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
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Wysyłam...
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.
Witam
Ja jestem żywym przykładem osoby, która jest wyleczona z uzależnienia wyłącznie po ukończeniu terapii.Nie pije od 7 lat. Zyczę pogody ducha
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.
magdalena-pawinska@wp.pl
Proszę Pani. Nie piłam 9 lat.
Znów wróciło.
Pewność zabija.
To choroba, która wraca.
Proszę o czujność.
Z życzliwością.
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.
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
Pamiętajmy, iż detoks jest pierwszym krokiem ku leczeniu alkoholizmu.
Bo powinno się znacznie podnieść ceny alkoholu np wódki do min 200 zł to by może zmniejszyło choć troche problem
jest tylko terapia niema nic innego ?
??????????????????
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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Ja myślę, że najpierw należy chcieć się leczyć i dopiero wtedy szukać ośrodka, który nam w tym pomoże. Mój brat na początku bardzo się upierał, że nie chce się leczyć bo uważał że wcale nie jest uzależniony… Na szczęście po upływie jakiegoś czasu i moich namowach zrozumiał, że naprawdę ma problem i sam a nawet z naszą pomocą nie poradzi sobie. Zaczęliśmy więc szukać i trafiliśmy na wspaniały Ośrodek Nefo. Terapeuci przyjęli go z otwartymi ramionami, od samego początku dostał wiele wsparcia i zainteresowania. W pierwszej kolejności miał zrobione wszelkie badania oraz wywiady. Terapia była przygotowana indywidualnie dla niego, brał też udział w zajęciach dodatkowych. Dużo rozmawiał ze specjalistami, z pacjentami o ich przeżyciach. W sumie był tam 4 tygodnie. Wrócił całkowicie odmieniony… I to wszystko za sprawą wspaniałego zespołu terapeutów. Jestem im ogromnie wdzięczna i będę do końca życia.. Trzymajcie kciuki za mojego brata, żeby wytrwał w trzeźwości.
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