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Method of treating patients with tobacco addiction

IPC classes for russian patent Method of treating patients with tobacco addiction (RU 2506969):
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FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to addictology, and concerns treating the patients with tobacco addiction. That is ensured by the 12-day therapeutic course. For this purpose, Teraligen is administered in a daily dose of 15-20 mg. What is also involved is mesodiencephalic modulation with low frequency currents 60-90 Hz, duration 3-5 ms, amplitude 1-5 mV for 35-45 minutes when the electrodes are placed in an occipitofrontal region. That is also combined with inhalations of atrovent in a dose of 0.7-1.5 ml in normal saline 3 ml and lasolvan in a dose of 0.8-1.2 ml in normal saline 3 ml on the first day. The same doses of the above preparations are inhaled in a combination in normal saline 2 ml on the following days. The treatment is added with a vacuum massage in a pulse mode of amplitude 100-500 mbar and frequency 0.8-2.5 Hz.

EFFECT: method prevents or reduces the intensity of psycho-vegetative disorders and recovers the ventilation function in the patients in the smoking cessation state that ultimately increases the number of patients stopping smoking completely.

3 ex

 

The invention relates to the field of medicine, namely to addiction) and can be used as a method of treatment of tobacco dependence at the stage of Smoking cessation.

There is a method of treatment of tobacco dependence using acupuncture (1 - Smirnov V.K. Clinic and treatment of tobacco dependence. - M., 2000, p.95.). This method is adopted for the similar.

There is a method of treatment of tobacco dependence by the integrated application of MDM therapy (physiotherapy method mesodiencephalic modulation) and Grandaxin (anxiolytic. atypical derived benzodiazepine) (2 - RF Patent 2234954. 2002). This method is adopted for the prototype.

However, the effectiveness of the method is limited, as agitation, aggression or depression, developing a number of patients in the early days of Smoking cessation, are contraindications to assign Grandaxin (3 - Register of medicines of Russia radar encyclopedia of medicine. - 19-th vol. / CH. edit GL the vishkovsky. - M.: "radar-MEDIA". 2010 - 1368 S. S).

The aim of the invention is to increase the efficiency of treatment of patients with tobacco dependence by preventing or reducing the intensity of psychovegetative disorders that may cause a return to Smoking.

The technical result is achieved by the fact. they spend 12-day course of Terrigena in the days the first dose of 15-20 mg in combination with mesodiencephalic modulation currents of low frequency 60-90 Hz. duration 3-5 mampituba 1-5 mV for 35-45 minutes at fronto-occipital location of the electrodes, by inhalation atrovent dose of 0.7-1.5 ml in 3 ml of isotonic sodium chloride and Lasolvan 0.8-1.2 ml in 3 ml of isotonic sodium chloride on the first day and in the same doses together in 2 ml of sodium chloride in the next days and vacuum massage in pulsed mode amplitude 100-500 mbar and a frequency of 0.8-2.5 Hz.

The essence of the proposed method is as follows:

- appointment of Terrigena (readings: neurosis-like state, psychovegetative and psihasteniceskie disorders, sleep disorders. developing in patients with tobacco dependence, starting with 2-3 days after Smoking cessation)

the choice of this drug from the group of neuroleptics when Smoking cessation is based on the existence of inflammatory and antiemetic effects, which prevent the possibility of complaints from the gastrointestinal tract in the stress of quitting Smoking;

the combination of MDM therapy due to the generation of endorphins can reduce the dose of Terrigena with 60-80 mg recommended to achieve a good effect, up to 15-20 mg per day;

the effect of inhalation and vacuum massage with one hand, and the antitussive effect of Terrigena. on the other, are synergistic regarding recovery of respiratory function. broken with long-term tobacco Smoking. Restore this feature greatly contributes to the improvement of the General condition of patients.

The method is implemented as follows.

The patient was admitted with a long status smoker and regularly dependent Smoking 1-2 packs a day. The decision to giving up Smoking took in connection with the deterioration of health. Conducted counseling with the goal of enhancing motivation. In the future, was held re psychotherapeutic conversation, because Smoking cessation was accompanied by deterioration in emotional state (appearance irritability, temper, periodically - a state of melancholy)that questioned the possibility of quitting. In addition, increased cough with difficult detachable sputum, which in recent years has concerned only in the morning.

Carry out reception of Terrigena in a daily dose of 15-20 mg (5 mg 3-4 times a day) and physiotherapy. Spend mesodiencephalic modulation currents of low frequency 60-90 kg, duration of 3-5 MS. the amplitude of 1-5 mV for 35-45 minutes at fronto-occipital location of the electrodes. Produce inhalation: first day atrovent and Lasolvan separately (including possible allergic reactions). atrovent dose of 0.7-1.5 ml 3 ml of physiological solution, Lasolvan at a dose of 0.8-1.2 ml 3 ml of physiological rest the RA: in the next days together in the same doses with the addition of 2.0 ml of physiological solution. Perform vacuum back massage in a pulsed mode amplitude 100-500 mbar and a frequency of 0.8-2.5 Hz

Procedures carried out during the day with the interval between treatments 2-2 .5 hours.

By the end of the treatment course the patient's health has improved. The patient does not smoked, preserved the mood for a full cessation of Smoking in the future. It was recommended the continuation of reception of terrigena within 2 weeks, if needed psychotherapy.

The method is further confirmed by the examples.

