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The authors respond to letters on using prescribed psychostimulants to treat stimulant use disorder
The authors respond to letters on using prescribed psychostimulants to treat stimulant use disorder
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The authors respond to letters on using prescribed psychostimulants to treat stimulant use disorder
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The authors respond to letters on using prescribed psychostimulants to treat stimulant use disorder
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The authors respond to letters on using prescribed psychostimulants to treat stimulant use disorder
The authors respond to letters on using prescribed psychostimulants to treat stimulant use disorder
Journal Article

The authors respond to letters on using prescribed psychostimulants to treat stimulant use disorder

2023
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Overview
Palis and MacDonald respond to letters discussing the use of prescribed psychostimulants to treat stimulant use disorder. They address comments made by various colleagues regarding the evidence supporting the use of prescription psychostimulants. They acknowledge that while the evidence is not as strong as that for medications used to treat other substance use disorders, such as opioid use disorder, this should not be a barrier to implementing prescription psychostimulants. They argue that the level of evidence available for opioid agonist treatment (OAT) should not be the benchmark for action on implementing prescription psychostimulants. They agree with the need for broader psychiatric supports, medical care, housing, and psychosocial treatments for people with stimulant use disorder. However, they argue that direct patient care is within the scope of practice for prescribers and can have immediate impacts on patients' lives. They call for the development of evidence and clinical protocols to guide the use of prescription psychostimulants and advance care for this population.

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