Alcoholism is a psychological and physical dependence on the use of ethyl alcohol. It would seem that everything is simple - you need to remove these two types of addiction, and the person will be healthy. However, the treatment of alcoholism has many of its own nuances, and we will talk about them today. For example, how does phenazepam help in treating withdrawal symptoms, and why should it be used with caution? We will also note the general causes and sequence of development of the disease, and outline approaches to its treatment.
Important! The article is for informational purposes only. Prescription and dosage can only be prescribed by your doctor.
Phenazepam in narcology
Phenazepam in the form of tablets
Phenazepam is a common drug, including in addiction medicine. It is used for neurological problems; phenazepam is used to treat:
- neuroses,
- anxiety states,
- insomnia,
- phobias.
Phenazepam is also used for hangovers to relieve withdrawal symptoms.
Like all benzodiazepine tranquilizers, phenazepam restores the central nervous system and normalizes its functioning. It is necessary to take phenazepam with a hangover with caution and only under the supervision of a doctor.
How is phenazepam taken?
Phenazepam can be inhaled or swallowed. Like other benzodiazepines, it can be used as a cold medicine. Some may use it to relieve the effects of acid, speed or ecstasy after a "noisy" night.
At the same time, phenazepam has a very strong effect. Often people end up in the hospital as a result of taking too much . This drug is one of the most common causes of overdose.
Rules for taking phenazepam for withdrawal symptoms
Indications for the use of phenazepam include alcohol withdrawal syndrome. The course of treatment can be quite long. Phenazepam is taken from several weeks to several months.
Phenazepam should never be taken with alcohol, as this will lead to the opposite result and increase the withdrawal syndrome.
When treating withdrawal symptoms in alcoholism, phenazepam is prescribed 1-2 tablets per day, up to a total of 5 mg. The daily dose of phenazepam is divided into 2-3 doses. In neurology, the maximum daily dose of phenazepam reaches 10 mg in the treatment of diseases with muscle hypertonicity.
Typically, treatment with phenazepam is prescribed for up to two weeks, and then the dosage is gradually reduced to avoid withdrawal symptoms. Phenazepam itself can cause addiction and withdrawal symptoms, so you need to take it carefully.
Use of Phenazepam after alcohol
After taking the drug, it is eliminated from the body within 24 hours, the half-life is about 12 hours. Drinking alcohol is allowed only if the level of the drug in the blood has decreased to less than 0.2 mg.
The calculation is very simple: after taking a tablet with a dosage of 2 mg, after 12 hours approximately 1 mg of the active substance remains in the body, and after another 12 hours - 0.5 mg. This means that a person can take an alcoholic drink only 2-3 days after taking Phenazepam.
Phenazepam after alcohol is also allowed to be consumed no earlier than 48-72 hours, when the broken down remains of ethyl alcohol are removed from the human body. Drinking alcohol earlier in most cases leads to severe intoxication.
Treatment of withdrawal symptoms
Treatment of withdrawal syndrome in alcoholism can be carried out in a specialized clinic and at home. Limitations on the provision of care at home include a complicated medical history and the critical condition of the patient. Otherwise, everyone decides for themselves what is more convenient and profitable for them; any option has its advantages:
- A familiar home environment is more psychologically comfortable for the patient.
- Relatives are able to carefully take care of the needs of the alcoholic.
- When treated at home, you save on hospital stays.
- Treatment and diagnostic hardware is available at the clinic.
- Constant medical supervision makes it possible to urgently provide the necessary assistance.
- There is no access to alcohol in the clinic
How to help a person who is poisoned?
The standard lethal dose is 10 mg of phenazepam. However, if you combine tablets with ethyl alcohol, their effect is greatly enhanced, which will lead to a rapid overdose . Poisoning with phenazepam leads to fainting, loss of consciousness, cardiac and respiratory arrest, resulting in death. If your relative has taken a toxic substance, you need to urgently call an ambulance and provide first aid correctly:
- It is urgent to rinse the stomach. To do this, the patient is given at least 6 glasses of water to drink, and then vomiting is induced by pressing on the root of the tongue. A quick rinse will remove the toxic substance from the body before active absorption begins.
- Give activated carbon or other types of sorbents: they have the ability to absorb toxic substances. You can take Smecta, Polysorb or other drugs with a similar effect.
- Monitor the patient's condition. If he begins to lose consciousness, he must be placed on his side until the ambulance arrives to prevent him from suffocating.
