PMID- 31321819 OWN - NLM STAT- MEDLINE DCOM- 20201029 LR - 20201029 IS - 1360-0443 (Electronic) IS - 0965-2140 (Linking) VI - 114 IP - 11 DP - 2019 Nov TI - Psychostimulant use and the brain. PG - 2065-2077 LID - 10.1111/add.14708 [doi] AB - Psychostimulant users are typically young adults. We have conducted a narrative review of neuropsychiatric harms associated with the psychostimulants methamphetamine/amphetamine, cocaine and 3,4-methylenedioxymethamphetamine (MDMA), focusing on epidemiological factors, common clinical presentations, underlying causal mechanisms and treatment options. The major neuropsychiatric harms of psychostimulant use are stroke, neurocognitive impairment, Parkinson's disease, seizures and psychotic illness. These arise through a combination of acute monoamine release, longer-term neurotransmitter effects and indirect effects. These effects are moderated by factors in the individual and in the pattern of substance use. Neuropsychiatric harms associated with psychostimulant use can thus lead to severe long-term impairment. CI - (c) 2019 Society for the Study of Addiction. FAU - Lappin, Julia M AU - Lappin JM AUID- ORCID: 0000-0001-5946-2144 AD - National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Sydney, Australia. AD - School of Psychiatry, University of New South Wales, Sydney, Australia. FAU - Sara, Grant E AU - Sara GE AD - InforMH, NSW Ministry of Health, North Ryde, NSW, Australia. AD - Northern Clinical School, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia. LA - eng PT - Journal Article PT - Review DEP - 20190719 PL - England TA - Addiction JT - Addiction (Abingdon, England) JID - 9304118 RN - 0 (Central Nervous System Stimulants) RN - 44RAL3456C (Methamphetamine) RN - CK833KGX7E (Amphetamine) RN - I5Y540LHVR (Cocaine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Amphetamine/adverse effects MH - Amphetamine-Related Disorders/metabolism/physiopathology MH - Brain/metabolism/physiopathology MH - Central Nervous System Stimulants/*adverse effects MH - Cocaine/adverse effects MH - Cocaine-Related Disorders/metabolism/physiopathology MH - Cognitive Dysfunction/*chemically induced/metabolism/physiopathology MH - Humans MH - Methamphetamine/adverse effects MH - N-Methyl-3,4-methylenedioxyamphetamine/adverse effects MH - Parkinson Disease, Secondary/*chemically induced/metabolism/physiopathology MH - Psychoses, Substance-Induced/*etiology/metabolism/physiopathology MH - Seizures/*chemically induced/metabolism/physiopathology MH - Stroke/*chemically induced/metabolism/physiopathology OTO - NOTNLM OT - Amphetamine OT - MDMA OT - Parkinson's disease OT - cocaine OT - methamphetamine OT - neurocognition OT - psychosis OT - psychostimulants OT - seizure OT - stroke EDAT- 2019/07/20 06:00 MHDA- 2020/10/30 06:00 CRDT- 2019/07/20 06:00 PHST- 2019/02/17 00:00 [received] PHST- 2019/04/01 00:00 [revised] PHST- 2019/06/03 00:00 [accepted] PHST- 2019/07/20 06:00 [pubmed] PHST- 2020/10/30 06:00 [medline] PHST- 2019/07/20 06:00 [entrez] AID - 10.1111/add.14708 [doi] PST - ppublish SO - Addiction. 2019 Nov;114(11):2065-2077. doi: 10.1111/add.14708. Epub 2019 Jul 19.