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Memory impairment

14 Feb 2019

Memory impairment is one of the most common symptoms in the clinic of organic and functional brain diseases. About a third of people have ever experienced significant dissatisfaction with their memory. Elderly people complain of memory impairment much more often. Age changes in memory are secondary and are associated with a weakening of attention concentration and a decrease in the response rate to external stimuli, which leads to the inadequacy of the processes of encoding and decoding information during the stages of memorization and reproduction.

Memory impairment. Cortexin. Phenotropil

The weakening of memory usually manifests itself in the form:

- reproductions - a person can not recall a particular fact that is needed at the moment, a little later it appears in the memory;
- retentions - a person forgets that he previously reported the fact to a certain person.

Initially, the memorization, reproduction of a specific material, date, name, figure, name, term, person is violated. Forgotten fresh impressions, which have not yet had time to gain a foothold in memory. Man is less oriented in time, chronological memory begins to suffer, the sense of time is also broken.

Mnestic disorders are observed with dementia, dyscirculatory encephalopathy, dysmetabolic disorder (chronic intoxication, neuroergiatric diseases), depression, dissociative and anxiety disorders, hypothyroidism.

Memory impairment can be observed against a background of chronic alcoholism, lack of thiamine, vitamin B12 deficiency and folic acid, in the presence of a tumor, trauma, poor blood circulation, encephalopathy.

Non-drug prevention of memory decline suggests:

- balanced nutrition with the exclusion of fatty foods, sugar, salt;
- regular exercise (walking, morning gymnastics);
- memory training (board games, crosswords, learning foreign languages);
- rejection of bad habits (smoking, alcohol).

General medicines:

Angioprotectors and microcirculation correctors: Memoplant, Trental 400, etc.

Antihypoxants and antioxidants: Mexiprim et al.

Correctors of cerebral circulation disorders: Amilonosar, Bravinton, Vinpoton, Vinpocetine, Vinpocetine-Acry, Cavinton, Bilobil, Bilobyl Intensive 120, Bilobil Fort, Ginkoum, Breinal, Nimotop, Stugeron, Vazobral and others.

Nootropics: Cortexin, Cortexin for Children, Noopept, Cerebrolysate, Pantogam Active, Phenotropil, Tenoten, Gynos, Pantogam, Nooclerin, Idebenone 0.03 g in capsules, Idebenone tablets, coated, 0.03 g, Lucetam, Noothbril, Nootropil, piracetam, Encephabol, Gliatilin, Cerepro, Cereton, Combbitropyl, and others.

Dopaminomimetics: Pronoran and others.

Metabolics: Karnicetin and others.

Additional medicines

Biological supplements: Aviton GinkgoVita, Artromax, OMEGA PREMIUM Life formula, Ricoline, Ginkgo Biloba "Evalar", Coffeeberries, Acuity of feelings, Chernega, etc.

Vitamins and vitamin-like remedies: Vitrum Perfomens et al.

Homeopathic remedies: Memorial, Cerebrum compositum N, and others.


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Freshen the Nip

12 Feb 2019

Physical dependence is the need of an organism of a sick person in the systematic (constant or periodic) use of alcohol. How does it manifest itself?

Freshen the Nip - Phenylpiracetam alcohol

With insufficient amount of alcohol in the body, for example the morning after drinking, the patient develops a hangover state of varying degrees of severity, but always painful. He experiences frustration, weakness, headache, sweating, frequent palpitations, blood pressure rises or falls. Characterized by swollen, red face, trembling in the fingers, and sometimes in the legs and even in the whole body, loss of appetite, often a general chill.

A serious physical condition is almost always combined with depression or nervous tension - an inexplicable anxiety, a fear of something terrible, but inevitable, gnawing at the feelings of guilt for loved ones for the booze.

To recover from hangover Phenotropil can be used.

The patient tends to hangover, looking for any alcohol. And only drunkenness improves well-being, leads him to normal, removes gravity from the soul. Sometimes the patient, realizing that you can not drink before work, tolerates until dinner or even until evening and only afterwards drinks (retarded alcohol). But the essence of the matter is that it does not change: freshen the nip (a new portion of alcohol) is necessary.

It is important to understand that a hangover is not so much a consequence of poisoning the body with alcohol, but rather a manifestation of a shortage, a deficit of it. Poisoning by mushrooms, for example, or a new portion of fly agarics is not treated. And the alcoholic is forced to get drunk, re-enter the poison, because without it, it's even worse.


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Is doctor's help necessary if a person tries to quit drugs?

