Metody leczenia uzależnienia od alkoholu.

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Podstawową metodą leczenia uzależnienia od alkoholu są oddziaływania psychoterapeutyczne. Leczenie farmakologiczne jest, tylko metodą wspomagającą psychoterapię. Dotyczy głównie następstw przewlekłego spożywania alkoholu: zatrucie alkoholowe, alkoholowy zespół abstynencyjny (tzw. detoksykacja – złagodzenie lub usunięcie objawów zespołu abstynencyjnego), psychiczne i fizyczne powikłania przewlekłego picia alkoholu.

Leczenie farmakologiczne umożliwia taką poprawą stanu psychicznego i fizycznego, aby pacjent mógł rozpocząć psychoterapię.

Stosowany od wielu lat Disulfiram (Esperal), jest metodą wymuszającą czasową abstynencję. Spożycie alkoholu po implantacji powoduje zatrucie aldehydem octowym (zaczerwienienie twarzy, uczucie duszności, rozpieranie w klatce piersiowej, przyspieszenie akcji serca, niepokój lęk).

Na dzisiaj (Esperal) został wycofany z produkcji przez Polfę. Ponadto disulfiram okazał się, substancją dość toksyczną prowokującą szereg objawów niepożądanych. Jego stosowanie jest w pewnym sensie świadomym narażaniem pacjenta na ryzyko wystąpienia objawów niepożądanych lub powikłań w razie spożycia alkoholu. Aktualnie jest, to metoda leczenia uważana za przestarzałą.

Akamprozad (campral) – lek uważany za wydłużający abstynencję i zmniejszający spożycie alkoholu. Bywa stosowany u niektórych pacjentów w przypadku trudności w utrzymaniu abstynencji. Podczas psychoterapii jest, to więc lek mogący, tylko wspomagać oddziaływania psychoterapeutyczne i tylko w skojarzeniu z psychoterapią jego zażywanie znajduje uzasadnienie.

Niestety nie ma leku na alkoholizm. Stosowanie leków przeciw depresyjnych (SSRI lub inne) rzeczywiście umożliwia utrzymywanie abstynenci w trakcie ich zażywania. Jednocześnie bardzo często decyzja o podjęciu psychoterapii zostaje odsunięta w czasie. Po odstawieniu leków pacjent zwykle wraca do picia.

W trakcie psychoterapii leczenie farmakologiczne może okresowo wspierać proces terapeutyczny. Dotyczy, to zwykle pacjentów u których oprócz uzależnienia stwierdzone są objawy kliniczne innego zaburzenia psychicznego ,mogące utrudniać lub nawet uniemożliwiać podjęcie terapii. O konieczności zastosowania farmakologicznego zawsze decyduje lekarz.

Psychiatra ośrodka „Polana”
Katarzyna Piaskowska-Kondrusik

Multimedia

Podoba ci się:
  1. ObcyObcy06-26-2012

    Zastanawiam się, czy jest możliwe leczenie alkoholizmu wyłącznie za pomocą terapii i czy komuś się to udało. Z drugiej strony, alkohol sieje chyba ogromne spustoszenie w organizmie i pewnie farmakologia i tak jest właściwie niezbędna.

    • ArturArtur07-31-2014

      Witam
      Ja jestem żywym przykładem osoby, która jest wyleczona z uzależnienia wyłącznie po ukończeniu terapii.Nie pije od 7 lat. Zyczę pogody ducha :)

      • coniglioconiglio11-15-2014

        Żona mojego brata ma tzw. ciąg. To już czwarty tydzień jej picia. Ostatnio, kiedy zapytał jej jak chce to jeszcze długo ciągnąć, stwierdziła, że nie pije tylko bierze leki przeciw piciu. Wchodząc po schodach na piętro zataczała się tak, jakby piła dwa razy więcej. Czyb to mozliwe, że tak działają leki. a Tobie Arturze z całego serca gratuluję.

      • MagdalenaMagdalena07-01-2018

        magdalena-pawinska@wp.pl
        Proszę Pani. Nie piłam 9 lat.
        Znów wróciło.
        Pewność zabija.
        To choroba, która wraca.
        Proszę o czujność.
        Z życzliwością.

