Casey Grover, MD, FACEP

Addiction Medicine Made Easy

Casey Grover, MD, FACEP, FASAM

  • Breaking the Ice: Treating Methamphetamine Use Disorder

Breaking the Ice: Treating Methamphetamine Use Disorder

Monday 16th June 2025

Dr. Casey Grover explores methamphetamine use disorder, its history, effects, and treatment strategies. A must-listen for understanding addiction.
38 minutes
Informative
Educational
Hopeful
Compassionate
Engaging

About this podcast

Addiction Medicine Made Easy
Author:
Casey Grover, MD, FACEP
Overview:
Categories:
Innovative Treatments & Recovery Paths
Navigating Alcohol Dependency
Family Recovery from Addiction
Navigating Intimate Relationships
Nutritional Pathways to Recovery
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Breaking the Ice: Treating Methamphetamine Addiction

Episode Overview

  • Methamphetamine releases extreme levels of dopamine, making it hard to quit.
  • The P2P production method has led to more potent and cheaper meth.
  • A three-legged stool model is used for treating addiction: medications, therapy, and support groups.
  • Contingency management is an effective behavioural intervention for stimulant use disorder.
  • Medications like bupropion and topiramate can aid in recovery from meth addiction.
"Methamphetamine releases more dopamine than any other known substance on planet Earth."
This episode of 'Addiction Medicine Made Easy' takes you on a fascinating journey through the complex world of methamphetamine use disorder. Hosted by Dr. Casey Grover, a seasoned addiction medicine doctor, the episode explores the history, neuroscience, and treatment approaches for methamphetamine addiction. Dr. Grover begins with a historical overview, revealing how methamphetamine was extensively used during World War II by various military forces to enhance performance. This sets the stage for understanding how the drug has evolved over time.
Dr. Grover explains the transition from the traditional ephedra method of meth production to the more potent P2P method, which has drastically changed the landscape of methamphetamine addiction. He highlights how the P2P method has led to cheaper and more potent meth, resulting in severe psychiatric effects like psychosis and increased homelessness among users. The episode also dives into the science behind meth's impact on the brain's reward system, emphasising its extreme dopamine release compared to other substances.
This insight helps explain why methamphetamine is particularly challenging to quit. Dr. Grover shares his approach to treating methamphetamine addiction, focusing on a three-legged stool model involving medications, therapy, and mutual support groups. He discusses various medications that can aid in recovery, such as bupropion and topiramate, and shares real-life cases to illustrate their effectiveness. The episode wraps up with a discussion on contingency management as a behavioural intervention for stimulant use disorder. Dr.
Grover's engaging style and wealth of knowledge make this episode an invaluable resource for anyone interested in understanding and treating methamphetamine addiction. If you're keen to learn about the complexities of addiction treatment and how healthcare providers are making strides in this field, this episode is a must-listen.
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