1. Synthetic Stimulants: Effects & Treatment Tony D’Agostino

2. Outline Current UK Snapshot Different types of stimulants How they work Medication & complimentary therapies Interventions & treatment

3. Current UK Snapshot Amphetamine taking a back seat? Cocaine still Number 1 Class A drug Ecstasy use stable?? Legal Highs Methamphetamine starting to appear?

4. Types of amphetamine

5. Legal Highs BZP Spice Mephedrone - Meow M-cat Methylone M1

6. Types of Methamphetamine

7. How They Work

8. Adrenaline

9. Neurology

10. Medication & Alternative Therapies

11. Medication Tranquilisers? Very short term prescriptions Promazine: Child doses (25 mg) Takes edge off Antabuse and Subutex: May reduce craving? Vaccine: Blocks cocaine from brain Injection lasts 6 months Human trials at present SSRI Anti-depressants: Takes time to work Danger of ‘serotonin syndrome’

12. Alternative therapies: Acupuncture (auricular & full body)

13. Alternative therapies cont… Teas Essential oils Massage Homeopathy Relaxation Martial arts Black Box electro stimulation therapy

14. Interventions & Treatment Brief interventions CBT / MI Harm reduction Self Help, Detox? Rehab Contingency Management & Modafinil Substitute Medication (amphet & methamphet)

15. Tel: 07791 885532 Email: tonydaguk@gmail.com