  2. IKIK06-26-2012

    Ja myślę, że to zależy od człowieka i jego chęci, jeśli są duże, to terapia na pewno pomoże, a leki na wyniszczenie organizmu to już całkiem inna historia.

  3. MateoMateo06-04-2013

    Ja mam ojca alkoholika i powiem wam szczerze ze z dnia na dzien już nie potrafi normalnie myśleć, powtarza sie i co najgorsze prawie nic nie je tylko idzie do sklepu po piwo. Staram sie z nim rozmawiać że jest nam potrzebny ale jakoś do niego to nie dociera. Jeśli macie jakąś dobrą rade jak mogę mu pomóc to prosze pisać na mój adres matys181@vp.pl bede bardzo wdzięczny. Pozdrawiam

  4. detoksdetoks11-16-2013

    Pamiętajmy, iż detoks jest pierwszym krokiem ku leczeniu alkoholizmu.

  5. PaulPaul01-17-2016

    Bo powinno się znacznie podnieść ceny alkoholu np wódki do min 200 zł to by może zmniejszyło choć troche problem

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    :-(

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  8. ZdzisławZdzisław02-13-2017

    Lolcio niestety nie ma nic innego sam się o tym przekonałem. Nie dość że terapia to jedyne rozwiązanie to najlepiej jeszcze całodobowa, a nie dwa razy w tygodniu. Mi pomogli akurat w ośrodku wsparcie w Koszalinie, do którego namówiła mnie rodzina. Dzisiaj jestem trzeźwym alkoholikiem i codziennie muszę się z tym zmagać.

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    is crucial. The Sam Bernstein Law Firm proudly serves neighborhoods such as Alger Heights and Auburn Hills, providing essential
    legal support for residents facing challenges on the road.

    Located in Grand Rapids since 1850, the firm has become a pillar of legal expertise in a
    city with a rich history. With a population of 197,416 residents across 79,009 households, Grand Rapids
    is intricately connected by the major highway I-96, ensuring seamless access to neighborhoods like Alger Heights.

    Legal repairs, especially in car accident cases, can vary in Grand
    Rapids. The Sam Bernstein Law Firm, strategically positioned in the heart of the city, offers comprehensive legal services
    tailored to the unique needs of residents, ensuring personalized attention for each case.

    Grand Rapids boasts an array of points of interest, from the family-friendly
    AJ’s Family Fun Center to the picturesque Ah-Nab-Awen Park.
    Residents can enjoy the city’s attractions while having a reliable legal partner in The Sam Bernstein Law Firm.

    Choosing The Sam Bernstein Law Firm in Alger Heights is choosing a legacy
    of legal excellence dating back to 1850. With a commitment to providing top-notch
    legal services, the firm ensures residents facing car accident challenges have unparalleled
    support in the ever-evolving legal landscape of Grand Rapids.


    „Legal Expertise in Downtown Grand Rapids: The Sam Bernstein Law Firm

    In the heart of Downtown Grand Rapids and surrounding neighborhoods, The Sam Bernstein Law Firm stands as
    a beacon of legal expertise. As a trusted car accident attorney, the firm
    caters to the unique legal needs of residents in neighborhoods
    like Baxter and Black Hills.

    Established in Grand Rapids in 1850, The Sam Bernstein Law Firm has played a vital role in the city’s legal landscape.
    Grand Rapids, with a population of 197,416 residents in 79,
    009 households, is intricately connected by the major highway I-96, ensuring easy access to
    neighborhoods such as Downtown and East Hills.

    Legal repairs, particularly in car accident cases, can vary in Grand Rapids.
    The Sam Bernstein Law Firm, strategically located in Downtown, offers specialized legal services tailored to residents’
    specific needs, ensuring a comprehensive and personalized
    approach to each case.

    Downtown Grand Rapids is a hub of activity, with attractions like the iconic Blandford Nature Center and the vibrant Briggs Park.
    Residents can explore the city’s charm while having a reliable legal
    partner in The Sam Bernstein Law Firm.

    Choosing The Sam Bernstein Law Firm in Downtown Grand
    Rapids is choosing a legacy of legal excellence
    dating back to 1850. With a commitment to providing top-notch legal services, the firm ensures residents facing car accident challenges have unwavering support in the ever-evolving legal landscape of Grand Rapids.


