Pathological intoxication is a loss of connection with the real world. Pathological intoxication: causes and treatment

Names of tablets for alcohol poisoning of the adsorbent group

Activated carbon

Pharmacodynamics:

Specially processed coal of plant or animal origin. Has high surface activity. Has the properties of absorbing (adsorbing) harmful substances(toxins), gases, and salts heavy metals, synthetic and natural alkaloids, hypnotics, poisons, phenol derivatives, glycosides, hydrocyanic acid, etc.

Indications for use of activated carbon:

  1. Intoxication, manifested in the form of dyspepsia, flatulence (bloating), diarrhea, heartburn.
  2. Exacerbations of allergic diseases of various etiologies.
  3. Diseases digestive organs infectious origin(dysentery, salmonellosis).
  4. Poisoning medications, poor quality food and toxic metals.
  5. Hepatitis.
  6. Intoxication caused by psychotropic or narcotic substances, as well as alcoholic substances.

Directions for use and dosage:

For any poisoning, 25g is prescribed activated carbon as a suspension (crush the tablets and stir in boiled water at room temperature). A similar suspension is used during the gastric lavage procedure. In addition, in case of poisoning, a mixture is prescribed in the following proportion: 2 parts of activated carbon, 1 part of magnesium oxide and 1 part of tannin (2 tablespoons per glass of water). If flatulence or heartburn occurs, take 2 g of activated charcoal mixed in heated water.

Side effects when used:

Taking activated carbon can cause diarrhea or constipation, and the development of a lack of fats, vitamins and proteins. Due to its adsorbing properties this drug reduces the effectiveness of other medications.

Contraindications for use of the drug:

Storage conditions:

Store in a dry place, away from products that emit vapors and gases.

Polysorb

Pharmacodynamics:

Has adsorbent properties. Binds and removes endogenous or exogenous toxins and allergens (bacterial and food) from organs. And also highly toxic substances, formed as a result of protein breakdown in the intestinal organs. Promotes transportation toxic substances into the intestines from lymph and blood.

The following indications for which Polysorb is used:

  • Infectious intestinal diseases (salmonellosis, escherichiosis, other food infections).
  • Hepatitis of viral origin.
  • Various poisonings(including alcohol intoxication).

Methods of application and dosage:

Polysorb is taken orally in the form of a suspension. The suspension is prepared as follows: 1 tablespoon of powder (1.2 g) is stirred in 1 glass boiled water. Take one hour before meals and medications. The daily dosage is about 12g. In case of exacerbation, the dose is increased to 24 g (divided into 4-5 doses). You can take about 7g of the drug at a time.

Contraindications:

  • Cannot be prescribed to children under one year of age.
  • The presence of ulcerative and erosive damage to the intestinal mucosa.
  • Peptic ulcers during exacerbation.
  • Contraindicated in individual intolerance medicine.
  • Pregnancy.

Interactions with other substances:

When taken simultaneously with acetylsalicylic acid(aspirin) the process of breakdown of microelements increases. Also, when consuming Polysorb, the pharmacodynamic properties of nicotinic acid are enhanced.

Storage conditions:

Stored in sealed bottles. The room temperature should not exceed 25 degrees Celsius. Keep away from children.

Shelf life:

Dry powder can be stored for up to 3 years. The prepared suspension can be used before 24 hours have passed. The temperature should be approximately 10-15 degrees Celsius.

Carbolong

Carbolong is produced in powdered form of activated carbon obtained from fruit seeds. Has high sorbent properties.

Method and dose of application:

Carbolong is used at a dose of 5-8g per dose, 3 times a day. It is advisable to take from 2 to 15 days. Used orally as a mixture of powder and water. You can also use dry powder (with a glass of water).

Names of tablets for alcohol poisoning of the symptomatic group

Zorex

Pharmacodynamics:

It has high detoxification, antioxidant and hepatoprotective properties. Main active substances, which are included in the structure of Zorex - unithiol and calcium pantothenate. As a result of the interaction of unithiol and the breakdown products of ethanol (other poisons), non-toxic complexes are formed, which the body gets rid of in the urine. The presence of calcium pantothenate increases the effectiveness of the detoxifying action of Zorex.

