Case 1: Methamphetamine Use and HIV

Question | Discussion | References | CME Credit

You answered:

	His use of methamphetamine will probably not increase the likelihood that he will transmit HIV to another person.

This answer is incorrect. His use of methamphetamine may increase his risk of transmitting HIV to others. He is currently sharing needles and having sex with multiple partners without knowing their HIV status, assuming they are HIV-infected. The use of methamphetamine among men who have sex with men (MSM) has been associated with high-risk sexual behavior, including unprotected insertive and receptive anal intercourse with casual partners.

Choose another answer:

	Chronic heavy use of methamphetamine is unlikely to increase his risk of developing chronic neurologic or psychiatric sequelae.
	Methamphetamine and nucleoside reverse transcriptase inhibitors (NRTIs) do not appear to have significant drug-drug interactions.
	Pharmacologic therapy with citalopram (Celexa) is highly effective and well-established for the treatment of methamphetamine addiction.

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