08 Feb 2019

Parents question: Is doctor's help necessary if a person tries to quit drugs? It is not necessary, unless it has severe concomitant diseases (for example, heart or lung disease) or complications of addiction - thrombophlebitis, phlegmon, convulsive seizures, etc. On the other hand, if the promise of medical assistance helps the drug addict to decide on treatment and you are of course, we should use this opportunity.

addiction treatment

The first way to treat drug addiction, which comes to the head of the addict himself is to alleviate withdrawal with the help of various medications. He reasons this: "The most important thing is to going cold turkey, and then I will not just take drugs."

What medicines does the addict choose for self-treatment?

1. Sleeping Pills
2. Painkillers
3. "For the liver." (Heptral etc)

As drug addicts feel ill during the treatment, they are habitually trying to "disconnect" from their poor health. The most suitable from their point of view for this tool are sleeping pills, which they are ready to use in incredible quantities. And the most popular in their environment are the strongest drugs. Currently, almost the only means for self-treatment addicts consider Phenazepam or reladorm - a combined hypnotic drug in the form of tablets containing cyclobarbital. Cyclobarbital refers to the hypnotic barbiturate series and, like other barbiturates, is able to form a real drug addiction. In addition, it is with massive use (namely, so it is used by drug addicts) causes brain damage - encephalopathy.

But that's not all

If in the treatment of abstinence syndrome ("cold turkey") the rate is to be made only for sleeping pills - even not for reladorms, then this treatment may not end in anything. The fact is that the addict takes sleeping pills to "not feel broken". But as soon as he wakes up, unpleasant symptoms arise with renewed vigor. He again takes an increased dose of sleeping pills (the normal dose does not cause sleep during the abstinence period). And so a few days (from 7 to 14) in a row. As a result of an overdose of sleeping pills, poor state of health persists, although abstinence ("withdrawal") has already subsided. And the more the dose of sleeping pills, and the reception of them longer, the worse the condition becomes. True, this situation is typical only for drug addicts with a relatively long experience of narcotics, but in 50% of cases of self-treatment attempts and even more often this is what happens.

Parents question: How to deal with sleep disorders in a drug addict? While he uses drugs, it is better not to fight. The problem does not completely solve all the same, and the regular use of sleeping pills worsens the prognosis for recovery. When he stops anesthesia, this question should be addressed to a doctor. In general, during this period, a hot bath or shower at night helps, if sleep disorders are not too pronounced.

As an anesthetic, first of all, the addict tries to choose opiate drugs - for example, methadone. He tells his family that other drugs do not completely "relieve" the pain and do not help fall asleep (and this is true). The result of such "treatment" is usually the transition to another drug, often more dangerous and expensive. Therefore do not agree with this method of "treatment".

Parents question: Should I use analgin, pentalgin, reladorm during abstinence? Analgin is not absolutely safe drug - in large quantities it damages the heart muscle. In addition, its effectiveness with abstinence is usually low. Pentalgin and reladorm contain barbiturates, which in themselves are drugs and cause damage to the brain.

So think ...

In recent years, there are two effective publicly available analgesics, and since drug addicts still use them spontaneously, I will also say a few words about them.

The first is called "tramal" and is sold in ampoules, capsules, candles and drops. It helps well from toothache, but in healthy people (especially women) it often causes nausea. It costs expensive. In itself, during abstinence, drug addicts help badly. Doctors use it, but in combination with other drugs and quite a limited time. If you use tramal for several days, its effectiveness drops dramatically.

The second drug is called "ketorol" (sometimes "ketanov") and is sold in tablets and ampoules. Its advantage over tram is that it is sold without a prescription. It is relatively expensive. You can take only after eating. During abstinence drug addicts help badly. We use it, but only when the "breaking" is already on the wane. If applied more than 5 days in a row, it can cause a stomach ulcer; therefore it is contraindicated in those who have already had it.

Only in occasion of reception of preparations "for a liver" - Essentiale, karsil, Heptral, Layennec, etc. - I can not say anything bad. Of course, they are shown to most drug addicts, especially those who use "intravenous" handicrafts. But I advise you to consult your therapist at your place of residence - just not to overdo it with the dose.

Of course, one can not expect that these drugs will help a drug addict to quit drugs

As you can see, I am skeptical about self-medication with the help of pharmacological agents. But there are other ways to help yourself. And I am glad to welcome them with all my heart:

1. "Breaking into dry" - that is, without the use of medicines. This method can be used by 95% of drug addicts without serious risk to themselves. This is dangerous only for those who suffer from severe chronic diseases such as ischemic heart disease, liver cirrhosis, chronic kidney failure, etc. Among drug addicts, such patients are found, but infrequently - usually die before they decide to be treated. But! Most drug addicts do not agree to transfer "breaking to dry" simply because of the fear of pain.

2. Use of a bath, a sauna and hot water procedures. The restrictions are the same as for "dry breaking", but the abstinence in the hot water is much easier to tolerate. A good physiological way, I would gladly recommend it to anyone who wants to give up drugs.