Pharmacokinetics:

As a result of taking this drug, its highest concentration in the body occurs after an hour and a half. The maximum plasma concentration of Zorex lasts approximately 9 hours. The duration of stay in the digestive organs is several minutes (20-25). The time required for ethanol and other toxins to break down is about 8 hours. On average, 55% of the drug is excreted from the body in urine, the rest is excreted in excrement.

When is ZOREX indicated:

  • Alcoholism in the chronic stage.
  • Acute poisoning from alcohol-containing drinks.
  • Poisoning caused by drugs from the group of cardiac glycosides.
  • Intoxication with toxic metals.

Directions for use, doses:

Taken before meals.

When treating alcoholism: take 1 capsule 2 times a day (treatment duration is 10 days).

When treating acute alcohol poisoning: a similar dosage is prescribed - 1 capsule 2 times a day. In case of exacerbation, the dose can be increased: 1 capsule 3 times a day. The duration of the course of therapy is several days (until the symptoms of poisoning disappear).

In the treatment of poisoning with toxic metals and arsenic compounds daily dose increase: 350-1000 mg distributed over 3 doses. Must be taken for at least 7 days.

Side effect:

In cases of taking increased doses, there may be following signs: rapid heartbeat, nausea, weakness. Also very rarely they can develop skin reactions allergic type.

It is not recommended to take if the patient is hypersensitive to this drug. Also, the use of Zorex is contraindicated if a person suffers from diseases associated with insufficient functioning of the kidneys and liver.

Overdose of the drug:

Exceeding the dose by several times (10 or more) can lead to convulsions, shortness of breath, a feeling of lethargy and lethargy. In this case, it is necessary to rinse the stomach, take a laxative and activated charcoal.

Interaction of Zorex with other drugs:

The simultaneous use of Zorex with products that contain toxic metals and alkalis leads to an increase in the rate of decomposition of the drug.

Storage conditions:

Zorex should be stored in a dark place, away from moisture. Temperature - no higher than 25 degrees Celsius. Children's access to the storage area must be limited.

Biotredin

Refers to combination drugs. Biotredin consists of L-threonine and vitamin B6 (pyridoxine hydrochloride). This tool increases mental activity, normalizes the metabolic process. Helps relieve symptoms of acute alcohol poisoning and chronic alcohol addiction.

Indications for use:

  • Used to treat alcoholism in the chronic stage.
  • Constant craving for drinking alcohol.
  • A condition resulting from a sudden cessation of alcohol intake (withdrawal syndrome).
  • Decreased mental abilities.

Directions for use and dosage:

To neutralize the craving for alcohol, 0.1-0.3 g of Biotredin is prescribed per dose. Take 4 times a day (5-7 days). The course of treatment can be repeated several times (7-10) a year.

To relieve alcohol withdrawal syndrome, up to 4 tablets can be prescribed. 4r/day. In subsequent days of therapy, the dose is reduced - 2 tablets. 3 rubles/day. Take for at least 1 month.

Contraindications for use:

Limontar

Pharmacodynamics:

The complex medicine Limontar consists of citric and succinic acids.

Promotes normalization metabolic processes in body tissues. It has high antioxidant activity. Stimulates the release of hydrochloric acid in the stomach, improves appetite. Relieves symptoms of alcohol poisoning, increases general performance body.

Used for preventive purposes alcohol intoxication. And also for withdrawal from binge drinking chronic alcoholism.

Methods of application and dosage:

  • Limontar is intended for internal use. Used in the form of a suspension with water or juice.
  • With a purpose preventive measures take 0.25 g of the drug 1 hour before drinking alcohol.
  • For acute alcohol intoxication apply 0.25 g (number of doses - 4 times) every 2 hours.
  • When recovering from a drunken state, Limontar (0.25 g) is taken 4 times a day for 5 to 10 days.
  • It should be noted that when simultaneous use of this drug with tranquilizers or barbiturates pharmacological action the latter is decreasing.