An ambulance will take the patient to the hospital, where detoxification and a full range of resuscitation measures will be carried out. Poisoning with phenazepam can lead to serious consequences, which will be difficult to get rid of in the future.
Effective treatment for alcoholism
Treatment of alcoholism in the full sense of the word is the achievement of freedom from addiction, long-term remission. Such treatment involves drug detoxification of the body, rehabilitation and adaptation to ordinary life - socialization.
Most alcohol addicts do not immediately seek such treatment; in fairness, it is worth saying that their relatives usually call a narcologist when their drinking bouts begin. Therefore, in addition to the full course of treatment, there are also a lot of procedures that help a person with addiction stay afloat: treatment of withdrawal symptoms, withdrawal from binge drinking, coding. These services in narcology are in widespread demand today.
Why alcoholism needs to be treated in a clinic
Alcohol addiction is one of the most common drug addiction diseases. You can call it a mass disaster, because this disease has entered almost every family in Russia. Alcoholism is a disease that is expressed in excessive and uncontrolled craving for alcohol. An alcoholic drinks doses of alcohol that a healthy person would never dream of, although this only happens for the time being.
Alcoholism is a real drug addiction and has all its signs. It completely subjugates the life of an addicted person, destroying all its spheres: social, physical, emotional and spiritual. Drug addiction, if it appears and is not treated, never stands still and progresses. With each intake, the patient consumes more and more alcohol, the body’s tolerance to it increases, up to the third and final stage of addiction.
Alcohol addiction, like any drug addiction, does not affect just one organ in the human body, but causes irreparable harm to the entire body. Constant severe intoxication leads to the fact that toxins clog the body and are not removed from it immediately, because the liver and kidneys cannot cope with such a volume of poisons.
It is the constant intake of alcohol in the body that leads to such a phenomenon characteristic of this disease as alcohol withdrawal syndrome.
For whom is phenazepam contraindicated?
Being a highly active tranquilizer, phenazepam can be taken only as prescribed by a doctor and under his constant supervision, since taking this drug has a number of contraindications. In addition, the dose to be taken should be determined by the doctor, and not by the instructions, because each organism has its own characteristics. The doctor will explain how to take the medicine to a certain patient based on his tests and the presence of chronic diseases. You cannot take the drug, and especially phenazepam and alcohol, for diseases such as:
- Closed angle glaucoma.
- Acute respiratory failure.
- Coma.
- Acute alcohol and drug poisoning.
- Myasthenia.
- Severe impairment of kidney and liver function.
- Pregnancy.
Withdrawal syndrome in alcoholism
The cause of binge drinking is alcohol withdrawal syndrome. This is a complex of pathologies and dysfunctions that appear in an alcoholic when he gives up alcohol. Withdrawal syndrome is not the same as a regular hangover. Such a phenomenon as withdrawal syndrome appears only in the second stage of the disease and continues in the third. This is a number of psychological, somatic, neurological and autonomic disorders:
- Strong headache.
- Gastrointestinal disorders.
- Violations of the body's thermoregulation, chills.
- Cardiac dysfunction, rapid heartbeat, tachycardia.
- Tremor of the limbs.
- Depressed mood, depression.
- Strong desire to drink alcohol.
- Uncoordination of movements.
- Increased sweating.
- Sleep disturbances, insomnia.
Usually the patient is unable to endure these painful symptoms, so he drinks alcohol. That is why withdrawal syndrome requires treatment with medications, otherwise the patient faces binge drinking.
Pharmacodynamics of the substance
Phenazepam belongs to the group of benzodiazepines, well-known and well-described drugs primarily used as sedatives. Phenazepam has a structure similar to that of clonazepam and properties similar to those of lorazepam in terms of therapeutic action.
Phenazepam and its metabolite 3-hydroxyphenazepam appear to be pharmacologically active with approximately 5 to 10 times greater potency than diazepam, likely due to the bromine atom in the molecule. Typically, as described in older Russian literature, phenazepam is used to treat neurotic disorders, alcoholism, epilepsy, sleep disorders, anxiety disorders and in combination with haloperidol to treat schizophrenia.
How does binge drinking occur?
Binge drinking is a long-term, constant, uncontrolled consumption of alcohol. An alcoholic is unable to stop the binge on his own, so in this situation he needs the help of loved ones and calling a narcologist.