3. The same, but in the summer in the Sea. In conditions of constant high atmospheric pressure and relatively high air temperature, against the backdrop of mountains, green cypresses and the sea coast, you can abandon drugs almost painlessly. The method is good for those who have money and time.

4. Refusal of drugs on the background of religious enthusiasm, a very joyful, frightening or tragic event in life. In the conditions of a sharp, prolonged and violent change in the emotional background, "breaking" is almost not felt (for example, this happens when a drug addict has to hide from pursuit). The same is true of sudden spiritual enlightenment. So for those who have the strength to believe in God - this is a good chance to get rid of the drug addiction forever. In the jargon of narcologists such a method of detoxification is called "to break on the holy spirit." In the case of sincere faith, he works irreproachably.

5. Finally, giving up drugs after a long, serious illness. If the addict is in serious or even in a relatively serious condition due to pneumonia, pulmonary edema, heart attack, trauma, poisoning, etc. and at this time does not use drugs for at least five days - he can safely abandon them and in the future - "break" it will not.

There is another way to "cure" without drugs - to get to a prison where drugs can not be obtained. To my great regret, it is impossible to get rid of addiction as a state of mind in prison.


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Action of Ethanol on the Stomach, Pancreas and Liver

06 Feb 2019

When drinking alcohol, first of all the stomach suffers. And the stronger alcohol products, the harder it is to lose. There are profound changes in the entire glandular apparatus of the digestive canal: glands located in the wall of the stomach and producing gastric juice containing pepsin, hydrochloric acid and various enzymes necessary for digesting food, under the influence of irritation, they first give off a lot of mucus and then atrophy. There is a gastritis, which, if not removed from its cause and not treated, can go to stomach cancer.

Action of Ethanol on the Stomach, Pancreas and Liver

Sclerotic changes also occur in the pancreas. The autopsy of persons aged 30-40 years who consumed wine in large doses or for a long time showed profound changes in the pancreas, which explains the frequent complaints of people drinking on poor digestion, abdominal pain, etc.

These same patients often have diabetes because of the death of special cells located in the pancreas and producing insulin. Pancreatitis and alcohol-based diabetes are phenomena that are usually irreversible, which is why people are doomed to constant pain and malaise. Few of this, pancreatitis exacerbates with the slightest violation of the diet.

Passing through the hepatic barrier, ethyl alcohol adversely affects the liver cells, which under the influence of the destructive effect of this poisonous product perish. In their place, connective tissue is formed, or simply a scar that does not perform liver function. The liver gradually decreases in size, that is wrinkled, the blood vessels in the liver are compressed, the blood in them stagnates, the pressure rises 3-4 times. And if there is a rupture of blood vessels, a profuse bleeding begins, from which patients often die. According to WHO, about 80% of patients die within a year after the first bleeding. The changes described above are called cirrhosis of the liver. The number of patients with cirrhosis is determined by the level of alcoholism in a particular country.

Alcoholic cirrhosis of the liver is one of the most serious and hopeless in terms of treatment of human disease. Cirrhosis as a consequence of alcohol consumption, according to WHO, is one of the main causes of death. (Can be treated by Heptral and cyanocobalamin).


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Sequela from alcoholism

30 Jan 2019

Diseases of the liver are most typical for alcoholism, and their severity is determined by the severity of alcoholism. There are three increasing severity of liver pathology in alcoholism: fatty degeneration, hepatitis and cirrhosis. With the progression of alcoholism, these forms can successively replace one another.

Sequela from alcoholism. Heptral for cirrhosis

Alcoholic fatty degeneration is the most common form of liver damage in alcoholism. It is rarely diagnosed because of the scarcity of clinical manifestations. Patients either do not complain of poor health, or talk about a recurring feeling of overfilling of the stomach, flatulence, diarrhea. The main clinical sign of fatty liver disease is its increase; the edge of the liver is rounded, the consistency is rather dense.

The liver is sensitive to palpation. The pathology detected by laboratory tests is negligible. With prolonged abstinence of patients from alcohol their condition is usually normalized.

Alcoholic hepatitis is usually chronic and can manifest itself in two forms: persistent, relatively stable, and progressive. Chronic persistent hepatitis is observed more often than progressive. Like fatty liver disease, it is clinically manifested a little. Symptoms are determined primarily by gastrointestinal pathology. Patients feel heaviness in the epigastric region or in the right hypochondrium, eructation, mild nausea, a feeling of overflow of the stomach, flatulence. The liver is enlarged, usually denser than with fatty degeneration, and slightly painful on palpation. (Heptral can help to cope with this problem).

There are compensated and decompensated forms of alcoholic cirrhosis of the liver.

