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La Federacin de antabuse alternativa Alcohlicos Rehabilitados de Espaa (fare) estima que en torno a 500.000 personas en nuestro pas tienen problemas relacionados con el alcohol y slo el 10 busca ayuda para solucionarlos. Pero, al pedir ayuda, la mayora de asociaciones e instituciones que atienden a los alcohlicos apuestan por abordar el problema desde una sola perspectiva: la abstinencia. Y hay mucha gente que se pierde una y otra vez en el camino hacia la sobriedad. Es el caso de, susana, una conocida actriz estadounidense que contaba su historia en la revista. Newsweek bajo un nombre ficticio. Acudi cinco veces a Alcohlicos Annimos pero no antabuse alternativa logr acabar con el hbito. Estuvo tambin en una clnica de rehabilitacin en California, prob con el Antabuse (un frmaco que aumenta el impacto de la resaca la acupuntura, la hipnoterapia, y durante todo un ao recibi terapia psicolgica. Aunque lograba dejar el alcohol durante breves periodos de tiempo siempre volva a caer en peligrosas borracheras. Gracias a la naltrexona los pacientes dejan de verle la gracia al alcohol y su consumo va disminuyendo poco a pocoEntonces descubri el mtodo Sinclair, un tratamiento farmacolgico contra el alcoholismo desarrollado por el doctor estadounidense. David antabuse alternativa Sinclair a principios de los 90 y perfeccionado posteriormente por su discpulo, el psiclogo sudafricano. El mtodo es sencillo. Sin dejar sus hbitos alcohlicos los pacientes ingieren naltrexona, un frmaco que bloquea los efectos positivos que el alcohol provoca en el cerebro al desencadenar endorfina. La sensacin de bienestar que experimentan al beber alcohol desaparece. Basta tomar una pldora de. Una hora antes de beber para que los efectos placenteros propios de la ingesta alcohlica queden bloqueados. Con el tiempo los pacientes dejan de verle la gracia al alcohol y su consumo va disminuyendo poco a poco. La eficacia del tratamiento fue comprobada en 2001 en un estudio publicado en la revista. Journal of Clinical Psychopharmacology y, desde entonces, Sinclair ha logrado que el mtodo sea el protocolo estndar para tratar el alcoholismo en Finlandia, pas en el que lleva afincado desde los aos 70 como empleado del Instituto Nacional de Salud Pblica. Contral, la institucin finlandesa que ms activamente promueve el tratamiento, ste funciona en el 78 de los pacientes. Muchos no dejan por completo la bebida. Susana afirma orgullosa que sigue tomando alguna copa de vino en las comidas, y toma combinados cuando sale con sus amigos el fin de semana, pero nunca ha vuelto a tener una borrachera seria. La compulsin ha desaparecido, asegura. Una alternativa real al tratamiento psicolgico? Una de las bondades que publicitan los promotores del mtodo Sinclair es que ste podra ser implementado en los sistemas pblicos de salud para tratar el alcoholismo e, incluso, podra ser demandado directamente por las personas con problemas de adiccin, tal como asegura Roy Eskapa. Si la administracin del frmaco no va acompaada de un tratamiento psicolgico en cuanto se deje de tomar reaparecer la adiccinSegn Eskapa, los mdicos de familia, que tienen contacto directo con los afectados, podran recetar naltrexona sin que los pacientes se vean obligados a buscar. El principal problema es que, como este frmaco se receta normalmente para paliar los efectos del sndrome de abstinencia (algo que no tiene nada que ver antabuse alternativa con el mtodo Sinclair muchos mdicos no conciben que deba recetarse para que se ingiera antes de beber. Una idea que, adems, va en contra de todas nuestras convenciones sobre los tratamientos de la adiccin. Se puede dejar de beber si se sigue bebiendo? El psiclogo, jos Antonio Tamayo, especialista en adicciones del centro Activa Psicologa y Formacin, ha explicado. El Confidencial que un tratamiento farmacolgico como el que propone Sinclair tiene que utilizarse necesariamente junto a un tratamiento psicolgico. De lo contrario y esta es una de las principales crticas al mtodo, en cuanto se deje de administrar el frmaco la adiccin reaparecera. Lo que s es posible, asegura Tamayo, es abandonar el alcoholismo sin necesidad de promover la abstinencia. Desde hace aos existe la modalidad del beber controlado como una opinin teraputica a tener en cuenta en el tratamiento del alcoholismo, especialmente indicado para pacientes que no deseen renunciar del todo al consumo y que no presenten grave descontrol, sin psicopatologa asociada, y con.


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