Side effect:

When taking Limontar, signs of increased blood pressure may occur: tinnitus, dizziness, headache in the back of the head. And also the appearance painful sensations in the stomach area.

The drug should be stored in a dark, dry place.

Yantavit

Pharmacological action:

The composition is based on biological active additive Yantavita enters succinic acid, which has high adaptogenic properties. The action of Yantavit is aimed at strengthening protective functions body, normalization of all metabolic processes, has an antihypoxic regenerative effect, and also improves the functioning of all organs and systems in cases of exposure to unfavorable factors.

Indications for use:

  • Stressful state.
  • Physical or mental fatigue.
  • The period of treatment and rehabilitation of serious illnesses.
  • Acute poisoning by toxic elements, including alcohol).
  • Relieving hangover symptoms.

How to use and dosage:

For adults, the optimal dose per day is 1.0 g of the drug. Yantavit should be taken 1 tablet 2 times a day - morning and afternoon (during meals). IN evening time You should not take it, since Yantavit has a tonic effect on the body. The duration of the course is at least 1 month. In the middle of the course of therapy (after 2 weeks), you need to take a break for 3 days. For good results, it is necessary to repeat the course of treatment every 3 months.

Metadoxyl

Phramacodynamics:

It has a high detoxification and hepatoprotective effect.

Activates liver enzymes alcohol dehydrogenase and acetaldehyde dehydrogenase, which are involved in the metabolism of ethanol, which leads to an acceleration of the process of elimination of ethanol and acetaldehyde.

Inhibits the formation of liver cirrhosis due to inhibition of the synthesis of fibronectin and collagen. Improves thinking and memory, reduces the risk of developing depressive disorders.

It is used in the treatment of alcoholism in acute and chronic stages. Also when undergoing a course of treatment for liver diseases caused by prolonged exposure to toxins on hepatocytes.

Pharmacological form of release - tablets, ampoules.

Directions for use: once orally (1 to 2 tablets), intravenously or intramuscularly (1-2 ampoules of 0.5 ml).

Contraindications for use:

Pregnancy, Parkinson's disease, hypersensitivity to the drug.

Glycine

Pharmacological action:

Glycine soothes nervous system, improves mood and removes depression. Stimulates mental abilities and improves sleep quality. Increases antitoxic activity in case of drug poisoning, as well as alcohol poisoning.

Indications for use:

  • Malaise and increased fatigue.
  • Sleep disturbances caused by increased nervous agitation.
  • Nervous disorders(also those caused by the long-term influence of alcohol).
  • Nervousness as a result of stressful situations.
  • Consequences of TBI.

What are the methods of use and dosage:

Glycine in tablet form is taken under the tongue (sublingual) or per cheek (buccal) 1 tablet. 3 rubles/day. Duration of passage treatment course– at least 1 month. When treating diseases associated with alcohol addiction, the course of treatment is periodically repeated.

Glycine is contraindicated for children under 2 years of age and patients with low blood pressure and people who are hypersensitive to this drug.

Names of anti-nausea pills for alcohol poisoning

Anestezin

It has a local anesthetic pharmacological effect.

Indications, for which the use is prescribed:

  • Spasmodic pain in the stomach area.
  • Nausea caused by alcohol poisoning.
  • Redness and itching of the skin.

Methods of use and dosage:

For internal use, anesthesin is used in the form of powder and tablets. For stomach pain or nausea, 0.3 g of the drug is prescribed with a frequency of use of 4 times a day. For cupping unpleasant symptoms For skin diseases, ointments and powders (5-10%) are used for external use.

Anesthesin is contraindicated in cases of hypersensitivity to the drug.

Validol

This drug has a calming effect on the nervous system, as well as a reflex vasodilator effect on blood vessels. Thanks to the presence of menthol, it reduces the likelihood of developing a gag reflex.

