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Weaning off methadone


SAMHSA’s National Helpline | SAMHSA

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

  • Suggested Resources

    What Is Substance Abuse Treatment? A Booklet for Families
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    It's Not Your Fault (NACoA) (PDF | 12 KB)
    Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.

    After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
    Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.

    Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
    Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.

    For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

Alcohol, Tobacco, and Other Drugs

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Misusing alcohol, tobacco, and other drugs can have both immediate and long-term health effects.

The misuse and abuse of alcohol, tobacco, illicit drugs, and prescription medications affect the health and well-being of millions of Americans. NSDUH estimates allow researchers, clinicians, policymakers, and the general public to better understand and improve the nation’s behavioral health. These reports and detailed tables present estimates from the 2021 National Survey on Drug Use and Health (NSDUH).

Alcohol

Data:

  • Among the 133.1 million current alcohol users aged 12 or older in 2021, 60.0 million people (or 45.1%) were past month binge drinkers. The percentage of people who were past month binge drinkers was highest among young adults aged 18 to 25 (29.2% or 9.8 million people), followed by adults aged 26 or older (22.4% or 49.3 million people), then by adolescents aged 12 to 17 (3.8% or 995,000 people). (2021 NSDUH)
  • Among people aged 12 to 20 in 2021, 15.1% (or 5.9 million people) were past month alcohol users. Estimates of binge alcohol use and heavy alcohol use in the past month among underage people were 8.3% (or 3.2 million people) and 1.6% (or 613,000 people), respectively. (2021 NSDUH)
  • In 2020, 50.0% of people aged 12 or older (or 138.5 million people) used alcohol in the past month (i.e., current alcohol users) (2020 NSDUH)
  • Among the 138.5 million people who were current alcohol users, 61.6 million people (or 44. 4%) were classified as binge drinkers and 17.7 million people (28.8% of current binge drinkers and 12.8% of current alcohol users) were classified as heavy drinkers (2020 NSDUH)
  • The percentage of people who were past month binge alcohol users was highest among young adults aged 18 to 25 (31.4%) compared with 22.9% of adults aged 26 or older and 4.1% of adolescents aged 12 to 17 (2020 NSDUH)
  • Excessive alcohol use can increase a person’s risk of stroke, liver cirrhosis, alcoholic hepatitis, cancer, and other serious health conditions
  • Excessive alcohol use can also lead to risk-taking behavior, including driving while impaired. The Centers for Disease Control and Prevention reports that 29 people in the United States die in motor vehicle crashes that involve an alcohol-impaired driver daily

Programs/Initiatives:

  • STOP Underage Drinking interagency portal - Interagency Coordinating Committee on the Prevention of Underage Drinking
  • Interagency Coordinating Committee on the Prevention of Underage Drinking
  • Talk. They Hear You.
  • Underage Drinking: Myths vs. Facts
  • Talking with your College-Bound Young Adult About Alcohol

Relevant links:

  • National Association of State Alcohol and Drug Abuse Directors
  • Department of Transportation Office of Drug & Alcohol Policy & Compliance
  • Alcohol Policy Information Systems Database (APIS)
  • National Institute on Alcohol Abuse and Alcoholism

Tobacco

Data:

  • In 2020, 20.7% of people aged 12 or older (or 57.3 million people) used nicotine products (i.e., used tobacco products or vaped nicotine) in the past month (2020 NSDUH)
  • Among past month users of nicotine products, nearly two thirds of adolescents aged 12 to 17 (63.1%) vaped nicotine but did not use tobacco products. In contrast, 88.9% of past month nicotine product users aged 26 or older used only tobacco products (2020 NSDUH)
  • Tobacco use is the leading cause of preventable death, often leading to lung cancer, respiratory disorders, heart disease, stroke, and other serious illnesses. The CDC reports that cigarette smoking causes more than 480,000 deaths each year in the United States
  • The CDC’s Office on Smoking and Health reports that more than 16 million Americans are living with a disease caused by smoking cigarettes

Electronic cigarette (e-cigarette) use data:

