What vein coding injections are given for alcoholism?

Excessive addiction to alcoholic beverages leads to serious negative consequences that affect all areas of human life. Health, relationships with loved ones, and social status suffer.

A person is not always able to get rid of addiction on his own. This is where doctors come to the rescue, offering treatment for alcoholism using various methods, including injections.

  • 3 Contraindications
  • 4 Side effects and consequences
  • 5 Consequences of drinking alcohol
  • 6 Conclusion
  • The treatment differs in the following mechanism:

    • The first option involves “sealing” enzymes produced by the liver, which process alcohol into safe products. If an alcoholic drinks at least 100 grams of alcohol after an injection, withdrawal symptoms will immediately appear, but with more pronounced symptoms;
    • the second involves an effect on the brain centers responsible for the pleasure that accompanies the consumption of strong drinks. Because of this, a person will not experience a surge of vigor and euphoria from drinking alcohol. He doesn't get drunk at all, but only feels a severe hangover.

    The duration of such injection coding depends directly on the amount of drug administered. Usually the effect is noticeable from six months to five years. This is quite a long time. However, the best option is an injection that will last for a year. But the decision about what medicine and how much to administer must be made by a specialist.

    Note! In order to overcome alcoholism, you will need psychological support from loved ones who will help you survive the initial period of coding.

    Operating principle

    When drinking alcohol, the body breaks down ethanol into its components – acetic acid and water. This is a way of protecting against a large number of toxins, otherwise a person would simply die from poisoning. This work is performed by special enzymes - the action of disulfiram is directed to them. The process itself can be divided into several stages:

    1. Disulfiram blocks the production of enzymes.
    2. The incoming alcohol is not broken down.
    3. Acute intoxication occurs.
    4. The coded one experiences a hangover syndrome, intensified tenfold.

    If you do it again after encoding

    After administration of the drug, the craving for alcohol decreases noticeably. Immediately after the injection, the alcoholic should protect himself from alcohol as much as possible. After all, now even a small dose of ethanol can give an unpredictable result. The body's reaction can manifest itself in the form of various side effects:

    • severe migraines;
    • nausea, vomiting;
    • dizziness;
    • labored breathing;
    • heart failure;
    • body aches;
    • unreasonable panic attacks.

    Preparations based on cyanamide

    Cyanamide-based products are indicated for the treatment and prevention of relapse of alcoholism. The substance causes a persistent aversion to the smell and taste of alcohol. Like disulfiram, cyanamide prevents the breakdown of ethanol, causing signs of intoxication. But, unlike disulfiram, it is less toxic and is 16% more likely to provide long-term remission. Let's consider preparations based on cyanamide.

    Mizo

    A remedy for the treatment of chronic alcoholism. Available in the form of drops, which are prescribed 2 times a day - morning and evening. Treatment with the drug can be started 12 hours after drinking alcohol.

    Mizo drops can be used both on an outpatient basis and at home. It is contraindicated to use the product without the knowledge of the patient.

    Colma

    The active component of the drug is cyanamide. Colme drops are often added secretly to the patient’s food, which can be unsafe. Secretly taking the drug has a negative impact on mental and physical health, but does not eliminate addiction. The course of treatment for Colma is 3 months. Drops are added to food at room temperature 2 times a day with an interval of 12 hours. Gradually the drug reduces the craving for drinking.

    Advantages and disadvantages of injections for alcohol addiction

    Coding using injections has gained considerable popularity precisely because they really help and this is the main advantage of this type of treatment for alcoholism. But it is far from the last. So, the advantages of this method include:

    1. There are no age restrictions, that is, it is suitable for getting rid of alcoholism in patients of any age.
    2. Minimal side effects. But only if the narcologist’s comments are strictly observed.
    3. The effect lasts for a long time without introducing an additional dose of medication.
    4. Suitable for any stage of alcohol addiction.
    5. It is not sewn under the skin, and therefore we can talk about minimal trauma.

    It is worth noting that this type of coding is ideally suited for the treatment of chronic alcoholism, since cases of relapse are extremely rare.

    Note! Along with the injections, psychotherapeutic effects are also carried out. This is necessary to obtain a good result, as well as to understand why the patient started drinking.

    Despite all the advantages of this method of getting rid of alcohol addiction, one cannot help but mention its disadvantages. After all, they exist, as with any other treatment.

