Only long antialcoholic ...

Only antialcoholic prolonged treatment, which patients are completely stopped drinking alcohol, may help in some cases, the gradual reduction of verbal hallucinosis and the disappearance of the perception of deception. Acute alcoholic paranoid docked as well as acute alcoholic hallucinosis. To eliminate the fear and the normalization of behavior might slow intravenous injection of 50 mg of chlorpromazine. This leads to the onset of sleep. On waking affect of fear is much less pronounced. Possible and intramuscular 1015 mg haloperidol concurrently with parenteral administration of 2,040 mg of diazepam. Neuroleptic therapy should continue for as long as patients pobredovomu interpret the behavior of others. If, after the abolition of neuroleptics reappears acute sensory delusions of persecution, it is necessary to exclude the presence of endogenous disease. Treatment of patients with alcoholic delusions of jealousy by using drugs with antipsychotic activity. Can be assigned to chlorpromazine 150 mg / day, haloperidol 15 mg per day, etc. Treatment of antipsychotic drugs continues as long as the tensions affect anger, a willingness to aggressive actions. In cases where the delirium of jealousy, combined with low mood, together with neuroleptics appointed antidepressants (amitriptyline). Success of therapy is dezaktualizatsiya delirium, loss of aggressive tendencies. Only upon reaching this result the patient may be discharged from the hospital. Highly desirable to conduct long temperance therapy, as well as the resumption of alcohol abuse rather quickly leads to the actualization of the ideas of jealousy. In some cases, during the delirium tremens becomes protracted. For several weeks in the evenings there are hallucinatory stupor, disorientation, restlessness. It always indicates the presence of alcoholic encephalopathy or associated systemic diseases. Most often cited a combination of alcoholic encephalopathy with serious medical conditions (pneumonia, pulmonary tuberculosis, cirrhosis of the liver). In these cases, treatment with B vitamins and piracetam. To combat insomnia, and excitation used diazepam, oxybutyrate sodium, low doses of haloperidol in combination with diazepam. Treatment of patients with Korsakov's psychosis and alcoholic dementia by taking into account the stage of the disease. In all cases we are talking about alcohol entselofalopatii, the initial phase of which takes place in a delirious stupor. At this stage treatment is the same as in relieving delirium tremens. In the second stage, when the detected gross memory impairment and multiple cognitive disorders, the intensive vitamin therapy. Doses of vitamin B1 can be as high as 300,400 mg per day. At the same time introduce vitamins B6, C, nicotinic acid. Must be appointed nootropics. Of paramount importance was the introduction of sufficiently large doses of piracetam (812 g / day).