The goal of weaning is to eliminate alcohol from the body by stopping its consumption completely. Given the risk of withdrawal syndrome, it is recommended that it be performed under supervision, assisted by medical treatment. For the dependent person, it is an important challenge, that, alcohol detox process is often dreaded
Modes Of Management
Weaning is not the only important step to stop drinking. Preparing to stop drinking and anticipate after weaning increases your chances of success. It is a process of global reflection. The first step is to ask yourself about your motivation: “Why do I want to stop? “. There are no good or bad reasons to stop, understanding the ones that motivate you will help you better prepare for this moment. This weaning can be done in two ways.
One is “residential” weaning, based on a variable length of stay (from one week to about 3 months) in a hospital or specialized care center.
The other is “outpatient” weaning, which is based on close medical consultations. The patient takes his treatment and resides in his usual environment. Some hospitals can offer an intermediate modality, day hospitalization. In all cases, a work stoppage is usually necessary.
Whatever the modality is chosen, the patient’s adherence is an essential condition for success.
Drug Treatment Of Weaning
The modalities – residential or “outpatient” – share the same goal: to establish abstinence safely for the patient. They use the same drug treatments to avoid the complications of physical withdrawal.
In most cases, alcohol detox process the choice is for drugs in the benzodiazepine class. They not only reduce tremors, anxiety, and insomnia due to weaning but prevent epileptic seizures and delirium tremens. In general, the prescription does not exceed five days. They are often associated with vitamins (B1 and PP) that fill the frequent deficiencies in alcohol-dependent people, deficiencies that can be the cause of serious neurological disorders.
Finally, in addition to these treatments, increased attention is paid to the rehydration of the weaning patient (several liters of water per day during the critical phase of the first five days). Indeed, stopping consumption leads to massive dehydration.
After this weaning step, other medications may be prescribed to help maintain abstinence. They are based either on the decrease in the desire to drink or on deterrence (alcohol intake concomitant treatment causes unpleasant reactions).
In all cases, it is a comprehensive medico-psycho-social long-term support that is best able to bring a better life to people in difficulty with alcohol. Support from self-help associations can be equally beneficial.