    The disadvantages of such coding include the fact that it can be carried out without the knowledge of the alcoholic. And all because, firstly, he must confirm his desire to be treated. And secondly, before coding with an injection for alcoholism, you need to spend seven days without alcohol.

    You can also add to this list the high cost and the impossibility of performing the procedure at home.

    Injection coding also has a considerable list of contraindications, as well as restrictions that must be adhered to. Therefore, this is a very dangerous procedure.

    Side effects and consequences

    Side effects are a fairly common, although not obligatory, consequence after a coding injection. All of them are divided into two groups: physiological and psychological.

    Apathy

    Apathy

    The following negative physiological reactions to the procedure are possible:

    • Eating disorders – overeating or, conversely, loss of interest in food. A person can quickly gain excess weight or lose a lot of weight. You can cope with this yourself by starting to strictly control your diet.
    • Weight jumps. They can occur without changing your usual diet. Most often this is due to metabolic disorders. This is a temporary effect; if you follow the diet, everything will gradually return to normal.
    • Lethargy, apathy. Over time, interest in life and vigor will return. You can speed up the process by taking vitamins, eating right, and playing sports.
    • Migrating pain. Headache, pain in joints, muscles, even internal organs. To alleviate the condition, you can take a pain reliever.
    • Allergic reaction. It manifests itself as itching, skin rashes, and in severe cases, anaphylactic shock is possible. This reaction is extremely rare.
    • Problems with potency. Most often they occur after psychotherapeutic coding, but they also happen after an injection. The patient's libido decreases significantly and interest in sex disappears.

    Psychological side effects include:

    • Increased irritability, conflict, aggressive attitude. The patient may develop intolerance, pickiness even over trifles, and quarrels with loved ones and others become more frequent.
    • Depressive state. It is explained by sudden changes in lifestyle, the need to look for new sources of pleasure, an initially unusual state of sobriety and, as a result, a new look at what is happening around.
    • Anxiety. A person may experience anxiety and psychological discomfort for no reason, and in rare cases it can even lead to panic attacks.

    It is possible to completely eliminate the negative consequences through a set of measures, including medications and the help of a psychotherapist.

    Coding alcoholism by injection: types of techniques

    Coding for alcoholism injections
    There are four types of anti-drinking injections, which can be administered in several ways:

    • liver injection;
    • intramuscular;
    • intravenous;
    • under the shoulder blade.

    But before they are introduced, a hot injection is given. He is actively fighting hangover syndrome, as well as preparing the body for injection coding. Typically, it is a mixture of magnesium and a vitamin complex.

    Note! It is called a hot injection because after its administration the patient feels a rush of heat.

    Treatment methods are determined by the narcologist himself based on the individual characteristics and needs of the alcoholic.

    To understand how alcoholism is coded by injection, you need to take a closer look at each of its types.

    Intramuscular injection for alcohol addiction

    This is the most gentle option, and therefore it is less effective. It is most often used when the problem with alcohol is not yet global.

    In this way, medications are administered that are aimed at blocking the opioid receptors in the brain that are responsible for obtaining pleasure while drinking strong drinks. Popular intramuscular injections include Vivitrol, Delfison, and Esperal.

    The effect of such injections against alcohol addiction begins within a few hours after they are administered.

    The main advantage of such injections is that they can be done at home. And there is also an almost complete absence of side effects.

    After the medication is administered, the patient is given a small dose of alcohol to show what will happen if alcohol intake is resumed.

    Anti-drunkenness injection into a vein

    The most common option, used in most cases, as it is most effective. However, there are a number of contraindications. For example, coding of alcohol dependence by intravenous injection is not carried out if:

    • deviations or disturbances in the functioning of the brain;
    • mental illness.

    Among other things, an injection into a vein sometimes causes:

    • severe chills, fever (a febrile state is often observed);
    • increased heart rate;
    • panic fear of death.

    Occasionally, the appearance of auditory and visual hallucinations and confusion are noted. But everything goes by very quickly. Literally after an hour, all side effects disappear, but after this the patient will need healthy sleep so that the body can regain strength.

    It is precisely because of the possible occurrence of complications that such a procedure is carried out only in drug treatment clinics.

    Such an injection allows you to introduce a large amount of medicine into the blood, which at the slightest contact with ethyl alcohol causes a severe hangover.