An alcoholic cannot stop drinking on his own
By taking another dose of alcohol, the alcoholic tries to get rid of withdrawal symptoms. Each time use is stopped, withdrawal symptoms begin to appear within 5-6 hours. And here there are two options: endure the painful manifestations or seek treatment from a narcologist. Since the patient has a hard time: he has a headache, his blood pressure fluctuates, tachycardia and shortness of breath, depression appear, he is rarely able to endure all this.
Keep in mind that unlike a hangover, alcohol withdrawal symptoms worsen over several days and can even last several weeks in total. But once upon a time, alcohol brought positive experiences to the alcoholic, which allowed him to become hooked on addiction.
How to recognize a drug addict
As with any addiction, a drug addict can be in two states: the effects of the drug and the state of withdrawal. In the first case, the patient will be sleepy, lethargic, and answer questions slowly. A person can sleep for a long time. Drug addicts under the influence of Phenazepam react inadequately to external stimuli, they have an increased pain threshold, impaired breathing and a slow heartbeat.
The picture resembles intoxication with alcohol, but there is no smell or bottles of alcohol. But near such a drug addict you can find various packages of medicines and empty packages of pills.
In the case of withdrawal, the opposite is true. The peculiarity of taking tranquilizers is that they cannot be abruptly stopped. If a drug addict runs out of a new dose of medication, he will suffer from insomnia and his general condition will be anxious. Nervous tics will appear, the addict will move into the aggressive phase. When searching for a dose, such a person can deceive those closest to him, sometimes even hit them.
It is difficult to reliably recognize that a person is dependent on tranquilizers. Therefore, the best way to determine drug addiction is testing. Only in this way can you either confirm or eliminate your suspicions.
Psychological craving for alcohol
The human psyche is always looking for the missing link that will help it experience the greatest thrill from life. In the case of alcohol addiction, this high is chemical. A person prone to alcoholism experiences more pain than joy from contact with reality.
Some experts believe that the issue is a congenital defect in the biochemical processes of the body of the future drug addict. Such a person is already born with disturbances in the production of a certain type of natural neurostimulants. Therefore, he experiences less joy, satisfaction, and desire to act actively than people whose production of these compounds is normal.
In addition, there are various complexes, fears, attitudes that prevent a person from building normal productive and happy relationships with the world, with people. Some of them are related to character traits, others to upbringing. Many of our parents’ attitudes are harmful and limiting beliefs, because our parents and grandparents had a hard time. And now their experience becomes a heavy burden for us, which prevents us from developing in new conditions.
Result: failures, loneliness, lack of joy in life. In fact, such a person lacks the same natural stimulants: adrenaline, endorphins, serotonin, as the first type of people, whose biochemistry is disturbed from birth. The result is a stable psychological attraction to alcohol.
Physical craving for alcohol
With constant use, ethyl alcohol has an active effect on the body and is included in its subtle biochemical processes. It replaces natural compounds that are normally produced by the body. Now they enter him effortlessly and in large doses. Naturally, natural compounds stop being produced because there is no need for it.
This is how a person acquires a physical craving for alcohol. When the patient’s body does not receive the next dose, it turns out that the body is left without the biochemical elements necessary to ensure life. At this moment, a person feels pain, functional physiological disorders, psychological discomfort, that is, he begins to experience alcohol withdrawal syndrome, also known as alcohol withdrawal syndrome, which requires treatment.
Overdose
An overdose of Phenazepam most often occurs for three reasons: an overdose when increasing the dose on your own, when trying to get drug intoxicated, and when attempting suicide.
An overdose always occurs. This is due to the fact that with each subsequent dose of the drug, receptor insensitivity to its active substances occurs. This process is called the development of tolerance. That is, with each subsequent reception the severity of the effects is less, and they end faster.
If help is not provided in time, a person may die from respiratory failure or cardiac arrest.
How to recognize and what to do
In case of an overdose of any drug from the group of tranquilizers, the following symptoms will immediately appear:
- depression and confusion;
- decreased blood pressure;
- slowing and stopping of the heart;
- slowing and stopping breathing;
- nystagmus;
- convulsions or tremors of the limbs;
- decreased response to tendon reflexes.
With such symptoms, a coma develops, and the person dies without treatment. The main help is gastric lavage, taking sorbents and intravenous administration of a specific antidote: flumazenil.
If necessary, artificial respiration and chest compressions must be performed before the ambulance arrives. You need to press on the chest at intervals of 2 times in 1 second. You need to inhale air into the person’s mouth or nose every 30 presses.