With alcoholic compensated cirrhosis of the liver, persistent anorexia (refusal to eat), flatulence, fatigue, a tendency to a low-apathetic mood are observed. Often there is a special thinning of the skin with the appearance of vascular asterisks and white spots on them. Sometimes there is a "lacquered" language (shiny), hair loss, weight loss, gynecomastia, weakening of sexual desire. The liver is usually enlarged and dense, has a sharp edge.

Decompensated cirrhosis of the liver from the clinic's point of view is determined by three types of disorders: portal hypertension leading to ascites (accumulation of fluid in the abdominal cavity), as well as to esophagus (through the esophagus) and hemorrhoidal hemorrhage; jaundice with a possible increase in the liver and - in the most severe cases - liver failure with a precoma or coma. In these cases, nausea, vomiting, anorexia (refusal to eat), flatulence, persistent diarrhea develop. Skin covers have either icteric or grayish tint due to the increased content of melanin.

Diseases of the pancreas with alcoholism are manifested in the form of acute and chronic pancreatitis. From the subjective signs of pancreatitis it is necessary to note pains in the abdomen, localized mainly on the left and radiating into the back. Characteristic dyspeptic disorders: a decrease in appetite, nausea, flatulence, unstable stool. At an aggravation of process pains sharply amplify and sometimes become surrounding. There is multiple vomiting, subfebrile temperature, stool retention. When palpation the abdomen is soft, without clear zones of soreness. The pancreas is usually not palpable.

With alcoholic gastritis, patients periodically complain of lack of appetite, nausea, eructations, unpleasant taste in the mouth, pain in the epigastric region and other disorders. The clinical picture of gastritis is often masked by manifestations of withdrawal symptoms. In more severe cases, vomiting occurs in the morning on an empty stomach with an admixture of blood in the vomit, sometimes painful, multiple. When examined, the lagging of the tongue with a grayish coating and slight soreness on palpation in the epigastric region are found.

Acute alcoholic myopathy can develop after heavy drinking-bouts and is characterized by a weakness of sharp soreness and swelling in the muscles of the shoulders and hips.

Chronic alcoholic myopathy is the most common form (up to 60%), manifested by weakness of the pelvic muscles and less often - the shoulder girdle, difficulty in walking, painful muscle spasms, weight loss, muscle loss. A separate group within the framework of myopathies is alcoholic cardiomyopathy. Currently, alcoholism is the most common cause of damage to the cardiac muscle of non-ischemic origin. Alcoholic cardiomyopathy is manifested by fatigue, palpitations, shortness of breath during exercise, orthopnea. Alcoholics with severe heart failure have a poor prognosis, especially when they continue drinking alcohol. Less than 25% of them live more than 3 years. The key to treating patients with alcoholic cardiomyopathy is a complete and constant refusal of alcohol consumption.

If the mother abused alcohol during pregnancy, intrauterine growth retardation, CNS damage in the fetus, anomaly of the facial skeleton develop (Fetal Alcohol Syndrome). Appearance is characteristic: fusion of eyelids in the corners of the eyes, hypoplasia of the upper lip, flattening of the fovea over the upper lip. The ears are often turned back and are irregular in shape, the nose is flat. Typical persistent mental retardation (Phenylpiracetam choline can help to solve this problem). Threshold doses of alcohol that cause fetal alcohol syndrome are unknown; most doctors recommend a complete refusal of alcohol during pregnancy. The severity of the affected fetus varies (from individual subtle defects to the unfolded picture described above).

The trembling of the hands, eyelids, tip of the tongue, limbs is noted in the early stages of chronic intoxication. With an increase in the duration of alcohol abuse, vegetative-vascular crises are intensifying or appearing as panic attacks.


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Hyperstimulants (hallucinogens, psychedelics)

28 Jan 2019

Hyperstimulants (hallucinogens, psychedelics) are substances that stimulate mainly the cerebral cortex, in contrast to stimulants that act mainly on the stem part of the brain and, in addition, cause numerous peripheral effects. capable of receiving them even in small doses (often milligrams) cause hallucinations. In pharmacology, they are often referred to as psychotomimetics, i.e., the means by which short-term ("model") psychoses occur.

Hyperstimulants (hallucinogens, psychedelics)

The cannabinoids (active principles of hashish), atropine and atropine-like substances, as well as inhalants (gasoline, acetone, etc.) are also capable of causing a hallucinatory effect. However, their hallucinogenicity is detected with the use of significantly higher doses, and besides, hallucinations are not always the leading symptom in the clinical picture of intoxication with these substances.

Due to the localization of stimulating action, its level can be much higher than that of classical stimulants, which leads to "acidic" effects - the appearance of visual echoes, "patterns", depending on the intensity of the effect or concentration of attention, etc.