Indications for use of the drug:

  • Ischemic heart diseases.
  • The occurrence of nausea and vomiting as a result of alcohol intoxication.
  • Increased nervousness, hysteria.

Methods of use and dosage:

Validol is available in tablet form (0.06g) and in the form of a solution. Used sublingually - place 1 validol tablet under the tongue. You can also use a solution (5-6 drops). Because of this method applications pharmacological effect develops quite quickly.

Storage conditions:

Storage temperature - 20 degrees. If validol is stored in the form of a solution, then the bottles must be hermetically sealed.

Metoclopramide (Cerucal)

Pharmacodynamics:

Given medicinal product has an antiemetic and anti-hiccup effect, activates the motor activity of the gastrointestinal tract. By blocking central and peripheral D2-dopamine receptors it has an antiemetic effect. It has a beneficial effect on the functional efficiency of the digestive tract.

Indications for which it is used:

  • Vomiting, nausea of various origins, with the exception of vestibular etiology.
  • Spicy and chronic stages diseases of organs involved in the digestive processes: flatulence, GERB, biliary dyskinesia.
  • Headache.
  • Diagnostic studies.

Methods of application and therapeutic doses:

This medicine is intended for both internal and parenteral route applications.

Internal use: 1 tablet. 3 times a day 15-20 minutes before meals.

Parenteral use: 1 ampoule 2 times a day.

At diagnostic studies: 2 ampoules of metoclopramide (20 mg) are administered intravenously. Take 30 mg of the drug orally 20 minutes before the start of the procedure.

Side effect of the drug:

They occur extremely rarely. Sometimes you may feel drowsy. For this reason, it should be taken with caution by people who engage in activities that require maximum concentration. The effects of carcinogenicity and mutagenicity have been proven.

Metoclopramide should be stored in a dry, dark place. Keep away from children.

Anti-alcohol poisoning pills only make it easier to cope with a hangover. In case acute intoxication, first you need to remove the person from the state of intoxication - rinse the stomach or induce vomiting artificially. Only after this can you connect medications. With constant and long-term use alcoholic beverages (chronic alcoholism), you should consult a narcologist. Most best option- Do not indulge in strong drinks. Then pills for alcohol poisoning will not be needed, nor will visits to the doctor. Good health to you!

It so happened in our country (and a number of other countries too) that the majority of road accidents are associated with the use of alcohol or alcohol by the person responsible for such an accident. narcotic drugs. Alcohol has a depressant effect on the central nervous system, and, as a result, the driver’s reaction and attentiveness are significantly reduced. However, it is not only alcohol and drugs in their obvious form, which consists of abuse, that worsen the driver’s condition in terms of control over the road. A number of medications also have special instructions asking you not to drive after using them - some of them contain alcohol (ethyl alcohol or ethanol), others contain other substances that dull the driver's attention and/or worsen the driver's reaction. What medications show alcohol in the blood, and which ones show drug intoxication during a medical examination?

Below is a list of most medications that can show alcohol in the blood after consumption or lead to varying degrees drug intoxication. IN this list Not all medications are listed - we strongly recommend that you read the instructions for use for a particular medication before driving after using it - if the medication contains ethanol, you should not drive. However, not all medications are equally dangerous in this regard - some contain very little alcohol or drugs - so much so that the result of the examination will not show the presence of these substances, or their content in the blood (urine or breath) will be insignificant and below the threshold of liability.

What medications indicate alcohol and what medications should not be taken while driving?