  • In 2021, 13.2 million people aged 12 or older (or 4.7%) used an e-cigarette or other vaping device to vape nicotine in the past month. The percentage of people who vaped nicotine was highest among young adults aged 18 to 25 (14.1% or 4.7 million people), followed by adolescents aged 12 to 17 (5.2% or 1.4 million people), then by adults aged 26 or older (3.2% or 7.1 million people).
  • Among people aged 12 to 20 in 2021, 11.0% (or 4.3 million people) used tobacco products or used an e-cigarette or other vaping device to vape nicotine in the past month. Among people in this age group, 8.1% (or 3.1 million people) vaped nicotine, 5.4% (or 2.1 million people) used tobacco products, and 3. 4% (or 1.3 million people) smoked cigarettes in the past month. (2021 NSDUH)
  • Data from the Centers for Disease Control and Prevention’s 2020 National Youth Tobacco Survey. Among both middle and high school students, current use of e-cigarettes declined from 2019 to 2020, reversing previous trends and returning current e-cigarette use to levels similar to those observed in 2018
  • E-cigarettes are not safe for youth, young adults, or pregnant women, especially because they contain nicotine and other chemicals

Resources:

  • Tips for Teens: Tobacco
  • Tips for Teens: E-cigarettes
  • Implementing Tobacco Cessation Programs in Substance Use Disorder Treatment Settings
  • Synar Amendment Program

Links:

  • Truth Initiative
  • FDA Center for Tobacco Products
  • CDC Office on Smoking and Health
  • National Institute on Drug Abuse: Tobacco, Nicotine, and E-Cigarettes
  • National Institute on Drug Abuse: E-Cigarettes

Opioids

Data:

  • Among people aged 12 or older in 2021, 3. 3% (or 9.2 million people) misused opioids (heroin or prescription pain relievers) in the past year. Among the 9.2 million people who misused opioids in the past year, 8.7 million people misused prescription pain relievers compared with 1.1 million people who used heroin. These numbers include 574,000 people who both misused prescription pain relievers and used heroin in the past year. (2021 NSDUH)
  • Among people aged 12 or older in 2020, 3.4% (or 9.5 million people) misused opioids in the past year. Among the 9.5 million people who misused opioids in the past year, 9.3 million people misused prescription pain relievers and 902,000 people used heroin (2020 NSDUH)
  • According to the Centers for Disease Control and Prevention’s Understanding the Epidemic, an average of 128 Americans die every day from an opioid overdose

Resources:

  • Medication-Assisted Treatment
  • Opioid Overdose Prevention Toolkit
  • TIP 63: Medications for Opioid Use Disorder
  • Use of Medication-Assisted Treatment for Opioid Use Disorder in Criminal Justice Settings
  • Opioid Use Disorder and Pregnancy
  • Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants
  • The Facts about Buprenorphine for Treatment of Opioid Addiction
  • Pregnancy Planning for Women Being Treated for Opioid Use Disorder
  • Tips for Teens: Opioids
  • Rural Opioid Technical Assistance Grants
  • Tribal Opioid Response Grants
  • Provider’s Clinical Support System - Medication Assisted Treatment Grant Program

Links:

  • National Institute on Drug Abuse: Opioids
  • National Institute on Drug Abuse: Heroin
  • HHS Prevent Opioid Abuse
  • Community Anti-Drug Coalitions of America
  • Addiction Technology Transfer Center (ATTC) Network
  • Prevention Technology Transfer Center (PTTC) Network

Marijuana

Data:

  • In 2021, marijuana was the most commonly used illicit drug, with 18. 7% of people aged 12 or older (or 52.5 million people) using it in the past year. The percentage was highest among young adults aged 18 to 25 (35.4% or 11.8 million people), followed by adults aged 26 or older (17.2% or 37.9 million people), then by adolescents aged 12 to 17 (10.5% or 2.7 million people).
  • The percentage of people who used marijuana in the past year was highest among young adults aged 18 to 25 (34.5%) compared with 16.3% of adults aged 26 or older and 10.1% of adolescents aged 12 to 17 (2020 NSDUH)
  • Marijuana can impair judgment and distort perception in the short term and can lead to memory impairment in the long term
  • Marijuana can have significant health effects on youth and pregnant women.

