Toggle menu
Toggle preferences menu
Toggle personal menu
Not logged in
Your IP address will be publicly visible if you make any edits.

Methamphetamine: Difference between revisions

From Pharmacopedia
[checked revision][pending revision]
No edit summary
Em-dash sweep: replace em-dash with comma per project rule; PendellsCorner verbatim quotes preserved.
 
(9 intermediate revisions by 2 users not shown)
Line 2: Line 2:
| generic          = Methamphetamine
| generic          = Methamphetamine
| brand            = Desoxyn
| brand            = Desoxyn
| structure        =  
| structure        = Methamphetamine.svg
| classes          = Psychostimulant, Amphetamine
| classes          = Psychostimulant, Amphetamine
| uses              = <vote slug="inattention-meth">Inattention</vote>, <vote slug="hyperactivity-meth">Hyperactivity</vote>, <vote slug="obesity-meth">Obesity</vote>
| uses              = <vote slug="inattention-meth">Inattention</vote>, <vote slug="hyperactivity-meth">Hyperactivity</vote>, <vote slug="obesity-meth">Obesity</vote>
Line 15: Line 15:
| pregnancy        = Category C (per Desoxyn label)
| pregnancy        = Category C (per Desoxyn label)
| legal            = Schedule II
| legal            = Schedule II
| mechanism        = Monoamine releasing agent TAAR1 agonism, VMAT2 substrate, DAT/NET reverse transport
| mechanism        = Monoamine releasing agent, TAAR1 agonism, VMAT2 substrate, DAT/NET reverse transport
| intro            = '''Methamphetamine''' is a CNS stimulant of the amphetamine class. It is FDA-approved (as '''Desoxyn''') for attention-deficit hyperactivity disorder and short-term management of obesity. It is a Schedule II controlled substance in the United States.
| intro            = '''Methamphetamine''' is a CNS stimulant of the amphetamine class. It is FDA-approved (as '''Desoxyn''') for attention-deficit hyperactivity disorder and short-term management of obesity. It is a Schedule II controlled substance in the United States.
| indications      = <indication slug="adhd" title="ADHD in children, adolescents, and adults" author="MDElliottMD"/>
| indications      = <problem slug="adhd" title="ADHD in children, adolescents, and adults" author="MDElliottMD"/>
<indication slug="obesity" title="Obesity (short-term)" author="MDElliottMD"/>
<problem slug="obesity" title="Obesity (short-term)" author="MDElliottMD"/>
| dosing            = <titration slug="adhd-desoxyn" title="ADHD — per Desoxyn label" author="MDElliottMD">
| dosing            = | effects          =  
Per the Desoxyn prescribing information, see the official label for current dosing guidance.
</titration>
| effects          =  
* <effect ref="attention" author="MDElliottMD"/>
* <effect ref="attention" author="MDElliottMD"/>
* <effect ref="wakefulness" author="MDElliottMD"/>
* <effect ref="wakefulness" author="MDElliottMD"/>
Line 53: Line 50:
| pk_elimination    = Urinary elimination is pH-dependent.
| pk_elimination    = Urinary elimination is pH-dependent.
| pharmacodynamics  = Methamphetamine acts at monoaminergic terminals as a releasing agent via TAAR1 agonism, VMAT2 substrate activity, and DAT/NET reverse transport. Secondary mechanisms include weak monoamine reuptake inhibition.
| pharmacodynamics  = Methamphetamine acts at monoaminergic terminals as a releasing agent via TAAR1 agonism, VMAT2 substrate activity, and DAT/NET reverse transport. Secondary mechanisms include weak monoamine reuptake inhibition.
| contraindications = Per Desoxyn label:
| interactions      = * '''MAOIs''', contraindicated (per label)
* Advanced arteriosclerosis
* '''Acidifying agents''', increase urinary clearance
* Symptomatic cardiovascular disease
* '''Alkalinizing agents''', decrease urinary clearance
* Moderate to severe hypertension
<pharmaInteractions/>
* Hyperthyroidism
* Known hypersensitivity to sympathomimetic amines
* Glaucoma
* Agitated states
* History of drug abuse (per label wording)
* Concurrent MAOI use, or within 14 days of MAOI discontinuation
| interactions      = * '''MAOIs''' contraindicated (per label)
* '''Acidifying agents''' increase urinary clearance
* '''Alkalinizing agents''' decrease urinary clearance
| pregnancy_details = Category C per Desoxyn label.
| pregnancy_details = Category C per Desoxyn label.
| monitoring        =  
| monitoring        =  
Line 74: Line 62:
}}
}}


[[Category:Psychostimulants]]
[[Category:Amphetamines]]
[[Category:Psychostimulants]]
[[Category:Psychostimulants]]
[[Category:Phenethylamines]]