Medicine Note
Medicines containing ethyl alcohol
Medical antiseptic solution Actually, this is ethyl alcohol almost in its pure form.
Ethyl alcohol Also ethyl alcohol in its pure form.
Etol
Iodine and iodine solution
Levomycetin
Soapy alcohol
Saledez
Novocaine
Microcide
Firtanol
Salesept Antiseptic
Sintomycin with novocaine Antiseptic
Aerodesin 2000 Antibacterial medicine
Biovital liquid
Pertussin
Lymphimyosot
Bittner
Inhalipt
Gutron
Canephron N
Rhinital
Psorinochelyus
Vertigohel
Edas-101
Aflubin
Asinis
Valocordin
Venza
Voqara
Galstena
Gentos
Barboval
Levovinisole
Licorice root syrup
Pansoral
Almost all tinctures Tinctures, as a rule, contain a huge proportion of ethyl alcohol.
Corvalol
Valerian
Medicines that may cause drug intoxication or that may be found in urine or blood
Adelfan
Diphenhydramine
Brinerdine The drug reduces blood pressure and increases reaction time
Phenamine Including derivatives of Phenamine
Pipolfen
Sinoprex The drug reduces blood pressure and increases reaction time
Raunatin
Kristepin The drug reduces blood pressure and increases reaction time
Clonidine
Atenolol
Meridil
Pervitin
Atropine
Hemiton The drug may cause confusion or dizziness
Bisogamma The drug may cause confusion or dizziness
Iprazole
Tenormin The drug may cause confusion or dizziness
Pyradrol
Clonidine
Atenolan The drug may cause confusion or dizziness
Imizin
Phenatine
Catapressan
Scopamine
Pentalgin
Diazepam
Elenium
Etaperazine
Majeptyl
Spasmoveralgin
Tempalgin The medicine may cause lethargy
Propazine
Affetin The medicine may cause lethargy
Relanium
Seduxen
Tizercin The drug makes the reaction worse
Solpadeine The medicine may cause lethargy
Migrenol The medicine may cause lethargy
Chloracesin
Frenolone
Gastroceptin
Tazepam
Eunoctine
Truscan The drug makes the reaction worse
Bellataminal
Imodium The medication may cause you to become less alert
Sonapax
Gastrozem
Nicotine
Proparonolol
Ephedrine
Etaminal
Neupeptyl
Hexapneumin The medicine may cause drowsiness and lethargy
Melleril
Azafen
Viagra The medication may cause you to become less alert
Tmopental
Mianserin
Diarol The medication may cause you to become less alert
Hexenal
Regulan The medication may cause you to become less alert
Fervex The medicine may cause drowsiness and lethargy
Valocordin The medicine may cause drowsiness and lethargy
Barbital
Phenylbarbital
Amitriptyline
Ergotal
Solutan
Cerucal The medication may cause you to become less alert
Radedorm
Lorraine The medicine may cause drowsiness and lethargy
Becarbon
Tryptisol
Medicines containing arsenic
Medicines containing morphine
Medicines containing cocaine
Medicines containing heroin
Doxepin
Noxiron
Ergotamine
Chloroprotekoene
Gastrocepin
Anaprilin
Coldrex The medicine may cause drowsiness and lethargy
Codterpin The medicine may cause lethargy
Diasorb The medication may cause you to become less alert
Alprozolam
Cyclodol
Trazodone
Codeine
Aminazine The drug makes the reaction worse
Teraflu The medicine may cause drowsiness and lethargy
Codtermopsis The medicine may cause lethargy
Pilocarpine
Piren
Phenazepam
Haloperidol
Gastril
Trimipramine

This list may not be complete, since more and more new medications appear almost every day, some of which cannot be used while driving.

List of prohibited substances in medications

However, accurate and current list There are drugs prohibited for use while driving. It should be kept in mind that the list of prohibited drugs includes individual substances in the drugs, and not the drugs themselves. The list is constantly updated, and below, under the spoiler, we post its current list as of May 13, 2016. You can check the list of these drugs by looking at the Decree of the Government of the Russian Federation No. 681.

Just check the composition of your medicine for the presence of substances from the list. When conducting medical examination the presence of these substances is detected in the state of intoxication. If at least one substance is found in the body with one or another concentration, the driver will be recognized as intoxicated (narcotic). Moreover, regardless of whether he directly took drugs or medicine.

