Drug Addict Rehab
For the rehabilitation of a drug addict it is a basic to achieve a start of detoxification and general support to the family. It is important to encourage addict to set realistic goals and to engage him in a program of counseling and education to enhance motivation for abstinence. Long-term commitment to building a new lifestyle without drugs is the basis for preventing the recurrence of consuming drugs.
Identifying a drug addict
Addicts should first recognize that he could be of assistance, and this is often not easy, especially when the person has a solid financial status, or when abuses drugs.
It is important to devote enough time to each of whom is suspected to have been addicted, especially to those people who often complain of pain, often go to the doctor for prescriptions or buy many medications. It is important to talk to all the doctors who contacted the potential addict, and also with persons close to this person - family, friends, spouse, colleagues, etc.It is important to collect information about behavior disorders that began in childhood.
Blood and urine can be used to confirm the suspicion, and also review and identify the person marking stitches.
Dealing with the addict
Once we recognized the addict, the next step is to deal with him, getting to know the fact that we know of his addiction and provide support and motivate addicts to rehabilitation. If addict complain of health problems, he needs to be informed that they originate from drug abuse and to be extra motivation for abstinence. It is important to leave the door open "if the addict does not want to cooperate so that we can address a second time when his answer might be yes. Addicts and their families should be informed about treatment options and various associations and organizations that deal with addiction.

Education and motivation of drug addicts
For the rehabilitation of drug addict, an important role is in education about his responsibility for improving his own life, and indirectly improve the lives of people close to him. Motivation for abstinence is increased by providing information on medical and psychological problems that already exist or will get worse if the addiction continues. Addict and his family - it is essential to help them achieve a way of life without drugs and help in specific situations where the availability of drugs is closely related to lifestyle (the business, society). It is improtant to encourage the involvement of drug users in groups, associations and organizations that deal with their problems, and which are often active cured addicts who stimulate new members. There are formal treatment programs such as clinics, communes and long-term methadone therapy, and for all options addict should be made aware of. Individuals who are on methadone maintenance or therapeutic communes show a significant reduction in the incidence of police and social problems and increase working ability. The best prognosis of rehabilitation is for those who are employed, who have more education and who remain in treatment for at least two months. Addicts among health care workers such as doctors, nurses and pharmacists are to be treated by a different approach.
Methadone maintenance
Methadone maintenance and metadil acetate should be used only with education and counseling. It is important that the goal of maintaining the drug is not a "cure" drug addicts, but its conversion to an alternate drug that is legally available, safer, can be taken by mouth and lasts longer in the body so it can be taken once daily. The purpose is to help the addict who has failed in repeated attempts to maintain abstinence. The aim of this process is better relation with family and work, reducing legal problems and improving health.
What is methadone?
Methadone is a long-acting opiate like heroin. Before giving methadone, exclude the existence of psychiatric disorders in drug addicts. The maintenance dose may be low (30-40 mg / day), and access is better when multiple doses (100-120 mg / day). Although results are not conclusive, there is an evidence that higher doses of methadone leading to greater commitment to treatment, fewer problems with the law and fewer returns to street drugs. With higher doses, up to 75% of addicts abstain from heroin 6 months or longer. Methadone is presribed once a day with the doses for the weekend that addict takes away. Substances with a longer activity as metadil acetate can be given in smaller doses (20-30 mg) three times a week. After the maintenance period (which usually lasts 6-12 months, or longer if necessary), a physician needs to begin a gradual reduction in dose, usually 5% per week.
In large quantities, methadone (as well as marijuana and heroin) causes a reduction in testosterone levels.
Opioid-Antagonists
Opioid-Antagonist are drugs that compete with heroin and other opiates for opioid receptors (places where the drug binds in the body) and thereby reduce the effect of opiate drugs. Applying over a long period of time in order to block "peak" that is created when an addict takes opiates, these drugs can be used as part of a comprehensive treatment approach that includes counseling and support.
Ciklozin is a first tested medicine in this group, but its ability to block is low, and unintended consequences are numerious,
Naloxone is excellent, not many unwanted side effects, but it works a short time - two to three hours so it is not useful as a long-term therapy.
Naltrexone has the widest use, as it is active for around 24 hours with minor side effects. Not known of abstinence symptoms if you stop taking it. Before drug addicts start taking naltrexone, they should be "clean" of drugs for at least 5 days. They should undergo full exam and be subject to testing with 0.4 to 0.8 mg short-naloxone, so the doctor is sure that the patient can bear a long-acting naltrexone. Patients, however, show great resistance to this treatment, despite its obvious advantages.
Applications without substitution
Most of the houses and recovery centers for drug addicts use therapeutic approach communes. Nursing lasts up to 1 year while the addict is brought out to a street environment, and while he prepared for a "new life" within the group. There members, including leaders of addicts, the meet participants often in trying to help them achieve insight into successful lifestyles, in order to successfully solve problems in life.
For the treatment of all addictive disorders it is certain that consultative approach with an emphasis on behavior therapy and relatively simple psychotherapy approaches significantly lead to a positive outcome. Many approaches are based on better cope with stressful situations and increased understanding of personal characteristics, improving the cognitive styles and dealing with problems. Certain procedures are still under investigation - such as acupuncture and stimulation of the brain. Efforts to reduce dependence of drug consequences include change of syringes.