Rehabilitation
Considering that physical dependence on Phenazepam practically does not develop, the main task of rehabilitation is the psychological restoration of the individual, programming a new style of behavior, the patient’s adaptation to society and working with codependent people.
In complex addiction therapy, the location where rehabilitation is carried out plays a role. As a rule, at home or with friends, any attempts to quit end with taking the same drugs or other drugs with a similar effect.
Antidepressive therapy is sometimes added to the rehabilitation complex. With the right dosage, this is a good technique that allows you to get rid of the consequences of depletion of your own mediators.
Coding
Coding doesn't work with dependencies. More than 1000 studies have shown that this method has no evidence base and its use is not rational. Therefore, we can conclude that specialists engage in coding solely for personal gain. The best method of treatment is the correct rehabilitation complex. Coding, hypnosis and similar methods do not work.
Why not at home or on an outpatient basis?
With abrupt withdrawal of Phenazepam, rebound syndrome occurs. This means that without the drug, all the processes that were inhibited by the drug will become 3-4 times more intense. This leads to convulsions and even loss of consciousness. Therefore, you need to quit gradually, under the control of tests and after consultation with a specialist.
In an outpatient setting, it is very difficult to monitor whether the patient is complying with the rehabilitation program. At home, there are no barriers or incentives that force you to stop using drugs. In addition, home conditions mean constant contact with possible active drug addicts. If communication is not stopped, the person will not leave on his own.
Another disadvantage of home rehabilitation is the presence of constant conflicts with family members. Conflict situations become reasons for relapse or even switching to harder drugs.
The only option for outpatient treatment is when a person has been using for 1-2 months and the dependence is mild.
Working with codependents and resocialization
Resocialization is a person’s path to a new social life. Without restoration of the social role, a breakdown may occur. Addicted addicts need constant communication, work for distraction and emotional return from friends, colleagues, and family members. This way a person will realize that he has something to live for and limit himself from drugs.
If this is not done, after a short period of time a breakdown may occur due to melancholy or depression. These are frequent cases, and they are dangerous because after the next breakdown it becomes increasingly difficult to achieve remission in addiction.
In order to minimize disruptions, they work with codependent people, that is, loved ones and family members. During such work, codependent people learn how to correctly shape their behavior and how to help the patient quit drug use forever.
Only close people have constant contact with the addict. They should play the role of psychologists with whom the patient can share his experiences without keeping anything to himself. This minimizes the risk of disruption and restores harmonious relationships between family members. Therefore, without working with codependents, rehabilitation is considered incomplete.
How to quit on your own
You really have to want it. If I quit, then immediately without such excuses: starting Monday, tomorrow, the last time, I’ll quit. In the case of drugs, the reservations do not apply. You need to be prepared for withdrawal, during which there will be a strong desire to use the drug, and without use, depression and even suicidal thoughts may appear.
It is necessary to limit contact with anyone who is an active drug addict, even if they are taking other substances or medications. Such people are a constant temptation to relapse. You cannot change one drug for another because you will end up dependent on two drugs.
It is necessary to monitor health indicators, liver and kidney function. Your attending physician will tell you about the regularity of liver tests and creatinine clearance. In any case, treating addiction on your own is difficult and dangerous. If possible, it is always better to consult with specialists in the field of addiction.
“Help” - comprehensive treatment of alcoholism
You can contact a drug treatment center in case of acute situations that are not uncommon in alcohol addiction: binge drinking, withdrawal syndrome, acute alcohol poisoning. You can call a narcologist at your home by calling our 24-hour hotline. The doctor arrives on call within an hour.
You can also contact our specialists if you experience withdrawal symptoms after a course of treatment with phenazepam. As we noted above, this drug can also cause addiction.
You can undergo a full course of treatment for alcoholism, which includes detoxification, rehabilitation and resocialization. Very often, before starting treatment, the patient’s motivation is required, because alcohol addicts rarely want to be treated. This entire range of services is offered in ours.
I don’t want to scare you, but every day, until alcoholism is treated, the disease harms a person’s health. Daily intoxication is dangerous in itself, and also leads to chronic diseases of internal organs. Therefore, every day that you do nothing, the cost of treatment increases. And on temporary measures, such as withdrawal from binge drinking, treatment of withdrawal syndrome, you end up spending the same amount as you would spend on a complete cure.
That is why we recommend that you seek help today, thus preserving the health of your relative and saving on less expensive treatment. At any time, you can call our call center, its number is listed on the website page, or fill out the feedback form, and we will call you back. Start your journey to a life free from alcohol addiction now.