    Note! In Moscow, alcoholism is coded in exactly the same way.

    An injection under the shoulder blade for alcohol addiction

    The drug is injected under the shoulder blade, into the subcutaneous layer. The helium form ensures that the drug remains under the shoulder blade for a long time, after which it begins to gradually be absorbed into the blood. The principle of its operation lies in the fact that the main active ingredient (disulfiram) blocks the creation of enzymes that break down ethyl alcohol into safe substances. Because of this, even after 100 grams of alcohol, severe withdrawal symptoms occur.

    Note ! This procedure is quite painful, and therefore it can only be performed under local anesthesia.

    The effect of such coding of alcoholism lasts for a long time. Usually at least a year.

    Hot injection into the liver

    Treatment of alcoholism injection
    When an urgent result is needed, this particular injection coding method is used. It is aimed at developing an aversion to all drinks containing alcohol.

    Its peculiarity is that the medicine has a strong effect on liver enzymes. Immediately after its administration, the process of decomposition of ethyl alcohol is blocked. As a result, its concentration in the blood increases, which causes severe intoxication, accompanied by nausea, body aches, lack of air, and heaviness in the chest.

    This is done so that the patient feels all the side effects and is afraid to start drinking in the future.

    Such injections for alcoholism are highly effective, but in practice they are rarely used because they can lead to severe complications.

    How to prepare for intravenous administration of an anti-alcohol drug

    Injections for alcohol addiction can be administered in several ways, namely:

    • intravenously;
    • intramuscularly;
    • liver injection;
    • injection under the shoulder blade.

    Disulfiram

    Each of the methods listed above has its pros and cons, and is usually prescribed by a doctor based on the complexity of the case.

    Injections that help fight alcohol addiction, like most other similar drugs, have a number of contraindications, one of the main ones being increased sensitivity and intolerance to the main or auxiliary components of the drug used for injection.

    In addition, treatment with such injections is strictly prohibited for:

    • atherosclerosis of the brain and other diseases of the cardiovascular system;
    • eye diseases;
    • neuritis of the auditory nerve;
    • diseases of the endocrine system, including diabetes of any type;
    • respiratory tract ailments;
    • renal failure and kidney stones;
    • stomach or intestinal ulcers;
    • tuberculosis;
    • the presence of malignant tumors;
    • mental disorders and epilepsy;
    • AIDS;
    • diseases of the hematopoietic organs;
    • convulsions;
    • polyneuritis.

    Injections are also contraindicated for pregnant women and nursing mothers. Despite the high efficiency of this method, it can lead to the most unexpected and unpredictable consequences.

    Especially if the patient experiences breakdowns that lead to complications that provoke serious heart and vascular diseases, including death.

    Even if the patient successfully held on throughout the entire period of therapy, then upon its completion there are often breakdowns and everything starts all over again. To prevent this from happening, you should not limit yourself to just an injection, but also conduct psychotherapy sessions with the patient to help you tune in to a new happy life without alcohol.

    We suggest you read: Treatment of alcoholism with folk remedies at home

    What kind of injection is given when coding for alcoholism?

    Considering that an injection that helps to cope with alcohol addiction has a number of contraindications, before starting treatment, it is necessary to examine the patient and after that, the doctor will be able to decide on the drug and dosage. It is also necessary to first abstain from taking any alcoholic beverage, as well as medications containing alcohol.

    Otherwise, treatment can lead to the most unpredictable consequences. Today, relief by treating alcohol addiction with injections is carried out using several methods - these are: coding by injection into a vein, intramuscularly, under the shoulder blade and into the liver.

    • Effective coding - an injection into the liver

    If during coding an injection is made into the liver, in this case the injected drug completely blocks the functioning of the organ, which causes intoxication of the human body, accompanied by symptoms of severe poisoning.

    This modern method is not used in practice in medicine very often; it requires special attention and caution when performed, observing all the requirements for contraindications, especially in the presence of any serious disease.

    The cost of such a procedure can range from 3.5 to 6 thousand rubles, depending on the coding period and the drug used for therapy.

    When coding for alcohol dependence with an injection into a vein, various adverse reactions occur, most often they manifest themselves in the form of:

    1. hot flashes with profuse sweating;
    2. severe chills;
    3. dizziness;
    4. heart pain;
    5. increased heart rate;
    6. panic fear.