Resources:

  • Know the Risks of Marijuana
  • Marijuana and Pregnancy
  • Tips for Teens: Marijuana

Relevant links:

  • National Institute on Drug Abuse: Marijuana
  • Addiction Technology Transfer Centers on Marijuana
  • CDC Marijuana and Public Health

Emerging Trends in Substance Misuse:

  • Methamphetamine—In 2019, NSDUH data show that approximately 2 million people used methamphetamine in the past year. Approximately 1 million people had a methamphetamine use disorder, which was higher than the percentage in 2016, but similar to the percentages in 2015 and 2018. The National Institute on Drug Abuse Data shows that overdose death rates involving methamphetamine have quadrupled from 2011 to 2017. Frequent meth use is associated with mood disturbances, hallucinations, and paranoia.
  • Cocaine—In 2019, NSDUH data show an estimated 5.5 million people aged 12 or older were past users of cocaine, including about 778,000 users of crack. The CDC reports that overdose deaths involving have increased by one-third from 2016 to 2017. In the short term, cocaine use can result in increased blood pressure, restlessness, and irritability. In the long term, severe medical complications of cocaine use include heart attacks, seizures, and abdominal pain.
  • Kratom—In 2019, NSDUH data show that about 825,000 people had used Kratom in the past month. Kratom is a tropical plant that grows naturally in Southeast Asia with leaves that can have psychotropic effects by affecting opioid brain receptors. It is currently unregulated and has risk of abuse and dependence. The National Institute on Drug Abuse reports that health effects of Kratom can include nausea, itching, seizures, and hallucinations.

Resources:

  • Tips for Teens: Methamphetamine
  • Tips for Teens: Cocaine
  • National Institute on Drug Abuse

More SAMHSA publications on substance use prevention and treatment.

Last Updated: 01/05/2023

Methadone addiction treatment - anonymous help for drug addiction at the Marshak Clinic

  • Narcological assistance
  • Types of drugs
  • Medical diagnostic program
  • Detoxification of drug addicts
  • Rehabilitation of drug addicts
  • Drug addiction treatment abroad
  • Causes of drug addiction
  • Drug Addiction Treatment Guarantees

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Addiction treatment

Methadone addiction treatment

Methadone is a synthetic drug that belongs to the group of opiates. The substance was first synthesized by German scientists in 1943. At the end of World War II, the United States appropriated the rights to use the drug. In America, methadone began to be used to treat opium addiction. This practice has spread throughout the world. However, in Russia and a number of other countries methadone substitution therapy is prohibited. This is associated with high risks of overdose (even when prescribed for treatment) and rapidly developing, no less severe dependence.

Due to the medical use of methadone in some countries, there is a misconception that its use is not harmful. This myth is carefully supported by drug dealers. Methadone is presented as a safe, easy drug that helps to feel inner satisfaction, remove insecurity and shyness. In fact, two to three weeks of regular use or a few months of episodic use is enough for the body to become addicted to a substance. Sometimes methadone addiction develops against the background of other types of drug addiction, when people try to fight opiate cravings on their own. Often this happens with the consent and with the participation of relatives who do not know how to help the patient.

How does the drug work?

Methadone does not cause pronounced euphoric effects. However, 15-25 minutes after taking the dose, there is a feeling of complete comfort of mind and body, inner satisfaction, confidence and calmness. A person retains the ability for constructive thinking and reasonable actions. He has a desire to do something useful.

Methadone therapy improves sleep and restores appetite. They become more responsible and organized. Students return to their studies and pay off academic debts. Adult people perform their duties at the old job (if they have not lost it yet) or are engaged in employment. Because of this, there is a misleading impression of a positive result of therapy.

However, after five to ten days, the sensations change. Patients continue to describe their condition as "normal". But at the same time they feel dissatisfaction, discomfort, the wrongness of their own lives. Attempts to restore the state of harmony with the world and oneself lead to an increase in the dose. The body's tolerance to the drug increases, and a persistent physical dependence is formed.

Gradually, the patient develops pathological symptoms. You can understand that a loved one is having a problem by the following signs:

  • absence or disturbance of sleep;
  • loss of appetite;
  • sudden weight loss, general exhaustion of the body;
  • earthy skin tone, general signs of aging;
  • violation of clarity of thinking and consciousness, delayed reactions;
  • metabolic disorder in the body;
  • dulling of the emotional sphere, including sexual desire.

