My Question is that my eldest brother very much alcoholic addict. He drinks every night and walk out site my home of hole night. He is drinking last 15 year ago. Kindly help me. I want to get rid of his alcohol. He is BAMS Dr. Kindly help me please please.
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Dear Raj, Please motivate your brother to stop alcohol. Explain to him about the benefits he will have without alcohol. Please give him the medical treatments available for him to quit alcohol. Since alcohol is a sedative, when he stops drinking there is difficulty in sleeping. The brain gets used to the drinks. It will ask him to give drinks by disturbing his sleep. So, doctors' first medicine when he stops alcohol is a Calmpose kind of drug. There are many types of such drugs - both tablets and injections. Few act only for 2 hours, few acts longer than 24 hours. It will be given for 2-3 weeks initially, when he stops drinking, depending on his need. It is a drug to stop him from suffering withdrawal symptoms. It may be given throughout the day also for few days so that he will not go for alcohol immediately. He will also be given motivational enhancement therapy and stress management therapy in first 12 weeks. He can also start with anticraving drugs like Acamprosate, Baclofen and Naltrexone. They postpone his craving for alcohol. Not immediately - but in 3 months or so. They also make his brain to tolerate less and less alcohol. They are costly and need to be given for 9 months to a year in appropriate dose. He can also ask for aversion therapy with Disulfiram. It makes the alcohol into a poison. The effect of poison, he will no't like. He will be OK after taking the drug daily. The drug acts only when alcohol gets into his blood. Since the poison effect happens as soon as he drinks, he feel like not drinking or induce vomiting after drinking. This drug is cheap, only less than Rs.2/day. It can be taken for life. Better to assign someone who will give the drug daily to him. May be his wife or mother. All the other drugs he can take by himself.
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