Tranquilizer Phenazepam - a drug?
In the mid-20th century, Phenazepam was widely used to treat emotional disorders. It has an effect similar to alcohol intoxication - there is lethargy and drowsiness. The free sale of the medicine did its job - it was drunk independently as a sedative, and it was widely used by drug addicts or alcoholics.
Today it is sold by prescription and is used in extremely rare cases. One of these is alcohol withdrawal, accompanied by severe mental disorders. However, more and more drug addicts are abandoning Phenazepam.
The effect of phenazepam and its effect on the body
The addictive effect of these tablets is very strong, so Phenazepam can be safely classified as a narcotic drug. It acts on the nuclei of the thalamus, reduces the conduction of nerve impulses. Consequently, a person’s fear, anxiety, and self-preservation instinct are turned off.
The medicine is absorbed through the gastrointestinal tract, processed in the liver, and then excreted through the urinary system. How to understand that we are dealing with a drug addict taking Phenazepam:
- Unlike other drugs, the drug does not have the effect of stimulating energy production. On the contrary, the person becomes somewhat inhibited.
- The addict is relaxed, he cannot sit upright, but rather reclines on a chair.
- Can talk for hours, while the voice becomes monotonous, there is practically no emotion.
Of course, it is difficult for a non-specialist to identify someone who is addicted to Phenazepam by eye. Moreover, the effect of the pills is similar to intoxication. If a person seems to have drunk, but there is no smell of alcohol, you should sound the alarm.
As the dose and frequency of taking the medication increases, sudden mood swings and deterioration in appearance occur. The pupils often do not react to light. If a person has reached this stage, it will be very difficult for him to get rid of the craving for pills.
Side effects from phenazepam
The list of side effects of the drug is quite impressive:
- Nausea and vomiting.
- Pain in the stomach, the occurrence of gastritis.
- Dry skin and mucous membranes.
- Liver destruction.
- Weakness and fatigue.
- Increased sweating.
- Anemia.
- Temperature increase.
Consequences of taking phenazepam
A lethal dosage of the drug causes death. A less serious consequence of taking the drug is addiction. Taking Phenazepam is especially dangerous for those who have already undergone treatment for drug or alcohol addiction.
Trying to calm down or achieve euphoria, an addict may take a whole handful of the drug without realizing what he is doing. 10 tablets or 20 mg at a time is a dangerous dosage. If the amount of active substance reaches 40, death occurs in 90 percent of cases.
A drug addict on Phenazepam is dangerous not only for himself - in addition to the risk of going out the window or cutting his veins, he can turn on the gas, accidentally set fire to the apartment, etc.
Danger of combination with alcohol
The combination of any drugs with alcohol is extremely dangerous. In addition to increasing the intoxication of the body, alcohol also enhances the effect of the pills. Therefore, the risk of overdose increases.
Contraindications
Phenazepam is strictly prohibited for use by those who have intolerance to the components of the drug, respiratory failure, acute poisoning, or depressive disorders. Pregnant, breastfeeding and people under 18 years of age should also not take Phenazepam.
Phenazepam poisoning
Poisoning with tablets is manifested by the following symptoms:
- Abdominal pain, diarrhea.
- Vomiting, nausea.
- Chills.
- A rise or fall in temperature.
- Cramps.
- Increased pressure.
- Lack of pupillary response to light.
- Coma in severe cases.
If the patient is conscious, it is necessary to give him water in small sips before the specialists arrive. Open the windows, cover with blankets if the person is cold. No medications or decoctions should be given without consulting a doctor.
Withdrawal from phenazepam
Discontinuation of the drug leads to the following phenomena:
- Nervousness, aggressiveness.
- Insomnia.
- Itching all over the body.
- Hallucinations.
- Loss of appetite and wild thirst.
- Pressure surges.
- The occurrence of muscle pain.
- Nausea and vomiting.
The symptoms of withdrawal, overdose or simple pill poisoning are very similar. Therefore, it is important not to self-medicate, but to immediately call doctors.
- Standard
4,500 days.
dropper volume 500 ml
visit of a narcologist
- consultation with a narcologist
- detoxification
- doctor's orders
- medications for 3 days
- monitoring the patient's condition
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dropper volume 500 ml
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5,800 days.
dropper volume 1000 ml
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dropper volume 1500 ml
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dropper volume 1500 ml
- visit of a narcologist
patient examination*
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