Hallucinosis begins with the fact that the coloring of surrounding objects seems incredibly bright, sounds - loud and saturated, there is a subjective sensation of aggravation of all senses ("intensification of perception"). Synesthesia arises: audible sounds are accompanied by color sensations, music is perceived as "color music" .. In the future, visual and auditory illusions join, and in a number of cases - the phenomena of derealization and depersonalization. Emotional disorders are diverse. Sometimes euphoria prevails, sometimes anxiety and fear or confusion.

Behavior during hallucinations also happens unequal-from passive contemplation with critical attitude to active defensive or aggressive actions with complete loss of criticism. Such actions at certain moments can be dangerous for both the hallucinating and, to the least, also for those around them. Among the somatic disorders, sympathicotonia symptoms predominate (wide pupils, frequent pulse, muscle tremor). The hallucinosis usually develops in half an hour-hour after taking a hallucinogen. Duration depends on the substance used and its dose, from 1-2 hours to a day or more. Postgallucinatory asthenic condition is usually expressed in a blurry and short time. During this period they gladly talk about their experiences, share their impressions with others. Among the complications, besides the mentioned aggression and autoaggression, spontaneous relapses of hallucinosis (without repeated hallucinogen administration), development of hallucinogenic paranoid and hallucinogenic depression occur. Reception hallucinogens can provoke the first attack of schizophrenia and affective psychosis.

Hyperstimulants are relatively safe to use, usually do not cause addiction and other long-term adverse effects. Nevertheless, their application can have obvious negative psychological consequences.

Typically, hallucinogens are used sporadically, from case to case. Regular, almost everyday, methods of these drugs with the development of a constant gravitation to hallucinosis, something like psychic dependence, in adolescents are very rare. However, in recent years there has been a tendency among some adolescent groups to a fairly regular abuse of cyclodolum in small doses, which cause a kind of euphoria (nervousness, agitation, sensation of increased activity), but are still unable to cause delirium. In such cases, there may be an addiction to cyclodol, similar to psychic dependence, and the diagnosis of substance abuse becomes lawful. But even with such abuse of cyclodol, adolescents go on to other intoxicants. It is also possible spontaneous termination of intoxication. As it was said earlier, in the USA in relation to LSD some individuals have a fairly persistent mental dependence-acid freaks- "acid cranks", in which hallucinosis begins to form the main meaning of life. In adults, cases of severe cyclodolum substance abuse are described with an increase in tolerance of up to 30 tablets of 0.002 per reception. At the same time, signs of a psychoorganic syndrome-memory impairment, attention, and ingenuity are developing rapidly. A break in use leads to abstinence phenomena, which is manifested by anxiety and fear or an angry, melancholy mood, a common muscle tremor, pain in the muscles and joints.

Treatment consists of stopping the hallucinosis or delirium with the help of psychotropic drugs, detoxification and psychotherapy. To relieve the hallucinosis or delirium, intravenous infusions of sibazone (phenazepam, seduxen, relanium, diazepam) are more often used, and less often - to injections of aminazine by intramuscular injection. Their use is indicated in the description of certain types of delirium. Detoxification is carried out with the help of nonspecific means. Earlier, when intramuscular sulfosine was administered for the purposes of detoxification (1% solution of purified sulfur in peach oil), the hyperthermic reaction caused by this drug sometimes resulted in recurrence of delirium without repeated hallucinogen administration.

As already mentioned, since 1989 this remedy has been withdrawn from use in our country. Psychotherapy is most shown in the form of rational individual. When a teenager has just suffered an acute psychosis himself and has witnessed chronic psychoses in neighboring patients, during this period he represents the most favorable object for psychotherapy - more susceptible to explanations of the harm that threatens him in case of repeated abuse. If in the present era, in some part of the teenage population, the subjective price of somatic health has fallen, then the fear of "going crazy" is still quite effective. Prevention, first of all, is to prevent access to hallucinogens in the hands of adolescents.

In our country, so far, no cases of abuse of adolescents with LSD have been reported, since such drugs are not available to them. "From teens with a hysterical type of character accentuation, one had to hear that they used LSD." However, with careful clarification of the circumstances and questioning of experiences, , that either such a statement was just a demonstrative boast, or cyclodol or diphenhydramine was used, in small doses, and the experiences described were either fantasies, or-scooped up from literature.

Cyclodol adolescents can extract from patients with schizophrenia, which he is prescribed as a corrector in the treatment of neuroleptics. Close such patients should monitor the expenditure of this medication. It should be avoided that a significant amount of it accumulates in the patient's hands. With regard to preventive lectures and conversations about the dangers of hallucinogens, special care must be taken. They are useful only in those groups of adolescents, among whom there has already been an abuse of these substances or some information about them in these groups has already arrived and has evoked obvious interest. In the general population of adolescents, such lectures and conversations, especially those spread by the media, may lead to a desire to experiment, to experience unusual experiences.


