How does drug treatment for alcoholism occur?
- • The main stages of alcohol dependence therapy
- • The basis of effective treatment of alcoholism
- • Elimination of alcoholic disorders by drugs
- • The main drugs for the elimination of alcohol abstinence
- • Anti-relapse treatment of alcoholism
Every alcoholic knows that he is slowly killing himself. And he still drinks. If people who abused alcohol could for a moment feel the lightness that comes after a certain time after the last glass, they did not neglect the opportunity to start a new life. Victory in a long and difficult battle is helped by drug treatment of alcoholism.
The main stages of alcohol dependence therapy
Alcoholic illness is very terrible and it begins imperceptibly: from a bottle of beer to raise the mood. It is difficult to cure alcoholism, but it is quite possible.
Uncontrolled craving for alcohol - the cause of 30% of all deaths from cancer. The battle for a sober lifestyle is long and difficult. More than 75% of all those suffering from alcoholism want to quit drinking, but only 8% achieve their goal. How do you know if alcoholic treatment will help the patient become healthier, harder?
The primary task for a doctor is to help a drinking person get back to normal life. In the arsenal of physicians, there are about 100 drugs, the use of which saves alcoholism. They are used to eliminate the manifestations of intoxication, to eliminate the symptoms of drinking-bout, to remove hangover ailments.
There are drugs that eliminate the painful attraction to alcohol, which cause a sense of disgust for alcohol. People who drink, who are inclined to fall into a depressed state, refusal of alcohol can provoke an abstinent state. As a result, a person again takes up a glass. Many drugs help to control the use of alcohol and are used to ensure the prevention of drinking-bout.
Abstinence occurs one day after giving up alcohol. During the first 3-5 days, the symptoms increase. The newest antidepressants of a wide spectrum of action are safe in the application, do not possess side effects. They will help a sick person get rid of unpleasant psychological manifestations of refusal to drink alcohol:
- bad mood;
- inability to concentrate.
Individual approach to the patient is the basis of effective treatment of alcoholism
Before beginning alcohol therapy and helping a drinking person to return to life, the doctor carefully examines the overall health of the patient. The specialist has methods by which he brings the drinker to a state where he can return to normal life under the new conditions. Active rehabilitation is contraindicated in people who, in addition to alcoholism, suffer from severe mental disorders.
Acute manifestations of mental disorders are removed medically. The technique of fractional prescribing of medicines is widely used. To the main drug, designed to treat alcohol dependence, add a modern antidepressant and conduct courses of psychotherapy.
The most difficult thing for an alcoholic is to start solving his psychological problems. The expert finds out, than the patient suffers, except for an inclination to alcohol. Particular attention is paid to his personal characteristics. Before proceeding to drug treatment for alcoholism, it should be determined whether the patient has concomitant diseases, and the propensity to drink alcohol is just a masking of the underlying disease.
Before starting therapy, medications are performed by electroencephalography, ECG to determine the condition of the heart and blood vessels. It is important to determine the hypochondriacal state of the alcoholic or to diagnose euphoria when he does not recognize his illness and refuses treatment with drugs that remove cravings for alcohol.
Elimination of alcoholic disorders by drugs
Severe disorders in the work of many organs and systems of the body of an alcoholic can not be cured without modern pharmacological drugs. Alcoholic disorders in the drinker's body appear due to the toxic effects of ethanol and the products of its decomposition on the nervous system, heart, blood vessels, liver, kidneys.
On the basis of alcoholism, the patient has the following disorders:
- withdrawal syndrome;
- hangover attacks;
- acute alcoholic psychosis.
The syndrome of refusal from the use of alcohol demands from the patient mobilization of all forces of an organism. It is necessary to stop the severe symptoms of the disorder from the country of the vegetovascular system:
- a headache;
- intestinal dysfunction;
- a sore throat.
To stabilize the general condition of the patient, emergency treatment is prescribed. The choice of medicine should be justified by the doctor.
Neuroleptics, which are capable of provoking convulsions in the patient, are not prescribed for relief of acute disorders due to alcohol withdrawal.
These drugs have a mass of side effects and negatively affect the overall condition of the drinking person.
At the stage of emergency care, all medications are administered in order of priority. The beginning of treatment coincides with the intake of benzodiazepine or gammaergic drugs. The next stage is the intravenous injection of glucose solutions; a solution of thiamine chloride is preliminarily introduced to prevent encephalopathy in the patient.
