For those who don't have access to addiction medicine, have you considered using naltrexone for the treatment of stimulant use disorder in your primary care clinic?

I am an addiction medicine clinician, and this is my general approach for treatment of stimulant use disorder (which is almost entirely methamphetamine use in my location of Portland, Oregon). Most of my patients have co-use of opioids, so they are typically unable to get onto naltrexone, and I reco...

I often reference the ASAM stimulant use disorder guidelines available online, which offer several off-label medications for both cocaine use disorders and amphetamine use disorders, respectively, given other concomitant conditions. Of note, the only gold standard and approved option for treatment o...