    As a rule, all these symptoms disappear safely 1-2 hours after the injection, the patient relaxes and falls asleep. As for the drugs that are administered to a person with alcohol dependence during such treatment, today there are quite a lot of them on the pharmaceutical market under different commercial names. This could be Disulfiram, Vivtrol, Aquiling, etc.

    The duration of therapy can be from 1 to 3 years, depending on the volume of injection, but the most effective period of such treatment is considered to be 1 year.

    The intravenous injection procedure, as well as in the case of an injection into the liver, requires special care and compliance with all recommendations, both from the attending physician and from the patient.

    The average cost of coding by injection into a vein ranges from 3 to 5 thousand.

    Immediately after the administration of a drug that blocks the ability to process alcohol, the patient does not experience any changes, and the person may think that all this is a “dummy” that does not entail any consequences.

    But as soon as a patient with alcohol addiction drinks a little alcohol, his health immediately seriously deteriorates and such symptoms cannot be relieved by anything.

    An injection under the shoulder blade for alcoholism is absorbed much more slowly than an injection administered intravenously, which helps extend the period of effectiveness of such therapy to 5 years.

    Important!

    For such an injection, a drug called Espiral-gel is used and the procedure costs from 4 to 6 thousand rubles.

    Medicines that are used for coding, when combined with alcohol, will certainly lead to poor health and give rise to side effects, due to which the patient begins to be afraid to drink alcohol.

    If he tries to drink even a little, it can lead to terrible consequences that cannot be controlled.

    But even this will not be enough! Now there are modern remedies that can not only reduce the desire to drink, but also completely cure this ailment. Today, Esperal gel is considered one of the best. It is administered by injection under the shoulder blade. The person practically does not feel pain because before the procedure he will be given an anesthetic injection.

    The goal of any work related to alcoholism is, as a rule, to protect the patient from subsequent use of alcohol. Work against addiction, including this medicine, helps the patient himself, without the supervision of specialists, get rid of booze forever and maintain self-control for a long time.

    Encoding with an implant and injection have approximately the same effect on the problem. However, before starting this type of treatment, the patient’s personal consent is necessary, otherwise nothing will come of it.

    Although filing esperal data shows excellent results even without a person’s consent, experts say that motivation helps to cope with the disease faster and more effectively.

    Advice!

    Only specialists with medical education can carry out coding using a special gel or sew an implant under the shoulder blade.

    If you read the instructions for Esperal Gel, you will find out that it is produced in the form of a gel-like mass, it is used as a prevention of various relapses during addiction therapy. It copes with its tasks perfectly; everyone who was treated with this medication was very pleased with the effect.

    Among the contraindications to the use of the drug are:

    • The patient’s intolerance to some of the components included in the product;
    • Heart diseases;
    • Kidney and liver failure;
    • Epilepsy;
    • Mental disorders.

    Women should not use the drug during pregnancy and breastfeeding. Several days must pass from the last use of intoxicating drink to the start of therapy. Your attending physician should tell you more details.

    There are many coding options for alcoholism. All methods can be divided into 3 groups: medication, psychotherapeutic and mixed.

    Coding with a “Torpedo” injection refers to medicinal methods. In our clinic, in order to increase the effectiveness of the drug, psychotherapeutic suggestion is simultaneously used.

    This is a drug that blocks the enzymes that break down alcohol. As a result, ethanol turns into poisonous acetaldehyde. When drinking alcohol after the coding procedure, instead of relaxing and enjoying the person, the body will be poisoned. Which will prevent him from continuing to drink.

    Clinical manifestations of the consequences depend on the dose and strength of alcohol consumed, as well as individual characteristics, including the presence of concomitant diseases and complications of alcoholism.

    Most often, the “breaker” experiences: severe nausea, vomiting, abdominal pain; severe headache, dizziness; hot flashes; severe weakness, malaise; drop in blood pressure and heart pain; palpitations and heart rhythm disturbances.

    With a large dose of alcohol, the presence of toxic hepatitis and alcoholic heart damage, death is possible. Its probability is greater, the less time has passed since encoding.

    Complications

    The coding procedure itself does not cause any side effects or complications. But only subject to the ban on alcohol. When leading a sober lifestyle, the client does not experience any negative feelings.