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Diabetic retinopathy

24 Jan 2019

A frequent complication of diabetes is diabetic retinopathy, a specific retinal lesion. This complication develops in 70-100% of patients with diabetes mellitus and inevitably leads to impairment of visual functions, up to blindness. In the world annually about 40 thousand people suffering from diabetes mellitus become blind due to the development of diabetic retinopathy.

Diabetic retinopathy. Mildronate. Retinalamin

The frequency and progression of retinal changes depend on the effect of the so-called. objective unfavorable factors:

- duration and type of diabetes mellitus;
- compensation for diabetes mellitus and the severity of its course;
- the age of the patient;
- concomitant pathology (hypertension, atherosclerosis);
- genetic predisposition.

Diabetic retinopathy is based on microangiopathy, one of the characteristic manifestations of diabetes mellitus, which is a diffuse generalized pathological process that affects the entire microvascular system of the body.

In the case of nonproliferative diabetic retinopathy, patients complain of reduced vision, fog before the eyes, a desire to change glasses for reading, or do not make any complaints. With pre-proliferative diabetic retinopathy, patients may complain of a more significant and persistent decline in vision, a pronounced fog in front of the eyes, a decrease in vision both far away and close, a difficulty in reading in the usual glasses.

With proliferative diabetic retinopathy, patients complain of decreased vision until the disappearance of objective vision. Also, patients notice floating spots and strands of various sizes in front of the eyes, often dark (black, dark red) color. In addition, they note a pronounced fog, a significant loss of color perception, a lack of ability to read.

General medicines:

Anabolics: Retabolil and others.

Anticoagulants: Wessel Douay F et al.

Metabolics: Vazomag, Idrinol, Cardionate, Meldonium Organica, MILDRONATE, Actovegin etc.

Coagulants (including factors of blood coagulation), hemostatics: Etamsilat-Ferein, etc.

Correctors of cerebral circulation disorders: Vazobral, Cavinton, Sermion, etc.

Immunostimulants: Wobenzym and others.

Additional medical sources:

Angioprotectors and correctors of microcirculation: Bilobil, Bilobil intens 120, Bilobil forte, Doxie-Chem, Emoxibel, emoxipin, Venoruton, Routin, Troxerutin Vramed and others.

Biological supplements: Ophthalamine, OMEGA PREMIUM Life formula, Anthocyan Forte, Shark cartilage, Lutein complex, etc.

Vitamins and vitamin-like remedies in combinations: Vitrum Vizhn Fort, et al.

Other Metabolics: Myrtilene Forte et al.

Ophthalmic: Histochrome, Lucentis, Adgelon, and others.

Regenerants and reparants
: Retinalamin, Strix, etc.


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Real threats of beer alcoholism

21 Jan 2019

The first German Reichskanzler, Bismarck, who knew firsthand about the harmful effects of drinking beer, said: "From beer are made lazy, stupid and powerless." The fact that there is a beer alcoholism has long been known. And although in the eyes of a man in the street he is less dangerous than wine and vodka, the consequences are devastating. In the XIX century, the English, fighting alcoholism, forced strong alcoholic beverages with beer, but the "beer law" had to be canceled, as this only aggravated drunkenness.

Real threats of beer alcoholism. Heptral. Phenotropil

Beer hits first of all after the heart
The most harmful consequence of the immense consumption of beer is a sick heart, enlargement of the heart cavities, thickening of its walls, necrosis in the heart muscle, a decrease in mitochondria, etc. These changes are due to the presence in cobalt beer, used as a stabilizer of beer foam. The content of this toxic element in the heart muscle in drinkers beer exceeds the permissible norm by a factor of 10. In addition, cobalt causes inflammatory processes in the esophagus and stomach.

There are other factors that disrupt the work of the heart in beer alcoholism. This, large portions of beer per day, as well as the saturation of beer with carbon dioxide. Getting into the body, beer quickly overflows blood vessels. This leads to varicose veins and widening the boundaries of the heart. So there is a syndrome of "beer heart" or "Capron stocking" syndrome, when the heart sags, becomes flabby and badly pumps blood. (Mildronate can help with this).

In beer contains a number of toxic substances, salts of heavy metals, causing changes in the endocrine system. Thus, in men with systematic use of beer, a substance is released that suppresses the production of the male sex hormone testosterone, and female sex hormones are produced. Men who drink beer grow breasts, it becomes wider than the pelvis. In women, the likelihood of developing cancer is increasing, and if it is a nursing mother, the child may have epileptic seizures. Even women become more rude voice, and there are so-called "beer mustaches".

As a result of studies conducted in 1985 in paid clinics in Canada by comparing beer drinkers with consumers of other alcohol products, it was established that the diagnosis of "palpable liver" is most often diagnosed in people who regularly consume beer.