If you suspect or know for sure about the illness of a loved one, you should immediately seek help from specialists. Doctors have the necessary resources to return even the most severe patient to a healthy, fulfilling life.

If a person decides to stop taking methadone on his own, he will experience a withdrawal syndrome within 1 to 3 days. Without medical attention, withdrawal can last up to 30 days while the drug and its metabolites are excreted from the body.

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Our approach

Individual comprehensive approach to the treatment of alcoholism and drug addiction

  • Anonymous drug treatment
  • Determining the individual cause of a disease
  • Diagnosis of addiction complications
  • Family work

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Complete treatment from detox to rehabilitation

  • Persuasion Therapy
  • Detoxification
  • UBOD
  • Medical diagnostic program
  • Rehabilitation program
  • Inpatient rehabilitation
  • Outpatient rehabilitation
  • Post-treatment support at a drug treatment clinic

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Highly professional team of specialists

  • Psychiatrists-narcologists
  • Psychotherapists
  • Psychologists
  • Neurologists
  • Cardiologists
  • Genetics scientists
  • Clinical psychologists
  • Rehabilitation and family workers, etc.

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High level of service and best living conditions

  • Rooms with all conveniences
  • VIP department in the drug and alcohol treatment center
  • Home cooking
  • Maid service
  • Round-the-clock supervision of doctors and psychologists in the hospital of the rehabilitation center for patients with alcoholism and drug addiction
  • 24-hour security of the narcological center

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What does an addict who decides to give up methadone face?

  • confused consciousness;
  • aching pain all over body, fever, swelling;
  • dizziness, soreness in the eyes;
  • nausea, vomiting;
  • mental disorders - apathy, depression, anxiety, hallucinations, panic, suicidal thoughts;
  • insomnia or restless sleep with nightmares;
  • impaired functioning of the kidneys, liver, pancreas;
  • pulmonary edema which may lead to inflammation or suffocation.

Trying to manage withdrawal symptoms from methadone on your own at home is extremely risky. The manifestations of the withdrawal syndrome are dangerous for the life and health of the addict. There is a risk of developing pain shock, which cannot be experienced without medical support. Psychic manifestations are also extremely difficult to tolerate. The only right solution is modern medical and psychological care in a hospital setting.

Treatment of addiction

Narcological center "Marshak's Clinic" has a proven method for removing methadone withdrawal. Complete detoxification of the body. In a hospital, the syndromes that occur after drug withdrawal disappear in about a week. First, the patient is prescribed UBOD, during which the brain receptors are completely cleared of methadone and its metabolites. The complexity of the procedure is comparable to a planned operation, performed under general anesthesia.

The next step in methadone addiction treatment is standard fluid therapy. The patient is given droppers that restore the balance of the body. To remove the residual breakage, non-narcotic antipyretic drugs are prescribed. Stimulants of the cardiovascular system and anticonvulsant drugs are added to the droppers. To eliminate psychological symptoms, tranquilizers and antidepressants are used. Intensive vitamin therapy is carried out. Comprehensive therapeutic measures facilitate the manifestations of the withdrawal syndrome, relieve physical cravings for the drug.

After that course of drug therapy, the patient needs rehabilitation and assistance in socialization. Psychotherapy sessions allow you to find and eliminate the cause that served as the basis for the development of addiction. As a result, the addict completely gets rid of the physical and psychological craving for methadone. He has new interests, a full-fledged healthy life begins with all its possibilities and joys. At this stage, the person needs the support of family and friends

  • 1. Initial consultation with a specialist in treatment programs
  • 2. Doctor's consultation / Doctor's home visit
  • 3. Doctor's appointment at the clinic and hospitalization
  • 4. Detoxification
  • 5. Treatment and diagnostic program
  • 6. Medical Council
  • 7. Treatment and rehabilitation program
  • 8. Outpatient treatment and support
  • 9. Guarantees

  • Stages of treatment in a drug treatment clinic

    Initial consultation with a treatment program specialist

    Phone consultation available at any time of the day

    The client tells the specialist about the problem, the specialist explains how the drug addiction treatment process will take place in the center, offers options for suitable treatment programs and announces prices. Often, addicts are unaware of or minimize their problem. The specialist explains how to properly motivate your loved one for treatment in a particular situation.