    All complications develop during a “failure” as a result of poisoning the body with acetaldehyde. The worst complication of Torpedo coding is death, which must be warned about before the procedure.

    The patient fills out an information form about the treatment method and its complications and gives written consent to voluntary coding.

    To code effectively and safely, a person must be prepared both mentally and physically. To do this you need to go through a number of procedures:

    • a conversation with a doctor to determine the degree of motivation for sobriety, identifying psychological anchors and choosing a treatment method;
    • undergo an examination to identify contraindications for coding;
    • carrying out detoxification of the body (if indicated).

    At all stages of preparation, the patient must be sober and not suffer from a hangover. The period of abstinence from alcohol before coding varies from person to person; some should not drink for 5 days, while others should not drink for 3 weeks. Readiness for the procedure will be determined by a psychiatrist-narcologist. If necessary, the preparation process can be accelerated through detoxification therapy.

    • The first option involves “sealing” enzymes produced by the liver, which process alcohol into safe products. If an alcoholic drinks at least 100 grams of alcohol after an injection, withdrawal symptoms will immediately appear, but with more pronounced symptoms;
    • the second involves an effect on the brain centers responsible for the pleasure that accompanies the consumption of strong drinks. Because of this, a person will not experience a surge of vigor and euphoria from drinking alcohol. He doesn't get drunk at all, but only feels a severe hangover.

    We invite you to read: Who, where and how to pray correctly for alcoholism, priest’s recommendations, texts of prayers

    In what situations is alcohol coding by injection contraindicated?

    There are cases when injection coding is strictly prohibited, namely:

    • asthma;
    • diseases of the cardiovascular system;
    • glaucoma;
    • liver diseases;
    • osteoporosis;
    • epilepsy;
    • fungal diseases;
    • pancreatitis;
    • pregnancy.

    Due to the fact that the basis of coding for alcohol addiction is fear for one’s health and preservation of life. After all, it is he who prevents you from starting to drink alcohol again. Alcoholics suffering from mental disorders often exhibit psychosis and a panicky fear of death.

    Restrictions

    Coding with intravenous injections for alcoholism can lead to serious consequences if the patient has diseases of the internal organs (central nervous system, heart disease and endocrine system). Therefore, it is better to tell your doctor about the presence of such diseases:

    • Allergies, fungal diseases;
    • Asthma, epilepsy;
    • Osteoporosis;
    • Diabetes;
    • Hepatitis;
    • Glaucoma;
    • Pancreatitis;
    • Pathologies of the kidneys and liver, as well as acute and chronic failure;
    • Pregnancy and breastfeeding;
    • Psychological disorder.

    The narcologist will make a decision and prescribe appropriate drug treatment based on the degree of the disease and possible consequences.

    Complications during therapy with disulfiram-based medications can occur when using: mouthwash, vinegar, aftershave lotion, sauces, cough suspensions and various medicinal and cosmetic alcohol-containing products.

    So, there are many types of coding, as well as medications for intravenous injection. The doctor decides which method to use and which injection to give when coding for alcoholism. Here it is important that the narcologist takes into account all existing restrictions and diseases and prescribes a less harmful method of treatment for the patient. But no less important is the patient’s desire to get rid of this habit and return to a normal lifestyle.

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    What medications are used for injection coding?

    Drugs containing a high content of disulfiram are aimed at blocking liver enzymes responsible for the breakdown of ethanol. As a result, a strong reaction occurs to any amount of alcohol, even the smallest.

    To avoid the development of severe complications, the medicine is prescribed based on the characteristics of the sick person’s body. Commonly used drugs include:

    Disulfiram is used for administration into the liver, intramuscularly or into a vein. Side effects include cerebral edema, partial memory loss, angina pectoris, and severe migraines. Validity period is from one to three years.

    Eperal gel is only suitable for injection under the shoulder blade. May cause allergic reactions, vomiting, decreased vision, a sharp increase in blood pressure, headaches, and memory loss.

    Algominal is used for both intravenous and intramuscular injection.

    If after taking the medication the patient starts drinking again, the body may give its response to alcohol:

    • the appearance of tremor;
    • acute pain in joints and muscles;
    • the appearance of shortness of breath;
    • excessive excitability;
    • vascular spasms.

    Medicines with an active ingredient such as Naltrexone are also used. It can be:

    • Antaxon;
    • Vivitrol;
    • Prodexon.

