How does withdrawal from binge drinking occur using an IV?

Binge drinking is a severe manifestation of alcoholism in stages II and III. The condition associated with long-term consumption of alcoholic beverages is accompanied by alcohol intoxication. While on a binge, a person abuses alcohol for a day or more. The body does not have time to process the incoming alcohol, and it starts the flywheel of self-destruction. Alcohol poisoning destabilizes vital organs, disrupting their function. It is impossible to break the vicious circle on your own without consequences.

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Why is binge drinking dangerous?

Alcoholism, which has damaged the patient’s health, does not want to let go of the “captive” from its tenacious clutches. People who dare to stop a series of drinking bouts risk experiencing a range of unpleasant sensations. They will face withdrawal symptoms and put their lives on the line. Unjustified risk, the threat of complications, mental disorders, death - the delights of an improperly interrupted binge. Only a narcologist can fight the machinations of the green serpent. The doctor comes to the patient’s home or sends him to the hospital. Treatment depends on the clinical picture, stage, period of continuous drunkenness, and chronic diseases.

There is pseudo-binge and true binge (dipsomania). False is caused by external factors, begins gradually, is interrupted forcibly, and causes a hangover. This state begins during the festive banquet and ends spontaneously. A person stops drinking when he is forced to work and do business. The true one is laid down at the physical level. It is characterized by cyclical repetitions, withdrawal syndrome, and difficult elimination. An alcohol addict cannot stop, continues to drink, and forgets about his official duties and obligations to family members. In cases where loved ones “burn out” from alcohol, relatives turn to doctors.

A hangover is a state of alcohol post-intoxication. Symptoms:

  • general malaise;
  • dehydration;
  • headache;
  • nervousness;
  • thirst;
  • hyperhidrosis;
  • nausea;
  • lack of appetite.

Withdrawal syndrome is confused with a hangover, which is completely wrong. This condition manifests itself after prolonged consumption of alcohol, followed by withdrawal from alcohol at stages II-III. Its symptoms are similar to a hangover. Symptoms:

  • groundless fear, depression;
  • psychosis, bad mood, nightmares;
  • delirium (“delirium tremens”);
  • hand trembling;
  • increased activity;
  • convulsions;
  • disrupted wakefulness and rest patterns;
  • sweating;
  • dry mouth;
  • tachycardia;
  • high pressure;
  • headache;
  • vomit.

This condition gives rise to vegetative, somatic, neurological, and psychiatric disorders. It is difficult to overcome the “bouquet” of sensations alone. At home, only preventive measures are possible (taking sedatives, drinking plenty of fluids, eating fermented milk products). But complete detoxification cannot be achieved; you need to contact a drug treatment center.

The doctor will prescribe medications, dosage, and treatment regimen. Intravenous drip infusion of drugs accelerates sobering up, helps to survive withdrawal, and minimizes the likelihood of complications. The safest way to stop drinking is with a drip. The procedure is safe for health. With the help of medications, they quickly restore the functioning of organs and their functions, and normalize the emotional background.

Why is binge drinking dangerous?

Binge drinking is prolonged use of alcohol, which may not stop for several days or weeks. The duration of binges, as a rule, depends on the severity of alcohol dependence. Systematic uncontrolled alcohol consumption is dangerous for several reasons:

  • Danger of developing delirium tremens (delirium tremens).
  • A significant decrease in food intake and, as a result, the development of exhaustion of the body.
  • The development of diseases of the hepatobiliary system due to liver damage from ethanol metabolites and impaired renal function.
  • Increased risk of developing pancreatitis.
  • Disruption of the cardiovascular system, manifested in the form of ischemia of the heart muscle and an increased risk of heart attack/stroke.
  • Deterioration of the nervous system, development of diseases related to mental health.

This is only a small part of the problems that can arise in a person who drinks alcohol uncontrollably. Because systematic drinking bouts will certainly cause destruction in all areas of life and deterioration of relationships with others.