    Free consultation

  • Stages of treatment

    Doctor's consultation / Doctor's home visit

    Primary doctor's consultation in a drug treatment clinic or at home

    The doctor collects a preliminary medical history, assesses the emotional and physical state of the patient, talks about the methods of addiction treatment. If the addicted person does not recognize his problem and refuses to go to the clinic, the narcologist can go home to the patient and conduct persuasion therapy. AT 9In 0% of cases, our doctors, who have vast experience in working with addicts, manage to do this. It is possible to call a car for a transfer from the airport / home / train station in Moscow. You can also come to the narcology clinic on your own (there is a parking lot).

    Free consultation

  • Stages of treatment

    Appointment with a doctor at the clinic and hospitalization

    Appointment with a doctor and subsequent hospitalization are carried out in the private narcological "Marshak Clinic". We guarantee complete anonymity, guided by the Order of the Ministry of Health of the Russian Federation of August 23, 1999g. No. 327 "On anonymous treatment in narcological institutions (subdivisions)"

    During the appointment, laboratory and instrumental studies are carried out, then the doctor collects a preliminary history, assesses the emotional and physical state of the patient, selects and prescribes a course of drug addiction treatment in our center, medicines and procedures .

    Free consultation

  • Stages of treatment

    Detoxification

    If necessary, in the first days after admission to narcology, the patient undergoes a detoxification process to relieve acute alcohol or drug intoxication and remove harmful substances from the body. The procedure takes place under the round-the-clock supervision of a narcologist and a nurse.

    Our addiction treatment center uses state-of-the-art drugs for detoxification. UROD (ultra-rapid opium detoxification) possible

    Free consultation

  • Stages of treatment

    Treatment and diagnostic program

    Duration: 7 days

    Purpose: restoration of all vital functions, relief of cravings, formation of motivation for recovery and development of an individual most effective course of treatment and rehabilitation

    Free consultation

  • Stages of treatment

    Council of doctors

    The consultation is conducted by doctors: psychiatrist-narcologist, psychiatrist, psychologist, geneticist, neurologist, cardiologist

    Purpose: development of an individual treatment program based on genetic analysis (DNA diagnostics), clinical tests, psychological diagnostics. A conclusion is issued for the patient, which describes the results of genetic analysis, diagnosis of addiction complications and psychological tests, genetic studies, recommendations for diet and Kinesiotherapy

    Free consultation

  • Stages of treatment

    Treatment and rehabilitation program

    Duration: from 14 days. Can take place entirely in a drug addiction inpatient facility or be a day/night/outpatient

    An individual drug addict treatment program is used. Pharmacogenetics (drugs selected based on the results of genetic analysis), hardware methods - Alfa Oxy Spa, ILBI, UBI, biofeedback therapy, psychotherapeutic methods, physiotherapy, CHT, thematic lectures, family sessions with relatives, codependency treatment, individual diet to normalize the neurotransmitter balance

    Free consultation

  • Stages of treatment

    Outpatient care and support

    Outpatient program recommended after treatment

    An outpatient program is necessary to ensure that the patient is as comfortable as possible to return to everyday life. After returning to a familiar environment, a person may again have a desire to use. In this case, sessions with a psychologist according to an agreed schedule, mini-groups of AA and NA at the drug addiction treatment center can help.

    Free consultation

  • Stages of treatment

    Guarantees

    After completing the course of treatment, the private narcological "Marshak Clinic" gives a 2-year guarantee. In case of failure, the patient is taken for a second course free of charge.

    Also, within 2 years, the patient can contact the narcology department with questions to the treating narcologist and psychologist.

    Free consultation

Pricing policy

The Marshak Clinic has a fixed price policy. After the conclusion of the contract, the cost of the treatment program does not increase.