Narcotic drugs

N-(adamantan-1-yl)-1-benzyl-1H-indazole-3-carboxamide and its derivatives (introduced by Decree of the Government of the Russian Federation of May 8, 2015 N 448)

N-(adamantan-1-yl)-1-pentyl-1H-indazol-3-carboxamide and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of November 23, 2012 N 1215)

N-(adamantan-1-yl)-1-pentyl-1H-indole-3-carboxamide and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of November 23, 2012 N 1215)

3-Adamantoylindole [(Adamantan-1-yl)(1H-indol-3-yl)methanone] and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822 )

Allylprodine
Alfameprodine
Alfamethadol
Alpha methylfentanyl
Alpha methylthiofentanyl
Alfaprodine
Alphacetylmethadol
2-Amino-1-benzodifuran-4-ylethan and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
2-Aminoindan and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
AMT (alpha-methyltryptamine) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of May 18, 2012 N 491)
Anileridine
Acetyl-alphamethylfentanyl
Acetyldihydrocodeine
Acetylated opium
Acetylcodeine
Acetylmethadol
Acetyl fentanyl and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of November 23, 2012 N 1215)
7-Acetoxymitragynine (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
Acetorphine
BDB
Bezitramide
Benzetidine
N-Benzyl-1-butyl-1H-indazole-3-carboxamide and its derivatives (introduced by Decree of the Government of the Russian Federation of October 12, 2015 N 1097)
N-Benzyl-1-butyl-1H-indole-3-carboxamide and its derivatives (introduced by Decree of the Government of the Russian Federation of October 12, 2015 N 1097)
2-(1-Benzyl-1H-indazole-3-carboxamido)acetic acid and its derivatives (introduced by Decree of the Government of the Russian Federation of February 27, 2015 N 174)
2-(1-Benzyl-1H-indole-3-carboxamido)acetic acid and its derivatives (introduced by Decree of the Government of the Russian Federation of February 27, 2015 N 174)
Benzylmorphine
3-(5-benzyl-1,3,4-oxadiazol-2-yl)-1-(2-morpholin-4-ylethyl)-1H-indole and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
3-(5-benzyl-1,3,4-oxadiazol-2-yl)-1-(2-pyrrolidin-1-ylethyl)-1H-indo l and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
N-benzyl-1-pentyl-1H-indole-3-carboxamide and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
1-benzylpyrrolidin-3-yl-amide 5-chloro-3-ethyl-1H-indole-2-carboxylic acid (Org 29647) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation dated July 10, 2013 N 580)
1-benzyl-N-(quinolin-8-yl)-1H-indazol-3-carboxamide and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
1-benzyl-N-(quinolin-8-yl)-1H-indole-3-carboxamide and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
N-(benzodioxol-5-ylmethyl)-7-methoxy-2-oxo-8-pentyloxy-1,2-dihydroquinoline-3-carboxamide and its derivatives, with the exception of derivatives included as independent items in the list (introduced by the Resolution Government of the Russian Federation dated November 7, 2013 N 998)
3-Benzoylindole [(1H-indol-3-yl)phenylmethanone] and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
Beta-hydroxy-3-methylfentanyl
Beta-hydroxy-thiofentanyl (introduced by Decree of the Government of the Russian Federation of April 1, 2016 N 256)
Beta-hydroxyfentanyl
Betameprodine
Betamethadol
Betaprodine
Betacetylmethadol
Brolamphetamine (DOB, d, L-4-bromo-2,5-dimethoxy-alpha-methylphenethylamine) (introduced by Decree of the Government of the Russian Federation of June 30, 2010 N 486)
3-Butanoyl-1-methylindole and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of February 22, 2012 N 144)
2-(1-Butyl-1H-indazole-3-carboxamido)acetic acid and its derivatives (introduced by Decree of the Government of the Russian Federation of October 12, 2015 N 1097)
