Methamphetamine - Case-based discussions

Date Published: 
Monday, July 23, 2018

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

  • Methamphetamine is absolutely a problem in New Zealand.
  • Be aware of the harms around cardiovascular risk and mental health problems.
  • How to support people who want help and improve engagement with services.





Vicki Macfarlane
Addiction specialist

To contact Vicki Click here.

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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.