Treatment of alcohol dependance
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Early intervention[edit | edit source]
- Detecting harmful use, patient to highlight health risks - short intervention
- When the person still has the opportunity to interrupt or reduce drinking
- There has not been a loss of free check
- Short intervention (5–30 min) - elaborated for general practitioners
Detoxification[edit | edit source]
- Correction of Electrolyte Balance, Hydration and Pharmacotherapy
- Substitution treatment on the principle of crossed tolerance of pharmac with alcohol
- mainly Benzodiazepines with a middle biological half -life
- for convulsions - MGSO 4 </ sub> i.m. or carbamazepine
- [[vitamins
Sensitization[edit | edit source]
- Administration of preparations increasing the perception of the body to alcohol
- After ingestion of alcohol, a significant vegetative reaction - increases blood pressure, tachycardia, redness of the face, headaches, nausea, vomiting, difficult breathing
- Cause - block acetaldehydehydrogenase → intoxication → antabus
- Usually served outpatiently twice a week
- Antabus reaction 'evokes various other medicines - therefore some should not be combined with alcohol
- Avere therapy ' - Injection Emetics, Creation of Conditional Reflex (no longer used)
Treatment of dual diagnoses[edit | edit source]
- Needlessly, we need to take into account possible recurrence, so do not give drugs that are hated with alcohol (TCA), not preparations on which can be crossed tolerance
- Benzodiazepines, opioids, barbiturates are unsuitable
- SSRI are good, as they have an anticraving effect
Treatment of Craving[edit | edit source]
- Reducing Craving in non -depressive alcoholics - two substances:
- Akamprosat ' - similar to Gaba
- 'Naltrexon' (opioid - especially in opioid dependent)
- Prevention of relapse
Links[edit | edit source]
[edit | edit source]
Source[edit | edit source]
- BENEŠ, Jiří. Studijní materiály [online]. [cit. 2010]. <http://jirben.wz.cz>.
[Category: Psychiatry] [Category: Addictology]]