The main drugs for the elimination of alcohol abstinence
Among drugs used to stop the withdrawal syndrome, use drugs related to benzodiazepines:
The doctor prescribes medicines in high doses because of their ability to prevent the onset of seizures and alcoholic psychosis. Drugs increase the chances of patients with alcoholic delirium to stay alive.
Diazepam is administered intravenously drip, but can be applied in tablet form every 2 hours.
Elenium is prescribed in tablets until a mild state of drowsiness occurs. It is especially important to know if the patient has cirrhosis of the liver. in this case, the mechanism of cleavage and elimination of benzodiazepine changes and an unpredictable reaction of the patient to the administration of the drug may appear.
Lorazepam is taken 4 times a day. The dose of the drug is gradually reduced, it is low-toxic. It can be used to relieve abstinence in elderly patients and patients with cirrhosis of the liver.
For the treatment of acute disorders on the basis of alcohol abolition, drugs for cramping seizures are used: finlepsin and depakine. Barbiturates are widely used: phenobarbital.
Medicines related to gamma-ergic substances are safer to use. Finlepsin is prescribed according to the scheme in the first two days of the disease, taking into account side effects in the form:
Phenobarbital is used until the onset of drowsiness, calculating the dose depending on the alcohol consumed. The medicine is prescribed for a long time. The drug has a negative effect on the function of breathing and cardiac contraction.
To prevent the appearance of neurological disorders, it is necessary to stabilize the processes in the brain tissues. It is prescribed vitamin therapy: vitamins B1, B12, B6, nicotinic acid.
Cytoflavin is used to create antioxidant protection in the body, eliminate toxicosis, reduce symptoms of withdrawal of alcohol. For treatment use infusion solutions. The main goal is a restoration of electrolyte equilibrium, regulation of magnesium and potassium deficiency in the patient's body. Occasionally, the administration of glucose is prescribed with the prescription of a thiamine solution.
Anti-relapse treatment of alcoholism to improve the course of the disease
Further treatment of alcoholism is aimed at stabilizing the condition of the person who has thrown to drink, preventing the appearance of binges. Many patients with difficulty give up alcohol, and they need medical help. For maintenance treatment use:
The main goal of the drugs is to cause the drinking person to have disgust and dislike for drinking alcohol.
Disulfiram promotes the accumulation of acetic acetaldehyde in the blood of the patient. There is a serious reaction of the body, manifested as nausea, vomiting, headache, palpitations, dyspnea, fear of death. The preparation is administered in the form of an implant in the amount of three tablets for 12 months of the administration. Do not apply the drug to patients with concomitant diseases.
- heart and vascular disease;
- pathology of the thyroid gland;
- mental disorders.
Antabuse is a similar drug for anti-relapse treatment. Can be used at home, if the patient refuses from inpatient treatment.
Naltrexone is prescribed for a long time. It affects the person's attraction to alcohol, reducing his strength, and eliminates relapses within six months from the start of therapy. You can not use the medicine for liver diseases, young people under 18, in the phase of withdrawal.
Acamprosate is used in the form of tablets. The drug reduces the patient's desire for alcoholic beverages. It extends the period of sobriety in people who are addicted to alcohol. The medicine does not destroy the symptoms of the withdrawal syndrome. The drug is not prescribed for kidney disease. Treatment continues for one year.
"Tetlong 250" is recommended by specialists for the elimination of symptoms associated with alcohol abuse, mental disorders based on the use of alcoholic beverages. The drug is given in the form of injections, for a long time. The patient has explained the mechanism of action of the drug: when taking medication and alcohol, the patient lowers pressure, chills, fear of death, vomiting, nausea. Incorrect drug administration causes severe symptoms:
- pressure drop;
The medicine cannot be administered to patients with heart and vascular disease, diabetes, myocardial infarction, anemia, mental disorders.
Kolme - an indispensable medicine for people who regularly drink alcohol and are in a drinking state. The drug has no color and odor, does not affect blood pressure. With simultaneous reception with alcohol, there is chills, vomiting, nausea.
It is added to food, drinks, but is destroyed in a hot environment. The state of health does not change if you do not drink alcohol. After drinking alcohol, the patient has a fear of death, sweating, nausea. All vegetative disorders disappear in a day. Treatment lasts for three months. The body operates for 24 hours, producing an unconscious reflex to the introduction of alcohol from the drinking person.
Timely detection, taking into account and drug treatment of people suffering from alcoholism, helps to successfully implement important areas of struggle against alcohol dependence and fully adapt a person in social and domestic terms in the conditions of modern society.