    All of these drugs are complete analogues of each other, so they all contain one active agent. That is why their use is possible only for intramuscular injections or under the shoulder blade. But an injection into a vein is contraindicated, as the consequences can be unpredictable.

    These injections have a general way of working, which is that they remove the pleasure from drinking alcohol. Instead of the former pleasant feelings of euphoria, poor health appears, characteristic of a hangover syndrome.

    As a result of their use, the alcoholic loses all interest in alcohol, since he only feels withdrawal symptoms and nothing more.

    But it should also be noted that Naltrexone-based injections have a serious drawback. And it lies in the fact that when used, the risks of toxic liver damage increase.

    Injections effectively cope with alcoholism, but they can only be given if the alcoholic gives his consent to this. You can persuade him to do this by simply talking calmly at moments of sobering up, when withdrawal symptoms manifest themselves.

    Author of the article: Yakovlev Evgeniy Anatolyevich

    Narcologist, Candidate of Medical Sciences.

    Education:

    Russian State Medical University (1990-1996), Russian Academy of Postgraduate Education (1996-1998, residency).

    Reviews

    Igor Korobinsky, 37 years old, Novosibirsk:

    When I was choosing how to encode, I looked at all the sites and read a bunch of reviews. Everyone has different results, like sewing helps and hypnosis. I am suspicious of hypnosis, and I also didn’t want to insert a capsule under the skin, so I chose an injection into a vein. Everything went well, the doctor was normal. Now I haven’t drunk at all for six months, I think this is forever.

    Roma Barel, 42 years old, Ivanovo:

    I decided to encode. I didn’t think about the method for a long time, but immediately chose the injection. Before this, a long time ago, I once read reviews about the results, everyone said that the injection helped well. Before the procedure, I had to not drink alcohol for a week, but I did it. The injection itself was painless, but then a slight burning sensation was felt, which passed quite quickly. Now I am sure that I will be able not to drink until the end of the coding.

    Yuri G., 47 years old:

    I drank heavily for about 10 years, then it dawned on me that this was alcoholism and I couldn’t handle it on my own. I went to a narcologist. They gave me some kind of injection, and a couple of hours later, already at home, I began to shake violently, I hardly remember what exactly I felt. But I kept thinking - I’m dying. This state lasted for a day, then gradually recovered. After which I didn’t drink for a couple of months, because I really thought if I drank, I’d die. Then the fear gradually went away, I started drinking again, and after a couple of months I started binge drinking again. In general, no more injections, now I’ll try hypnosis or something like that.

    Hypnosis

    Man with keychain

    The most common method of psychotherapeutic influence is hypnosis. The patient is put into a light trance and encoded through beliefs. This method is not very successful. Before it is carried out, it is necessary to abstain from drinking strong drinks for a long time.

    There are many practices and techniques, but the most common is the A.R. method. Dovzhenko. Stress therapy can be performed on anyone. There are no contraindications for the technique. The session takes only 2 hours. You can code a person for a period of 1 to 3 years.

    The key to successful coding by hypnosis is the voluntary and conscious decision of the patient. It is better to come to the session accompanied by a family member or loved one.

    Before performing hypnosis, you need to make sure that the doctor is qualified. A poor-quality session will lead to disruption of the human psyche.

    Contraindications

    There are several strict contraindications to injection coding, such as:

    • Pregnancy.
    • Nervous system or mental diseases such as epilepsy or dissociative disorders, etc.
    • Withdrawal state.
    • Aggravated infectious pathologies.
    • To the hearts.

    To avoid undesirable consequences, it is recommended to remain sober for several days before injection coding.

    How is the procedure done?

    Before prescribing a session for the patient with the administration of medication, the specialist needs to find out the medical history and refer the patient for diagnostics in order to exclude diseases for which injections cannot be given. It is also necessary to have a regular conversation with the patient, during which it is necessary to familiarize the person with the work of the drug, side effects, and the process of carrying out the event.

    https://www.youtube.com/watch?v=Rqx7L2DhWHA

    In some cases, the doctor can check for a negative reaction to alcohol, for which he forces you to drink no more than 20 ml of vodka. In this way, you can see whether the injected substance is enough or another ampoule is needed. Before the session, the patient should not drink for at least 3 days, otherwise the drug will immediately begin to interact with ethanol residues.

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