Methods of detoxification
Detoxification in hospital conditions includes various programs and protocols:
- For Heroin and opoid addicts Lorijen Addiction center offers three types of detoxification – quick, classical and slow:
- Quick detoxification – RAI (Rapis Antagonist Induction)Withdrawal can be sped up by using certain medication to abruptly remove opoids from the body. In this way the duration of withdrawal is significantly reduced. The most unpleasant symptoms of withdrawal syndrome pass in the first 6 hours, all the while the patient is asleep.
OThis program is designed for patients that due to excessive fear of withdrawal postpone or avoid treatment. It is also intended for patients that for some reason need to quickly achieve abstinence.
Shortest time possible for achieving abstinence is three days.
Our medical practitioner, mr. sci. dr. med. Jasmina Knežević-Tasić was the FIRST in former Yugoslavia to successfully apply RAI-quick detoxification, as early as 1993.
- Classic detoxification.In a safe and supporting environment, during 7-14 days, the patient is assisted in overcoming the withdrawal phase with least discomfort and risk for one self as possible. During the procedure, non-opiate medication is used, along with different methods that help reduce the desire for drugs.
- Slow detoxificationWithdrawal can be slowed down by introducing other opiates as burprenophine through progressively reducing the daily dose of the used drug. This treatment varies in length and in some cases it is decided to be continued with maintenance therapy.
- For cocaine and other stimulants addicts detoxification and symptomatic therapy is offered during the course of 6 days, followed with the withdrawal prevention program as part of the II phase of SMART RECOVERY program.
- For alcohol addicts, duration of clinical detoxification depends on the severity of the clinical diagnosis and if there are some health complications as well. This phase of treatment is concludes when aversion therapy and anti craving medication are introduced. To assure that battle against alcoholism continues, it is advised for the patient to continue with the following steps of SMART RECOVERY program.
- For sedative/hypnotic medication addicts treatment program is meant to lead patients to quit using the medication through gradually reducing their daily dosage. Duration of the therapy depends on the initial daily dosage of the medication. After the initial patient evaluation and monitoring during the first week of treatment, it is advised for the patient to continue with the following steps of SMART RECOVERY program, to assure the success of the treatment.
- For patients that still haven’t developed addiction despite substance abuse
- This type of addiction doesn’t require detoxification and withdrawal syndrome treatment, which is why treatment begins from phase II – habit and lifestyle changes.
It is possible that based on the psysician’s assessment the more appropriate treatment method is individual and/or family therapy as part of the Lorijen Psychotherapy program. In case other psychiatric disorders exist apart from addiction to drugs or alcohol, pharmacotherapy is applied as well.
What is a blocker or chip?
Apart from detoxification, patients receive the appropriate pharmacotherapy with an aim to stabilize and maintain abstinence. Detoxification phase is concluded by introducing opoid antagonists.
For patients that are being treated from opiate addiction, opoid antagonists reduce the probability of patients developing alcoholism or sedative/hypnotic medication addiction after stopping with drug use.
Blockers are available in different forms, depending on the state the patient is in:
- Blockers in the form of pills , are used to treat opoid and opiate addictions, such those from heroin and Trodon or in cases of aversion therapy for alcohol addiction. These medication help control the desire for drugs and/or alcohol and temporarily prevent the patient from using them. During the next phases of the treatment, they can be taken orally in the form of pills or solutions under the supervision of the assistant in treatment.
- Implants ensure protection against relapse for 2,3, 6 or 12 months (depending on the type of the implant). If the patient tolerates the implant well, the procedure can be repeated as many times as needed.
- Depot opoid antagonists – apart from the implant, blocker can be used in this form as well. It doesn’t require a surgical intervention. Intramuscular depot injections. This kind of blocker ensures one month of protection from relapse.
Long term, stable abstinence abstinence is certainly possible to achieve. It requires motivation of the patient, support from patient’s family and cooperation during therapy. Even in cases of severe addiction, based on our experience, we can claim that it is possible to achieve abstinence up to 20 years. Several hundreds patients, treated in “Lorijen hospital” are now in state of abstinence more than 10 years. During the treatment, many of our patients made life-changing decisions, completed their studies, formed families and excelled professionally. We are especially pleased to say that almost all of them practice sports on a regular basis.
Abstinence can be permanent, if all the conditions are met.
What do we treat?
Application of wide variety of methods allows us to create personalized treatment plans and achieve long-term recovery.