Operating principle

Anti-drinking drugs are needed for people who drink strong drinks over several days in large doses. While they drink glass after glass, the body struggles with all its might to fight the total cataclysm. A drunken look, incoherent speech, a shaky gait - the tip of the iceberg. Alcoholics slowly but surely destroy all important systems. Vital resources struggle with incoming alcohol. But ethanol products take over the body.

The gastrointestinal tract quickly absorbs ethanol, then the blood delivers it to the brain cells. 30% of ethyl alcohol is excreted naturally (with sweat, urine, feces). The liver is responsible for the main processing, breaking it down into individual components within a few days. But an alcohol addict does not give the liver a rest. It does not process ethanol fully. Its breakdown products entail the following problems:

  • destabilization of water-salt metabolism;
  • acid-base imbalance;
  • dehydration of all tissues;
  • decreased immunity (resulting in exacerbation of chronic diseases);
  • decreased production of gastric juice (constipation, vomiting, nausea, lack of appetite);
  • overload of the cardiovascular system (heart attack, stroke, death); distortion of cognitive functions;
  • failure in the production of sirotonin (mood swings, aggression);
  • suppression of the central nervous system (inappropriate actions);
  • mental disorders (depressive moods, suicidal tendencies, epileptic seizures, amnesia, hallucinations).

The dropper is designed to eliminate all violations. The medicinal composition prescribed by a specialist has a complex effect. Action:

  • restoration of water and electrolyte balance;
  • regulation of sleep and wakefulness;
  • metabolism stabilization;
  • relieving nervous tension;
  • removal of ethanol breakdown products;
  • blood purification;
  • activation of protective functions;
  • heart support;
  • delivery of nutrients and vitamin complexes to organs.

The procedure includes detoxification, prevention of withdrawal, return to sobriety. It will not cure addiction. Many patients begin to fight alcoholism with it, but some stop halfway. Medicines enter the body through drip infusion over an hour or more.

The dosage of the drug and the time of administration depend on the complexity of the patient’s situation. The drug composition enters the bloodstream, bypassing the gastrointestinal tract, and begins to act faster. The narcologist selects it based on the collected medical history and adjusts the composition according to the situation.

What kind of drips are used when withdrawing from binge drinking?


First of all, before selecting therapy, it is necessary to assess the person’s condition. The composition of the drip is influenced by a huge number of indicators, such as the patient’s age, duration of the binge, general health, presence of chronic diseases, allergies to certain drugs, etc., etc. It is strictly forbidden to administer an IV drip for binge drinking at home. It is forbidden!!! Only a narcologist, taking into account all the nuances, based on his own experience and knowledge, decides which medications to use in a given case, and whether it is necessary to use an IV at all, because not everyone can be given it.

It happens that the drip for binge drinking includes only the most common isotonic solution, designed to restore the water-electrolyte balance in the body and reduce the ethanol content in the victim’s body to a minimum.

The dropper for poisoning with alcohol or its substitutes contains a larger amount of drugs designed to stabilize the patient’s condition. Antioxidants and substances that improve metabolism are used in droppers as additional means to speed up the process of removing toxins and their breakdown products from the body.

The following medicinal substances may be included in the drip for alcohol intoxication:


  1. Detoxification solution. It can be saline solution, hemodez, glucose, saline solution.

  2. Sedatives.
  3. Antidepressants.
  4. Vitamins (especially groups B and C)
  5. Angiotensin receptor blockers.
  6. Potassium-magnesium complex preparations.
  7. Sleeping pills.
  8. Hepatoprotectors.
  9. Antiemetic drugs.
  10. Cardioprotectors.
  11. Antiepileptic drugs.
  12. Nootropics, etc.

When to place an IV

Medicines and vitamin complexes are administered the next morning after drinking. If you are intoxicated, you cannot administer medications. The technique is dangerous and makes no sense. The body is full of acetaldehyde, a poison. In people who drink little, it breaks down, but not in experienced alcohol addicts. While amateurs “enjoy” a hangover, alcoholics suffer. Hangover syndrome is nothing compared to abstinence. The difference between them is colossal. The sensations of the condition are different, like a cut of a finger and amputation of a hand.

