Effect of add-on valproate on craving in methamphetamine depended patients: A randomized trial

Kheirabadi, Gholamreza; Ghavami, Masoud Seyed Mohammad; Maracy, Mohammad Reza; Salehi, Mehrdad; Sharbafchi, Mohammad Reza

doi:10.4103/2277-9175.187404

Cited by 2 publications

(2 citation statements)

References 34 publications

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“…Substance use disorder is a chronic illness, therefore, continuous and feasible system of delivery of care and also long-term monitoring for maintenance of recovery should be prepared for an efficacious treatment outcome. [ 48 49 ] Militaries must use evidence-based therapies for substance use related disorders. It could be a challenge for treatment providers and also policy makers because although researches demonstrates the effectiveness of evidence-based treatments, many practitioners do not use these treatments routinely or select eclectic approaches.…”

Section: Resultsmentioning

confidence: 99%

Management of Substance use Disorder in Military Services: A Comprehensive Approach

Sharbafchi

Heydari

2017

Adv Biomed Res

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Background:Historically, substance misuse has been a serious problem faced by worldwide military personnel. Some research showed that military personnel have higher rates of unhealthy substance use than their age peers in the general population. These problems have serious consequences and may lead to significant military difficulties in the field of readiness, discipline, and mental or physical health. In this review, we gathered various methods for prevention, diagnosis, and treatment of substance use disorders and suggested a comprehensive plan for Iran Armed Forces to improve existing services.Materials and Methods:This article is a narrative review study, which was carried out on 2016. A careful literature review was performed between January 1970 and April 2016 on several national and international databases. Articles were screened according to the following inclusion criteria: (1) review articles about prevention and treatment protocols, (2) executive guidance, (3) cohort articles about risk factors of addiction, and (4) randomized controlled trials about prevention or treatment of substance use disorders in army service members. After screening by title and abstract, 130 articles selected of 832 founded articles, and after quality assessment, finally, 63 articles included in the review.Results:There is a necessity to manage substance use disorder through prevention, screening, and then referral to proper services for diagnosis and treatment. Urinalysis programs for screening are cost-effective and should be considered as a main method. Effective treatment includes both behavioral and pharmacological methods.Conclusions:The ideal prevention program will include multiple and mutually reinforcing evidence-based universal, selective, and indicated attempts at both the individual and environmental levels. The implementation of screening and treatment strategies needs strict rules and national guideline for the comprehensive management of substance use disorders in army.

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Section: Resultsmentioning

confidence: 99%

Management of Substance use Disorder in Military Services: A Comprehensive Approach

Sharbafchi

Heydari

2017

Adv Biomed Res

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“…Valproate [64], Buprenorphine [75], Dexamphetamine [67], Varenicline [26]), were favored to placebo, with the exception of Gabapentin [61] and Ibudilast [63].…”

Section: Feasibility Assessment: Network Meta-analysismentioning

confidence: 99%

Psychosocial and pharmacologic interventions for problematic methamphetamine use: Findings from a scoping review of the literature

Hersi,

Corace,

Hamel

et al. 2023

PLoS ONE

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Rationale Methamphetamine use and related harms have risen at alarming rates. While several psychosocial and pharmacologic interventions have been described in the literature, there is uncertainty regarding the best approach for the management of methamphetamine use disorder (MUD) and problematic methamphetamine use (PMU). We conducted a scoping review of recent systematic reviews (SR), clinical practice guidelines (CPG), and primary controlled studies of psychosocial and pharmacologic treatments for MUD/PMU. Methods Guided by an a priori protocol, electronic database search updates (e.g., MEDLINE, Embase) were performed in February 2022. Screening was performed following a two-stage process, leveraging artificial intelligence to increase efficiency of title and abstract screening. Studies involving individuals who use methamphetamine, including key subgroups (e.g. those with mental health comorbidities; adolescents/youths; gay, bisexual, and other men who have sex with men) were sought. We examined evidence related to methamphetamine use, relapse, use of other substances, risk behaviors, mental health, harms, and retention. Figures, tables and descriptive synthesis were used to present findings from the identified literature. Results We identified 2 SRs, one CPG, and 54 primary studies reported in 69 publications that met our eligibility criteria. Amongst SRs, one concluded that psychostimulants had no effect on methamphetamine abstinence or treatment retention while the other reported no effect of topiramate on cravings. The CPG strongly recommended psychosocial interventions as well as self-help and family support groups for post-acute management of methamphetamine-related disorders. Amongst primary studies, many interventions were assessed by only single studies; contingency management was the therapy most commonly associated with evidence of potential effectiveness, while bupropion and modafinil were analogously the most common pharmacologic interventions. Nearly all interventions showed signs of potential benefit on at least one methamphetamine-related outcome measure. Discussion This scoping review provides an overview of available interventions for the treatment of MUD/PMU. As most interventions were reported by a single study, the effectiveness of available interventions remains uncertain. Primary studies with longer durations of treatment and follow-up, larger sample sizes, and of special populations are required for conclusive recommendations of best approaches for the treatment of MUD/PMU.

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Effect of add-on valproate on craving in methamphetamine depended patients: A randomized trial

Cited by 2 publications

References 34 publications

Management of Substance use Disorder in Military Services: A Comprehensive Approach

Management of Substance use Disorder in Military Services: A Comprehensive Approach

Psychosocial and pharmacologic interventions for problematic methamphetamine use: Findings from a scoping review of the literature

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