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Rapid Induction onto Naltrexone is provided in Lisbon and
is personalised
by .Dr Carlos Pereira with fifteen
years experience
in this kind of detoxifications. Clinical accidents,
even deads may occur when rapid opiate blockades are
performed by clinitians with no experience in this kind
of detox, even if normally qualified for opiate
detoxifications.
Acceptance Criteries - Our main acceptance criterion
is the dependence of opiates. The exclusion criterions
are pregnancy, age superior to 65 years old, coronary
disease and cardiac arrhythmia's.
Rapid Induction onto Naltrexone - Step by Step - After these preliminary clinical considerations, and if the patient is ready to initiate an opiate blockade, we will begin the process, in which the patient must not enter into the clinic with any kind of withdrawal. The patient is sedated and starts receiving opiate neutralisation medication. This interventive actitude starts the withdrawal, but because the patient is sedated and symtomathology, is neutralized he will not feel or suffer. This intervention avoids the 7 to 10 days which last the "normal cures", in which the patient increases its progressive withdrawal discomfort leading him to give up. He can return to work in just a few days.The patient will be always cooperative, althought sedated, during the whole naltrexone induction. When the patient wakes up, normally refers some symptoms, more relationed with the sedation process, that will disappear soon. Another advantage of the Rapid Induction onto Naltrexone is that the patient will be on a fast neutralising therapeutic, with *naltrexone. This is already made with a naltrexone implant pellet, which will release the blocking agent in the blood steam during 6 to 12 monthes, depending of the implant used In spite of the opiate neutralisation, that protects the patient from its natural circle temptations, we suggest a psychological attendance and also a "NA" participation type.The *Naltrexone intake leads to a loss of opiate appetency. Post- induction. After, the rapid induction onto naltrexone process is accomplished, the patient is discharged from the clinic and goes back home to recover. Back home, it's its first meeting with a new way of living - in freedom. The patient must, then, have a psychological attendance, because the past problems and traumas will be always present after a detoxification. New days at home - The patient will remain in a psychological state refereed as "emptiness", which is a depressive disorder. The psychotherapist will assist the patient, in such a way that he will have a "non mask" way of life, and will assist close family members, in such a way that they can deal with changes occurred in the relative. The main objective of the psychotherapy will be in a way that the patient can deal by himself with its will, desires, self-esteem and will take profit of the guilty feelings to precept its bad egoique management. The patient will be taught to live a new reality - its own. It's a directed psychotherapy, centred into the patient which will be prepared to the future - where he will live the most of its life. Normally we advice individual or group therapy sessions, because the patient needs to adaptate himself to its own. We make telephone and e-mail counselling whenever is necessary.
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