing Meth Use:
• Modafinil – When this drug is combined with cognitive-behavioral therapy it has been shown to help to reduce meth use in some studies.
• Naltrexone – This medication has the potential for reducing consumption and increasing abstinence of methamphetamine.
• Mirtazapine – Alongside with cognitive-behavioral therapy registered significant reductions in meth use.
Reducing Meth Cravings:
• Dextroamphetamine – Even though this drug has not been shown to affect meth use, it has shown an ability in reducing meth cravings.
• Rivastigmine – Studies have suggested this medication might help to decrease meth users desire for meth.
• Bupropion – This medication has been correlated with reduced meth cravings.
• Nicotine – Nicotine administration during meth withdrawal has shown to reduce meth-seeking behavior in some individuals.
• Naltrexone – Studies on naltrexone have appeared to reduce the meth-seeking behavior.
• Topiramate – One study found topiramate to reduce overall meth use.
Many treatment facilities use a combination of approaches to help drug abusers, as do individual therapists. The most common types of therapy used in treatment centers include substance abuse counseling, anger management, group therapy, 12-step facilitation, brief intervention therapy, contingency management/motivational incentives, cognitive-behavioral therapy, relapse prevention therapy, motivational interviewing, the Matrix Model, or community reinforcement. Nearly all treatment facilities for individuals with drug problems encourage the patient to talk about his or her individual experiences with the drug and also help the individual attain greater self-understanding of why addiction started and how it can best be ended.
The psychotherapeutic approach in methamphetamine addiction will vary on a case-by-case basis. However, the most commonly utilized treatment approaches for methamphetamine addiction often include a combination of one of the behavioral treatment strategies listed below:
• Cognitive-behavioral therapy.
• Contingency-management interventions (tangible rewards in exchange for maintaining sobriety).
• Addiction education for family members.
• One-on-one counseling.
• Drug tests.
• 12-step support groups.
• Support for participating in activities that are not related to drugs.