Anti-drinking medications are given 6-7 hours after the last drink. It's better to go to the hospital or call the doctor in the morning. “Morning” for addicted people comes at any time of the day. Focus on the time you wake up and take your last glass. Future patients and their relatives turn to narcologists. In order for the doctor to prescribe treatment without harming your health, they inform you about existing drug allergies, the duration of the disease, chronic diseases, and pathologies.

Returning to sobriety does not happen overnight. Positive dynamics are observed immediately after the first dropper. The person receives the missing nutrients, calms down, and gradually returns to normal. The prescribed course is completed in one or more steps. The final withdrawal ends on the third day after quitting alcohol.

For three days, it is recommended to add plenty of fluids, broths, and jelly to the medications. At the beginning of a multi-day binge, they eat in moderation; after a couple of days, alcohol completely replaces food. Then they only drink to survive intoxication and reduce pain. The daily food intake must be increased gradually - just as it disappeared from the diet of a binge alcoholic. Start with liquid food in small portions, then move on to solid food.

What types of drips are given when withdrawing from binge drinking? Binge alcoholics receive several droppers, including a “quick response” kit, vitamin complexes, and auxiliary products.

First aid:

Saline solutions (5% or 10% solution of glucose, dextrose, salt (NaCl)). Purpose - taken as a basis, used to thin the blood, replenish water reserves, replace diuretics.

Repolarizing solution. It includes glucose, panangin, insulin, potassium chloride, magnesium. Restores metabolic processes and heartbeat, stabilizes the balance of electrolytes, replenishes the lack of sodium, magnesium, and potassium ions. 4% sodium bicarbonate solution against acid-base imbalance. Acidosis leads to the appearance of an acidic environment. The formation of acetaldehyde affects enzymes, increases the amount of acids, and shifts the pH level.

Detoxifying solutions help eliminate acidosis and restore metabolism. They use Trisol, sodium thiosulfate, Disol, Unithiol, Reamberin, and others. They are responsible for the regulation of electrolytes, the delivery of succinic and fumaric acids, and the supply of oxygen to cells through the uninterrupted operation of the citrate cycle. Opioid receptor blockers. Necessary in severe cases, when the central nervous system perceives “strong” drinks as drugs, provokes a feeling of euphoria, and leads to apnea. Plasma replacement drugs eliminate toxic poisoning (Gelatinol, Hemodez).

Auxiliary group:

Vitamin B complex (cocarboxylase, riboflavin, thiamine, nicotinamide). Ethyl alcohol is oxidized and acids are processed (pyruvic acid is converted into lactic acid).

Ascorbic acid removes ethanol residues and activates the work of hormones produced by the adrenal glands (steroid subclass - glucocorticoids). Vitamin E protects cell membranes and replaces antioxidants.

Glucose and insulin regulate carbohydrate metabolism, protect against hypoglycemia, and renew energy reserves in tissues. Strong drinks inhibit the production of the main “fuel” of the body, destroy glycogen reserves in the liver, and increase energy consumption during metabolism and regulation of body temperature.

Hepatoprotector to help the liver, which takes the brunt of the attack (Essentiale). Sedatives relieve seizures, reduce emotional stress, and improve sleep (Relanium).

Antipsychotics, neuroprotectors, benzodiazepines to protect brain cells, relieve anxiety, fear, and obsessions. Magnesium sulfate stabilizes blood pressure, prevents muscle spasms and involuntary convulsions.

Symptomatic remedies against vomiting, nausea, spasms of coronary vessels. In case of a deplorable clinical picture, nervous breakdowns, or “delirium tremens”, they are sent to a medical institution. Upon arrival, they begin infusion therapy against psychosis, severe water-electrolyte imbalance, and impaired metabolism. Mental disorders are preceded by epileptic seizures, inflammatory processes, and injuries.

Cloudiness of mind is treated only in the departments of a narcological dispensary. For psychosis, two-liter saline solutions based on glucose or potassium chloride are prescribed. They contain panangin, ascorbic acid, and B vitamins. Hemodez is strictly prohibited for alcohol addicts with mental disorders. Droppers at home: composition and doses The classic anti-drinking composition contains:

  1. soda solution – 250-300 ml;
  2. glucose and insulin solution – 350-400 ml;
  3. polyonic liquid (Disol, Trisol) – 200-350 ml;
  4. detoxification agents (Hemodez, Gelatinol) – 350-400 ml.