    „Supporting Legal Needs in Eastown: The Sam Bernstein Law Firm

    In the eclectic neighborhood of Eastown and its adjacent communities, The Sam Bernstein Law Firm offers unwavering support for legal challenges,
    especially in car accident cases. Established in Grand Rapids in 1850, the firm caters to the unique legal needs of residents in neighborhoods like Eastgate and Eastmont.

    Grand Rapids, a city with a vibrant history, is home to 197,416 residents
    living in 79,009 households. Connected by the major highway I-96, the city
    ensures seamless access to neighborhoods such as Eastown and Fuller Avenue.

    Legal repairs, particularly in car accident cases, can vary in Grand Rapids.
    The Sam Bernstein Law Firm, strategically positioned
    in Eastown, offers specialized legal services tailored to residents’ specific needs, ensuring a
    comprehensive and personalized approach for each case.

    Eastown is known for its unique charm, with points of interest like
    the lively Eastown and the scenic Fuller Park. Residents can explore the city’s character while having a reliable legal partner in The Sam
    Bernstein Law Firm.

    Choosing The Sam Bernstein Law Firm in Eastown is choosing a legacy of legal excellence dating back to 1850.
    With a commitment to providing top-notch legal services,
    the firm ensures residents facing car accident challenges have steadfast support in the ever-evolving legal landscape of Grand Rapids.


    „Navigating Legal Challenges in Gaslight Village: The Sam Bernstein Law Firm

    In the charming Gaslight Village and its neighboring communities, The Sam Bernstein Law Firm
    serves as a reliable partner in legal matters, particularly in car accident cases.
    Established in Grand Rapids in 1850, the firm caters to the unique
    legal needs of residents in neighborhoods like Fulton Heights and Garfield Park.

    Grand Rapids, a city steeped in history, is home to 197,416 residents living in 79,009 households.
    Connected by the major highway I-96, the city ensures seamless access
    to neighborhoods such as Gaslight Village and Garfield Park.

    Legal repairs, especially in car accident cases, can vary
    in Grand Rapids. The Sam Bernstein Law Firm, strategically located in Gaslight Village, offers specialized
    legal services tailored to residents’ specific needs, ensuring a comprehensive
    and personalized approach for each case.

    Gaslight Village is known for its distinctive character, with points of interest
    like the picturesque Cherry Park and the lively Canal Park.
    Residents can enjoy the city’s ambiance while having a steadfast legal partner
    in The Sam Bernstein Law Firm.

    Choosing The Sam Bernstein Law Firm in Gaslight Village is choosing a legacy of legal excellence dating back to 1850.
    With a commitment to providing top-notch legal services, the firm ensures residents facing
    car accident challenges have unwavering support in the ever-evolving legal landscape
    of Grand Rapids.

    „Legal Excellence in Creston: The Sam Bernstein Law Firm

    Nestled in the vibrant Creston neighborhood and its surrounding communities, The Sam Bernstein Law Firm is a beacon of legal expertise, especially in matters related to car
    accidents. Established in Grand Rapids in 1850, the firm caters to the unique
    legal needs of residents in neighborhoods like Downtown and East Hills.

    Grand Rapids, a city with a rich history, is
    home to 197,416 residents living in 79,009 households. Connected by the major
    highway I-96, the city ensures seamless access to neighborhoods such as Creston and Fuller Avenue.

    Legal repairs, particularly in car accident cases, can vary in Grand Rapids.
    The Sam Bernstein Law Firm, strategically positioned in Creston, offers specialized legal services tailored to residents’ specific needs,
    ensuring a comprehensive and personalized approach for each
    case.

    Creston is known for its lively atmosphere, with points of interest like the historic Beckering Family Carillon Tower and the
    expansive Blandford Nature Center. Residents can immerse themselves in the city’s culture while having a steadfast legal partner in The Sam Bernstein Law Firm.

    Choosing The Sam Bernstein Law Firm in Creston is choosing a
    legacy of legal excellence dating back to 1850.
    With a commitment to providing top-notch legal services, the
    firm ensures residents facing car accident challenges have unparalleled
    support in the ever-evolving legal landscape of Grand Rapids.

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