The cost of the treatment program at the conclusion of the contract depends on:

Duration of the treatment program

Length of use

Type of addiction

Concomitant diseases

The cost of the program will include everything you need:

Accommodation

Diagnostic and therapeutic measures

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Nutrition

Our specialists

Vashkin Dmitry Vladimirovich

Head physician

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21 years General narcological experience

15 years Work experience in the Marshak Clinic

Movchan Dmitry Anatolyevich

Deputy Chief Physician for Medical Affairs

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18 years General narcological experience

9 years Work experience in the Marshak Clinic

Aksenova Marina Gennadievna

Supervisor, candidate of biological sciences, member of the European society of geneticists HUGO

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41 years General narcological experience

21 years Work experience in the Marshak Clinic

Guevara Leonardo Leonardovich

Psychiatrist, narcologist, psychotherapist. Head of the premium department of the Clinic

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17 years General narcological experience

9 years Work experience in the Marshak Clinic

Pokrovskaya Anastasia Valerievna

Psychiatrist-narcologist

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24 years General narcological experience

17 years Work experience in the Marshak Clinic

Avanesova Valentina Alexandrovna

Psychiatrist-narcologist

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18 years General narcological experience

8 years Work experience in the Marshak Clinic

Ivashinenko Dmitry Mikhailovich

Psychiatrist-narcologist, candidate of medical sciences, associate professor

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21 years General narcological experience

7 years Work experience in the Marshak Clinic

Pyatnitsky Bogdan Sergeevich

Psychiatrist-narcologist

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6 years General narcological experience

2 years Work experience in the Marshak Clinic

Khairutdinova Yuliya Viktorovna

Deputy chief physician for rehabilitation work.
Clinical Psychologist

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20 years old General narcological experience

3 years Work experience in the Marshak Clinic

Ekaterina Vashukova

Psychologist, outpatient program director

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24 years General narcological experience

20 years Work experience in the Marshak Clinic

Keshelava Tina Georgievna

Clinical psychologist

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21 years General narcological experience

9 years Work experience in the Marshak Clinic

Andreeva Anna Igorevna

Clinical psychologist

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20 years old General narcological experience

2 years Work experience in the Marshak Clinic

Chilikin Alexander Alekseevich

Psychologist

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20 years General narcological experience

9 years Work experience in the Marshak Clinic

Lozovskaya Lyudmila Anatolyevna

Social psychologist, clinical psychologist. Deputy Chief Physician for Premium Rehabilitation

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18 years old General narcological experience

3 years Work experience in the Marshak Clinic

Nesterova Tatyana Aleksandrovna

Clinical psychologist

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11 years General narcological experience

3 years Work experience in the Marshak Clinic

Lyubov Dmitrievna Bonetskaya

Clinical psychologist, pathopsychologist, gestalt therapist

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5 years General drug experience

year 2 Work experience in the Marshak Clinic

Gorbachev Denis Eralievich

Psychologist

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10 years General narcological experience

6 years Work experience in the Marshak Clinic

Samarov Alexey Yurievich

Instructor of kinesiogenic therapy, rehabilitation program consultant

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22 years General narcological experience

17 years Work experience in the Marshak Clinic

Yuri Galushko

Senior Consultant. Behavioral Specialist

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13 years General narcological experience

11 years Work experience in the Marshak Clinic

Safonov Denis Sergeevich

Clinical psychologist

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5 years General narcological experience

3 years Work experience in the Marshak Clinic

Tolokolnikov Maxim Sergeevich

Psychologist

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8 years General narcological experience

2 years Work experience in the Marshak Clinic

Milekhina Anna Aleksandrovna

Senior Nurse

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19 General narcological experience

10 Work experience in the Marshak Clinic

Logacheva Liliya Vladimirovna

Nurse

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16 General drug experience

8 Work experience in the Marshak Clinic

Boydakov Andrey Nikolaevich

Chef

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18 General narcological experience

14 Work experience in the Marshak Clinic

Patents and certificates

anonymous

My brother, when he was studying, got hooked on methadone, we did not notice, because at first everything was the same as always. When his parents found drugs on him, his mother probably cried for a day. I helped my parents find Marshak's clinic, at first he only talked to me, but everyone already came to family therapy together. Morally, my mother needed more help, but now she is calm for her brother. He has not been taking it for a long time, there were no breakdowns, but he used free help on outpatient support. Thanks to the doctors of the clinic, they did not let him slide to the very bottom!

