Case 1: Methamphetamine Use and HIV

Question | Discussion | References | CME Credit

You answered:

	Pharmacologic therapy with citalopram (Celexa) is highly effective and well-established for the treatment of methamphetamine addiction.

This answer is incorrect. Although there are no data to suggest that citalopram is effective in this setting, results from a recent study involving bupropion (Wellbutrin) treatment for methamphetamine addiction suggested this antidepressant reduces both cue-induced drug craving for methamphetamine and subjective high after methamphetamine administration. Nevertheless, the role of bupropion in the treatment of methamphetamine addiction will require further study. Methamphetamine addiction is best treated with long-term, intensive, outpatient counseling.

Choose another answer:

	Chronic heavy use of methamphetamine is unlikely to increase his risk of developing chronic neurologic or psychiatric sequelae.
	His use of methamphetamine will probably not increase the likelihood that he will transmit HIV to another person.
	Methamphetamine and nucleoside reverse transcriptase inhibitors (NRTIs) do not appear to have significant drug-drug interactions.

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