From beer become alcoholics 4 times faster
Studies conducted in many countries show that chronic alcoholism develops 3-4 times faster from beer than from strong alcoholic products.

The damage to beer for the human body is enormous:
death of brain cells (which, when they die, go out with urine);
impaired spinal cord function;
myocardial dystrophy;
cirrhosis of the liver;
hepatitis; ( drugs: Heptral, cyanocobalamin)
pancreatitis;
gastritis;
neuropathy;
damage to the visual and auditory analyzers; increase in blood pressure.

One of the serious complications in beer alcoholism is lactic acidosis and hypo-sodiumemia. Patients with beer alcoholism go to hospitals in a neglected state, with severe dementia and a decrease in personal evaluation. These are the consequences of beer alcoholism.

According to modern research, beer is the first legal drug that opens the way to other, more powerful drugs. Narcologists say that beer alcoholism is very cruel. This explains the completion of beer bacchanalia by fights, murders, rapes and robberies.

A big leap in beer consumption is not accidental, given the imposed, varied in the way of presenting beer advertisements, colorfully decorated huge shields in cities and on the transport highways, advertising the extreme "usefulness" of beer, and the daily annoying advertisement of beer on television.

According to some "experts" beer is more useful than milk. Some media recommend using it to pregnant women and nursing mothers for better lactation, and children - for a sweeter, deeper sleep.

But none of the media reported that the harmfulness of beer can equal only with moonshine, because in the process of fermentation and in beer and in home-brewed, the more toxic compounds associated with alcohol are retained in full. These are aldehydes, fusel oils, methanol, ethers, the content of which in beer is tens and hundreds of times higher than the level of their allowable concentration in vodka, obtained from high purity alcohol.

How can we explain the misunderstanding of the prospects for the degradation of society due to beer alcoholism on the part of legislators? It is generally accepted that beer production and trade are replenished by the state budget. It turns out that the consumer of beer is a true patriot who helps the domestic producer.

Beer and eunuch - what do you have in common?
4 liters of beer is replaced by a sexual partner. And they are able to completely rid of the libido. For a healthy person, alcohol is harmless in the amount of milliliters of alcohol per kilogram of weight. A liter of beer contains 45-50 grams of pure alcohol. This is 120-130 grams of vodka. It turns out that a man of medium height and weighing 80 kilograms can drink three bottles of light beer every day, without fear for his health. However, beer is not only useful, but also has quite harmful properties.

Useful components of beer:
Carbon dioxide. Stimulates gastric secretion and blood flow in muscles, brain, liver, lungs and kidneys.

Mineral compounds. Most of all in potassium beer. In a liter of foam drink contains 30 percent of the daily allowance. But sodium is not enough, so doctors recommend this drink for hypertensive patients - 0.5-1 liter per day.

The content of calcium (about 80 mg / l), magnesium (about 80 mg / l), phosphorus (about 140 mg / l), and iron, copper, zinc beer is almost identical to orange juice.

Low caloric content. The most caloric content in it is ethyl alcohol. In a bottle of beer about 400-450 kcal / l. For comparison: caloric content of milk, Coca-Cola or fruit juices fluctuates within 600-700 kcal / l.

Vitamins. In a liter of beer contains 40-60 percent of the daily norm of B vitamins and 70 percent of vitamin C. Most "beer" vitamins are well absorbed.

Organic compounds. Citric acid salts prevent the formation of kidney stones. Salts of acetic, oxalic, gluconic, pyruvic acids are actively involved in the metabolism.

Bitter substances. They have bactericidal properties, stimulate the work of the stomach.

Harmful components of beer:
Bitter substances and hops. Increase appetite and cause excess weight.

Bitterness belongs to the category of psychoactive drugs. They have a sedative, hypnotic, and in large doses - and a hallucinogenic effect.

Phytoestrogens. These are female hormones of plant origin. With excessive consumption of beer accumulate in the body and cause hormonal disorders. In men, the vegetation on the body decreases, the mammary glands swell, the fat is deposited according to the female type - on the hips and sides, the potency decreases, the sperm motility decreases - down to infertility and impotence. In women, an overabundance of phytoestrogen leads to excessive fatness.
Biogenic amines. Cadaverine, putrescine, histamine and tyramine. Relate to cadaveric poisons. It is these insidious substances that are responsible for the hangover. As a result - a headache. In large quantities, they lead to kidney damage.

Ethanol. The most caloric content in beer. But this does not lead to obesity, but has the opposite effect. The most destructive thing is he acts on the brain. The most fat-containing tissue in our body is the cortex of the brain. And alcohol simply dissolves it. In scientific terms, this is an "organic brain damage". (phenotropil help restore brain). As a result, there is a complete degradation of the personality.