09.09.2021

Sviblov

I decided to write a review, maybe it will give hope to someone. I have been on methadone for a long time. Several times I tried to stop using it myself, I understood with my head that it would not lead to good, but without it it was bad. But how well it all started, who also took methadone will understand what effect it has at first. In general, the dependence is strongest. Grateful to my only friend not from the drug scene. He pulled me out. I agreed with the doctors of the Marshak clinic, brought me there. The treatment was long and difficult. I felt sick, dizzy, and other delights. But everything worked out! Thanks to narcologists, psychologists. I don't depend on drugs now and I'm happy. Hope my review helps someone.

11/26/2020

Dilara

I can say for sure - there are no soft drugs, never try any nasty stuff at all. My brother was treated for methadone addiction at the Marshak clinic. This is scary. He lost weight, became haggard, became somewhat inhibited. I was the first to understand that something was wrong with him and persuaded him to go to a psychologist, and there we were already sent to the clinic, because the treatment was urgent and not only psychological. I thank the staff of the clinic for their help. Brother gradually came to his senses, although it was difficult. The main thing is that now there is no place for drugs in his life.

03.11.2020

Olga

Husband took drugs for several years. When I decided to quit, I switched to methadone, assured me that it was a mild drug that did no harm. But taking a light drug almost ended tragically. One day my husband became very ill. Well, at that moment my brother was nearby, he took my husband to the Marshak clinic. I don’t know by what miracle the doctors managed to pull him out! Now my husband is undergoing treatment in the clinic. He has changed a lot for the better! I pray to God to help us!

20.07.2020

Anastasia

I never thought that our family would face such a problem... My son has always been in pursuit of the best marks in his studies, studying at a university in another city. During the holidays, they began to notice something was wrong with him: a haggard face, slowness of action, and at night he practically did not sleep at all! In the clinic of Dr. Marshak, we were examined and passed the necessary tests to identify his current condition. The work of Dmitry Movchan exceeded all expectations. After a course of treatment, I finally see a smile again and a bright blush on my son's cheeks! I am deeply grateful to our doctor.

Novel

I quickly got addicted to methadone, but I couldn't get off it myself, and didn't really want to. Only my mother could influence me. He was treated at the Marshak clinic, after rehabilitation for the first time in many months of addiction he was able to sleep normally. When you take methadone, only the first time you feel great, then hell begins. I am glad that I managed to get rid of addiction, not without the help of doctors, of course, it’s good that I fell into the professional hands of the center’s narcologists. I understood a lot for myself, I don’t even think about drugs, I didn’t replace my drug addiction with alcohol.

Sveta

I never thought that I would take drugs and need the help of a narcologist. The last 5 years were very difficult, I got hooked on methadone. After him, I was not nervous, just somehow life fell into place. But that's just how it seemed. I got hooked hard on drugs, of course I didn’t think about treatment. Only with the filing of the parents went to the hospital. After detoxification, if not for the psychologists of the Marshak Center, I simply would not have taken it out emotionally. But now I understand that I can cope with all this without drugs. I have not taken it for more than a year and do not even drink.

Inga

Thanks more to the doctors of the Marshak clinic for their help, my brother was on methadone. He did not plan to be treated himself, they barely persuaded him to see a doctor, and then the psychologist of the clinic helped us. What my mother and I did not experience while he was taking drugs, but everything is in the past and I hope forever. He underwent treatment, we were afraid that he would run away, as he did before, but he completed the therapy completely and after that he consulted with a psychologist on an outpatient basis. He was treated anonymously, except for his relatives, no one knew. Overcame addiction and now began to rebuild his life. It is not easy, but we are there and support him.

Raisa

I tried methadone for the first time 3 years ago, at first I felt great. It was as productive as possible, but this feeling did not last long. Then everything went on knurled. The dream was gone, I was constantly on the nerves. She herself could not give up the drug, and the initial sensation was no longer there. I felt trapped, they helped only in Marshak to get out of this. That was not easy. Breaking out of the hospital is very tough, I endured a maximum of 3 days. In a drug treatment clinic, this condition is not as severe and lasts less. Although I have not taken it for 1.5 years, the methadone intake has affected me. During the year of drug addiction, I aged, my memory became worse. But I'm glad that drugs are in the past.

