Treatment of alcohol dependance

Early intervention

 * 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

 * 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  i.m. or carbamazepine
 * [[vitamins

Sensitization

 * 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

 * 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

 * Reducing Craving in non -depressive alcoholics - two substances:
 *   Akamprosat '' ' - similar to Gaba
 *  'Naltrexon'  (opioid - especially in opioid dependent)
 * Prevention of relapse

related articles

 * mental disorders caused by alcohol use
 * Withdrawal state in alcohol dependence and its treatment

Source

 * BENEŠ, Jiří. Studijní materiály [online]. [cit. 2010]. .

[Category: Psychiatry] [Category: Addictology]]