Alcohol addicts can prepare a sobering “cocktail” with their own hands, following the recipe. But infusion therapy prescribed to yourself will not bring any good. Remember, health is in your hands. The slightest mistake will backfire. For a comprehensive examination, contact a medical institution where examination, diagnosis, laboratory tests of biological materials (general and biochemical analysis), and treatment are carried out. An addiction psychiatrist involves specialist doctors to eliminate problems caused by drunkenness.

Effect of cocaine

Cocaine is an alkaloid with a strong stimulant effect, found in coca bushes. It has been used for more than 5000 years. The most common method of administration is intranasal (through the nose). There is also a type of cocaine for smoking - crack, and injection solutions.

Intoxication begins 5–10 minutes after taking the drug. It is characterized by:


  • lifting the mood;
  • feeling of a surge of energy and vigor;
  • increased motor activity, a person begins to talk and move a lot;
  • there is a tendency to overestimate one's own capabilities.

The peak occurs within 15–20 minutes, and after 30 minutes the effect wears off. After euphoria, apathy, lethargy, and drowsiness develop.

The withdrawal state is very difficult to tolerate, patients experience:

  • severe headaches;
  • depression;
  • various vegetative disorders;
  • suicidal thoughts and delusions appear.

When taking large doses of cocaine, fainting may occur due to constriction of blood vessels in the brain. This appears:


  • severe weakness;
  • pale face;
  • dilated pupils;
  • dyspnea;
  • convulsions;
  • tachycardia;
  • psychomotor agitation with impaired consciousness.

The person experiences anxiety and fear, visual, tactile and auditory hallucinations.

During this period, it is important to have specialists nearby who know how to remove cocaine from the body and alleviate the patient’s difficult situation.

Long-term use of cocaine causes:


  • sharp asthenia;
  • general weakness and lethargy;
  • problems with appetite (it is either increased or completely absent);
  • perforation of the nasal septum, due to impaired trophism and constant vasospasm when inhaling powder through the nose;
  • mental disorders;
  • moral degradation.

Contraindications

Infusion and drug therapy is prohibited when:

  • kidney pathologies;
  • diabetes mellitus;
  • psychosis;
  • cirrhosis;
  • bronchial asthma;
  • heart or kidney failure;
  • cardiovascular diseases.

People with such diseases are subject to hospitalization. Alcohol addicts of advanced age (over 60 years old) are also admitted to the hospital. Round-the-clock monitoring allows for emergency measures, timely relief of complications, and prevention of cerebral edema, encephalopathy, and neuropsychiatric disorders.

The drug treatment center will help you return to sobriety. The clinic's patients are offered withdrawal relief, treatment and addiction coding. The drug treatment center operates under a license, provides services around the clock, respects the rights of patients, and respects their confidentiality.

The narcologist goes to the specified address. Based on an objective assessment and complaints of the patient, hospitalization is recommended. Narcologists and psychotherapists undertake to treat alcohol addiction. Doctors treat addiction at any stage and provide assistance to seriously ill people. After basic therapy, the cause of drunkenness is identified, referred to rehabilitation, taught to abstain from drinking, and interest in life is restored.

Author of the article: Yakovlev Evgeniy Anatolyevich

Narcologist, Candidate of Medical Sciences.

Indications and contraindications for the procedure

If the patient behaves inappropriately or displays aggression, doctors do not have the right to continue treating the patient at home. Therefore, people with such symptoms are often hospitalized in a hospital to prevent the development of delirium.

It is also recommended to continue treatment exclusively in a clinical setting if:

  • Binge drinking lasts more than 10 days.
  • elderly patient (over 60 years old);
  • history of stroke or heart attack;
  • the presence of concomitant diseases (diabetes mellitus, bronchial asthma).

Infusion administration of drugs is contraindicated during pregnancy, the development of coma of unknown origin, or suspected traumatic brain injury. Such patients should be taken to a medical facility for a detailed examination.

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