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Treatment of alcoholism

17 Jan 2019

Unfortunately, in most cases, the treatment of patients with alcoholism is aimed at eliminating only certain manifestations of this formidable disease (withdrawal of alcohol intoxication, drinking-bout, withdrawal syndrome, etc.). Not everyone has enough strength and desire to undergo long-term psychotherapy, and close people often do not have enough patience to help him. And after all, success depends mainly on family and friends' support.

Treatment of alcoholism. Mildronate Phenylpiracetam alcohol

The whole program of treatment of a patient with alcoholism includes 3 stages:

- The first (initial) stage is the treatment of acute and subacute painful conditions that have arisen in direct connection with intoxication with alcohol and its metabolic products. This includes interrupting binge drinking and eliminating abstinence disorders. To remove alcohol intoxication, first of all, it is necessary to prevent further absorption of alcohol from the stomach, for which you should give 2-3 tablespoons of activated carbon inside, and then rinse the stomach with the intake of several glasses of water, followed by vomiting; At the same time, measures are taken to prevent possible collapse (inside 5-10 drops of ammonia in a glass of water, 2-3 pills of Phenylpiracetam, 3-4 pills of Mildronate or some pills of Phenazepam). The most severe conditions of acute alcohol intoxication, bordering on comatose, require the provision of therapy in specialized hospitals.
- The second stage of treatment is the formation of remission. After elimination of post-toxicity and withdrawal symptoms, it is time to diagnose and treat much more diverse and individual mental and physical disorders outside the AAS framework, and to create more immediate prerequisites for the development of remission of the disease. It should be especially emphasized the crucial role of somatic disorders in the renewal of pathological craving for alcohol and the occurrence of relapses of alcoholism. Therefore, carefully selected and unconventional therapy of these disorders is a condition for ultimate success.
- The third stage of treatment is remission stabilization, maintenance therapy. In the center of therapeutic activities in the third stage is psychotherapy aimed at the rehabilitation and resocialization of the patient, the formation and consolidation of skills of a sober life - self-confidence and his ability to solve life problems without "helping" alcohol or willingness to seek timely support from his doctor.

Beneficial influences of the environment - family, employment, useful work, accommodations at work and at home - are an important condition for stabilizing remission. But, unfortunately, this is not always the case, therefore, the physician has to deal with the peculiar mental "fragility" of the patients, manifested by emotional, neurotic and psychopathic disorders. The latter in turn are closely related to the exacerbation of the pathological attraction to alcohol. Therefore, regular contact with the patient and a comprehensive correction of mental abnormalities are necessary.

Of the psychotherapeutic techniques, the most widely accepted method today is based on the concept of emotional-stressful psychotherapy. Hypnotic effects are also preceded by psychotherapeutic conversations, the therapeutic effect of which is fixed in hypnosis. In a state of hypnosis, a conditioned-reflex nausea-vomiting reaction to the taste and smell of alcohol is developed.

There are methods of verbal aversive therapy, which consists in the fact that the imaginary consumption of alcohol by means of verbal suggestion is accompanied by an emetic reaction.

Until now, attempts are continuing to use autologous training in alcohol therapy. Its goal is to normalize vegetative disorders and relieve emotional stress. Autogenic training can contribute to fixing an aversive reaction, therefore it is used as an important component of therapy as an active method of self-regulation, self-correction and self-education.

To eliminate feelings of fear, tension and self-doubt, which are usually experienced by people suffering from alcoholism, in a state of abstinence (including long enough), methods of behavioral therapy are used.

Most of the mentioned methods of therapy for patients with alcoholism are used in groups, which contributes to increasing the effectiveness of their therapeutic effects.


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List of the most effective antidepressants

14 Jan 2019

A major depressive disorder today is one of the most common, problematic and costly psychiatric nosologies. Available approaches to treatment Major depressive disorder or clinical depression can be divided into two broad categories: pharmacological and non-drug.

List of the most effective antidepressants

Most often, antidepressants are used to treat a major depressive disorder. Despite the fact that the drugs of this group are used very widely, the scientific literature regularly raises controversies concerning both the effectiveness of antidepressants in general, both the group and the differences between the efficacy and tolerability of individual drugs.

The main result of the study was the conclusion that all antidepressants are more effective than placebo in treating clinical depression in adults.

The most effective antidepressants:

- agomelatine,
- amitriptyline,
- escitalopram,
- mirtazapine,
- paroxetine,
- venlafaxine
- vortioxetine.
The list of the least effective drugs is as follows: fluoxetine, fluvoxamine, reboxetine and tradozone. As for the tolerability of antidepressants, the leaders in this indicator were agomelatine, citalopram, escitalopram, fluoxetine, sertraline and vortioxetine.

The results of the updated systemic review and meta-analysis prove the effectiveness of various antidepressants. This information can be useful for patients, doctors and health care organizers.


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