Basil

Overcame addiction to methadone, it was the most terrible period of my life. I tried to get rid of the addiction, but withdrawal lasted not for one day, but for weeks, this is a constant nightmarish condition that cannot simply be endured - withdrawal, convulsions, in general, I would not have coped without help. The staff is wonderful, detox helped to overcome the terrible withdrawal. Thanks to the Marshak clinic for help, I have been holding on for half a year and do not want to return to my past life.

Ilya

I took methadone and I can tell you it's a terrible thing. Yes, at first the effect is exactly the opposite. Sleep improves, you feel calm, you are in some kind of harmony with yourself and others. But when you take it over and over again, you get used to it very quickly. When the state of satisfaction lets go, you want to prolong it, again you are drawn to drugs. And you can't get out of this cycle. I realized this and surrendered myself to Marshak's narcological clinic. I am currently undergoing treatment and there are results. I know for sure that no more methadone and drugs in general. This is death!

Methadone addiction - treatment of methadone addiction in Kiev │ NewLife Clinic

Methadone - a synthetic opioid belongs to the group of narcotic substances, similar in action to such narcotic substances as morphine, buprenorphine, promedol, omnopon, heroin, opium, codeine, etc. It has an analgesic (pain reliever), hypnotic, relaxing effect. It belongs to the group of the most difficult drugs of the opium group, with regular use it destroys the physical health of a person, his nervous system, brain, psycho-emotional state, as well as a person’s social life.

In other words, as a result of the systematic use of methadone, the personality as a whole degrades.
Physical and psychological dependence on this drug comes from the very first use. When a drug is withdrawn, if a person does not undergo qualified treatment for methadone, a person experiences a physical and psychological long-term breakdown. Physical breakdown lasts, depending on the experience of using this drug, the dosage and frequency of taking the drug, on average from 14-28 days, the psychological one lasts a much longer period of time.

As a result of methadone use, the following manifestations of human behavior are observed: deceit, theft, problems with law enforcement agencies, narrowing of a healthy circle of interests, as well as a healthy social circle, loans, visiting pawnshops, aggressive behavior, untidiness, problems with work are a common symptom of methadone use , studies, finances, lack of punctuality and other signs.
Withdrawal from methadone is accompanied by: aching joints, insomnia, vomiting, chills, diarrhea, yawning.

The physical condition as a result of taking methadone is characterized by: constricted pupils (like dots), the drug addict loses weight, pallor of the skin, injection marks, lethargy, drowsiness (a person can literally fall asleep on the go), a very high probability of contracting HIV viral infections , hepatitis B, C, and a number of other symptoms. If a person does not start treatment for methadone addiction in Kyiv and other cities, this will lead to a premature death.

Rehabilitation in Kyiv and treatment for methadone addiction

Getting rid of methadone addiction can be done in a drug treatment center followed by rehabilitation in a rehabilitation center.
The first stage of methadone treatment consists of taking tests, medical detoxification from drugs, detoxification of the body and removal of physical withdrawal. Basically, drugs are prescribed that anesthetize the patient's physical condition, normalize sleep, as it is disturbed as a result of drug use, support the cardio system, and prescribe hepatoprotectors (medicines for the liver). They carry out infusion therapy (put droppers) aimed at cleansing the body of methadone and removing intoxication, drugs from the group of opium receptor antagonists (remove methadone from human receptors). In parallel, drugs are prescribed based on the psychological state of a person: sedatives, antidepressants, sedatives. Also, during the detoxification from methadone addiction, a psychologist works with a person.

Detoxification (withdrawal) is not sufficient treatment for methadone, it takes about 5% and is the first step. Further, treatment is required in a rehabilitation center for drug addicts and people with other addictions. Taking a course in a rehabilitation center in Kiev and other cities of Ukraine is aimed at restoring and reforming a person’s personality: the formation of healthy values ​​and principles, communication skills, knowledge of relapse prevention, a 12-step program, the ability to plan life, sports events, adhere to the daily routine, acquire new right interests , hobbies and more.

Substitution therapy (methadone program)

In a number of countries of the world, as well as in Ukraine, there is a drug dependence treatment program called substitution therapy “ST”. That is, treatment for methadone, heroin, opium occurs with the help of pure methadone or buprenorphine.

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