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Methamphetamine - Case-based discussions

Dr Vicki Macfarlane talks about methamphetamine use in New Zealand. Vicki worked as a GP for over 19 years in a diverse range of practices before starting her work as an addiction specialist at CADS in Auckland. Her current role is as clinical lead of the detoxification service in Auckland.


  • 39 year old Māori male who reports left sided chest pain, present for the last two hours, constant and associated with shortness of breath. Has a history of hypertension and two previous visits to ED with similar chest pain.
  • 25 year old male reports being spied on by gang members, and is having hallucinations and is asking for medication.
  • 24 year old female who is 24 weeks pregnant in her first pregnancy and has been referred by her midwife after disclosing she is taking methamphetamine.
  • 35 year old male, requesting advice on withdrawal from meth. He has been using ½ - 1 gram intravenously 3-4 times a week.
  • Parents of a 28 year old male, requesting advice for compulsory treatment for their son who using methamphetamine and is at significant risk of harm.


Take home messages

Patient Resources


Vici Macfarlane

Addiction specialist

To contact Vicki Click here.