August 18, 2022

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HOW DO YOU TREAT ALCOHOL DEPENDENCE

HOW DO YOU TREAT ALCOHOL DEPENDENCE

WHAT ARE THE TREATMENTS FOR ALCOHOL DEPENDENCE?

The goal of alcohol treatment centers near me is not necessary to achieve total abstinence. Reducing consumption may be the goal of treating alcohol dependence. The doctor prescribes anxiolytic drugs and vitamins B1 and B6..The first one to observe microorganisms was Antonie Van Leeuwenhoek. He observed microorganisms by using a simple microscope. He used a microscope that he designed himself. This was a single lensed microscope. Antonie van Leeuwenhoek is known as the father of microbiology.

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WHO IS TREATMENT OFFERED TO?

Than usual (a road accident, domestic violence, an arrest, for example) or during surgery. Sometimes seeking treatment is the result of personal awareness or advice from worried loved ones.

The decision to undergo alcohol counseling near me can also be the result of a dialogue with the attending physician who, during a visit. The role of the general practitioner is to accompany the reflection of his patient. And to help him to formulate what he feels and what he feels ready to do.

If the patient feels ready to reduce or stop his alcohol consumption, the doctor generally advises him to consult an alcohol specialist. Either in a specialized hospital service or in a Care, Support, and Prevention Center in Addictology (CSAPA).

REDUCTION OF ALCOHOL CONSUMPTION OR WITHDRAWAL?

For physicians, reducing consumption to a level below that which characterizes harmfulness may be the goal of drug therapy. Complete withdrawal and maintenance of abstinence are difficult, and the choice between reducing consumption. And stopping completely should be left to the patient, who will choose based on what he or she thinks he or she can accomplish.

THE MODALITIES OF ALCOHOL WITHDRAWAL

Withdrawal is based on the patient’s transformation health and awareness of his addiction to alcohol. It can only be considered if the alcohol-dependent person expresses the desire to reduce or stop his consumption. And method while strengthening and maintaining motivation. Ideally, weaning is part of a more global life project on which the patient can concentrate to draw strength. And motivation in the event of difficulties in controlling his consumption.

HOW IS ALCOHOL WITHDRAWAL GOING?

Alcohol withdrawal can be carried out on an outpatient basis (the patient goes to the care center during the day. But returns home in the evening) or during hospitalization. Who are dependent on several substances (for example, alcohol and opiates, or alcohol and drugs of the psyche). Those who suffer from psychiatric illnesses, or those who live in precariousness or an unfavorable environment. when stopping alcohol consumption.

To accompany the withdrawal, the doctor prescribes long-acting anxiolytic drugs. He can also prescribe B vitamins (B1, B6). And recommends that his patient drink plenty of water (withdrawal can cause dehydration). P Certainly, stopping smoking has a beneficial impact on alcohol withdrawal. It is customary for addictologists to say: ‚ÄúSmoking makes you drink (and drinking makes you smoke). “

Participation in a support group (such as Alcoholics Anonymous) increases the chances of successful withdrawal. Who is available 24 hours a day to help them get through difficult times, especially at night and on weekends, when psychologists are not available.

WHAT ARE THE SYMPTOMS OF WITHDRAWAL?

The syndrome lacks are characterized by anxiety, restlessness, irritability, insomnia, nightmares, sweating, tremors. And palpitations, nausea, vomiting, loss of appetite, accentuation of sexual difficulties (impotence), etc. In more severe cases, patients may experience hallucinations, seizures, fever, and confusion. Withdrawal symptoms last less than a week after you stop drinking alcoholic beverages. And method while strengthening and maintaining motivation. Ideally, weaning is part of a more global life project on which the patient can concentrate to draw strength. And motivation in the event of difficulties in controlling his consumption.

In addition, in 80% of cases, withdrawal is accompanied by depressive disorders. But it is customary not to prescribe antidepressant drugs during this period to avoid exacerbating a possible risk of suicide.

WITHDRAWAL IN PEOPLE WITH OTHER ILLNESSES

If the patient suffers from illnesses other than alcohol dependence, it may be necessary to adapt the methods of withdrawal. A study on aiding the maintenance of abstinence after withdrawal in alcohol-dependent patients. Baclofen (180 mg daily dose) did not reduce the percentage of patients with continuous abstinence at 6 months compared to placebo.

The alcohol withdrawal of intravenous drug consumers seeks to stop both kinds of addiction. Intravenous drug users in substitution treatment (by buprenorphine or methadone). And method while strengthening and maintaining motivation. Ideally, weaning is part of a more global life project on which the patient can concentrate to draw strength.

And motivation in the event of difficulties in controlling his consumption. May benefit from alcohol withdrawal with a possible adaptation of the doses of anxiolytics to avoid possible drug interactions with their substitution treatment. People who are dependent on both alcohol.

THE PLACE OF BACLOFEN IN ALCOHOL WITHDRAWAL

The baclofen (Lioresal and generic) is a drug approved in 1975 for the treatment. Or during multiple sclerosis or certain diseases of the spinal cord. In 2011, a doctor, himself an alcohol-dependent patient, highlighted the potential of baclofen in alcohol withdrawal.

Baclofen acts on certain receptors in the brain that are regulating emotional behavior, control anxiety, And activate the reward circuit. Administration of this medication may help decrease the overwhelming desire for alcohol. Which characterizes alcohol dependence.

Baclofen-containing drugs obtained in 2020 a marketing authorization (MA) to reduce the consumption of alcohol. After the failure of other drug treatments available in adult patients with addiction to alcohol. And consumption ‘ alcohol high risk (greater than 60 g per day for men and more than 40 grams per day for women).

A study on aiding the maintenance of abstinence after withdrawal in alcohol-dependent patients. Baclofen (180 mg daily dose) did not reduce the percentage of patients with continuous abstinence at 6 months compared to placebo.

In another study in high-risk alcohol-dependent patients, baclofen (at the maximum daily dose of 300 mg. Which is a much higher dose than the recommended dose) did not show different results than placebo in reducing alcohol consumption at 6 months. Or on the proportion of patients without or with low-level consumption by the twelfth month.

In all cases, the prescription of baclofen is accompanied by close medical monitoring. And does not exempt from other measures to control consumption such as. For example, participation in support groups such as Alcoholics Anonymous.