Example 1.

Patient K., 42 years old, was admitted with a diagnosis of Chronic biliary pancreatitis, often relapsing course, aggravation. Cholelithiasis: cholecystolithiasis. Peptic ulcer disease duodenal ulcer in remission. Status smoker was assessed as "regular dependent smoke: smoked from the age of 17, in recent years, 20-30 cigarettes a day. Previously attempted to quit Smoking, however due to the sharp deterioration in 2-3 days returned to Smoking. The decision to giving up Smoking took due to ill health. Smoking cessation was accompanied by deterioration in emotional state (appearance irritability, temper, interspersed with depression)that questioned the possibility of quitting. In addition, increased cough with difficult detachable sputum, which in the last years were disturbed only in the morning.

Treatment (course 12 days):

- Terlingen at a dose of 15 mg 3 times a day side effects was not.

- Physiotherapy: MDM-therapy apparatus MDM 101" currents of low frequency (60 Hz. the pulse duration of 3 MS, pulse amplitude 1 mV) at fronto-occipital electrode positioning, procedure duration of 35 minutes; inhalation: first day atrovent dose of 0.7 ml in 3 ml of isotonic sodium chloride, Lasolvan at a dose of 0.8 ml in 3 ml of isotonic sodium chloride solution in the next days - atrovent dose of 0.7 ml and Lasolvan at a dose of 0.8 ml together in 2 ml of isotonic sodium chloride: vacuum back massage in a pulsed mode with an amplitude of 100 mbar frequency of 0.8 Hz. The interval between treatments 2 hours.

Completely stopped Smoking, phone survey after a year of Smoking has not returned.

Example 2.

Sick So 37 years. he admitted with a diagnosis of gastric Ulcer and duodenal ulcer, relapsing course, aggravation. Status smoker -"regular dependent Smoking." Smokes 15 years, in recent years 10-15 cigarettes a day. The decision to quit Smoking has taken on the advice of a physician due to the frequent recurrence of peptic ulcer disease.

Smoking cessation was accompanied by deterioration in emotional state in the form of irritability, sleep disturbance with the advent of disturbing dreams. havelse cough with mucus secretion, which had sporadically.

Treatment (course 12 days):

- Terlingen at a dose of 5 mg 4 times a day (20 mg). side effects were not.

- Physiotherapy: MDM - therapy apparatus MDM 101" currents of low frequency (90 Hz. pulse duration of 5 MS. the pulse amplitude of 5 mV for 45 min) at fronto-occipital electrode positioning; inhalation: first day atrovent dose of 1.5 ml in 3 ml of isotonic sodium chloride, Lasolvan at a dose of 1.2 ml in 3 ml of isotonic solution of sodium chloride, in the days that followed atrovent and Lasolvan in the same doses with the addition of 2 ml of isotonic sodium chloride solution; vacuum back massage in a pulsed mode with an amplitude of 500 mbar frequency of 2.5 Hz. 12 procedures. The interval between treatments 2.5 hours.

The result is cessation. The complete disappearance of psychovegetative disorders resulting from Smoking cessation, normalization of sleep. Complete healing of the ulcers as a result of the treatment. After a year of not Smoking (telephone interviewing).

Example 3.

Patient I., aged 22, was admitted with a diagnosis of Chronic gastro duodenitis, acute exacerbation. Status smoker: "regular dependent smoke: smoke from the age of 12, in recent years 25-40 cigarettes a day. Offer assistance in quitting Smoking took after talking to a psychologist due to ill health, as well as the negative experience of the area nearest relative (intermittent claudication on the background of the disease). Smoking cessation was accompanied by the emergence of aggressive behavior.

Treatment (course 12 days):

- Terlingen dose] 7.5 mg per day.

- MDM-therapy apparatus MDM 101" currents of low frequency (80 Hz, pulse duration of 4 MS, the pulse amplitude of 3 mV). the duration of the treatment - 40 minutes; inhalation: first day atrovent dose of 1.0 ml in 3 ml of isotonic sodium chloride, Lasolvan at a dose of 1.0 ml in 3 ml of isotonic sodium chloride solution in the next days - atrovent dose of 1.0 ml, Lasolvan at a dose of 1.0 ml with the addition of 2 ml of isotonic sodium chloride solution; vacuum back massage in a pulsed mode with an amplitude of 300 mbar frequency of 1.5 Hz. The interval between treatments 2 hours.

Result: the treatment endured with difficulty (deterioration of physical health due to Smoking cessation was accompanied by obsessive thoughts about returning to Smoking - was conducted psychotherapy), the condition improved after 10 treatments. At discharge from the hospital did not smoke.

Method of treatment of tobacco dependence, characterized in that conduct a 12-day course of terrigena in a daily dose of 15-20 mg in combination with mesodiencephalic modulation currents of low frequency 60-90 Hz, with a duration of 3-5 MS, the amplitude of 1-5 mV for 35-45 minutes at fronto-occipital location of the electrodes, by inhalation atrovent dose of 0.7 to 1.5 is l in 3 ml of isotonic sodium chloride and Lasolvan at a dose of 0.8-1.2 ml in 3 ml of isotonic sodium chloride on the first day and in the same doses together in 2 ml of isotonic solution of sodium chloride in subsequent days and vacuum massage in pulsed mode amplitude 100-500 mbar and a frequency of 0.8-2.5 Hz.

 

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