1-(1-Butyl-1H-indazol-3-yl)-2-phenylethanone and its derivatives (introduced by Decree of the Government of the Russian Federation of July 2, 2015 N 665)
(1-Butyl-1H-indol-3-yl)(naphthalene-1-yl)methanone (JWH-073) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation of December 31, 2009 N 1186)
Hashish (anasha, cannabis resin)
Heroin (diacetylmorphine)
Hydrocodone
2-(1R,2R,5R)-5-hydroxy-2-(3-hydroxypropyl)cyclohexyl-5-(2-methyloctan-2-yl)phenol (CP-55.940) and its derivatives, excluding derivatives included as independent items in the list (introduced by Government Decree of July 10, 2013 N 580)
4-Hydroxytryptamine and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
5-Hydroxy-N-methyltryptamine and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
N-hydroxy-MDA
7-Hydroxymitragynine (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
Hydroxypetidine (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
2-[(1R,3S)-3-Hydroxycyclohexyl]-5-(2-methyloctan-2-yl)phenol (CP 47.497) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation dated December 31, 2009 N 1186)
2-[(1R,3S)-3-Hydroxycyclohexyl]-5-(2-methylheptan-2-yl)phenol (CP 47.497)-C6) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of December 31, 2009 N 1186)
2-[(1R,3S)-3-Hydroxycyclohexyl]-5-(2-methyldecan-2-yl)phenol (CP 47.497)-C9) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of December 31, 2009 N 1186)
2-[(1R,3S)-3-Hydroxycyclohexyl]-5-(2-methylnonan-2-yl)phenol (CP 47.497)-C8) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of December 31, 2009 N 1186)
Hydromorphinol
6-deoxycodeine (introduced by Decree of the Government of the Russian Federation of July 7, 2011 N 540)
Desomorphine
Diampromide
Diacetylmorphine (heroin)
Dihydromorphine
Dimenoxadol
2-(4-dimethylaminophenyl)-ethylamide-3-ethyl-5-fluoro-1H-indole-2-carboxylic acid (Org 27759) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by government decree dated July 10, 2013 N 580)
N-Dimethylamphetamine
Dimethocaine [(3-diethylamino-2,2-dimethylpropyl)-4-aminobenzoate] (introduced by Decree of the Government of the Russian Federation of February 22, 2012 N 144)
2-(2,5-dimethoxyphenyl)-N-(2-methoxybenzyl)ethanamine and its derivatives (introduced by Decree of the Government of the Russian Federation of May 8, 2015 N 448)
2,5-Dimethoxyphenethylamine and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
Dimepheptanol
Dimethylthiambutene
(6aR, 10aR)-9-(Hydroxymethyl)-6,6-dimethyl-3-(2-methyloctan-2-yl)-6a, 7, 10, 10a-tetrahydrobenzo[c]chromen-1-ol (HU- 210) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of December 31, 2009 N 1186)
2C-T-7 (2,5-dimethoxy-4-N-propylthiophenethylamine) (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Dioxafetyl butyrate
Dipipanon
Difenoxin
3,4-dichloro-N-[(1-dimethylamino)cyclohexylmethyl]benzamide and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of November 7, 2013 N 998)
Diethylthiambutene
DMA (d, L-2,5-dimethoxy-alpha-methyl-phenyl-ethylamine)
DMHP (dimethylheptylpyran)
DMT (dimethyltryptamine) and its derivatives, with the exception of derivatives included as independent items in the list
DOX (d, L-2,5-dimethoxy-4-chloroamphetamine)
DOET (d, L-2,5-dimethoxy-4-ethyl-amphetamine)
Drotebanol
DET (N,N-diethyltryptamine)
Isomethadone
2-(1H-indol-5-yl)-1-methylethylamine and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of November 7, 2013 N 998)
Cannabis (marijuana)
3"-carbamoyl-biphenyl-3-yl-undecincarbamate and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of November 7, 2013 N 998)
N-(1-carbamoyl-2-methylpropyl)-1-pentyl-1H-indazole-3-carboxamide and its derivatives (introduced by Decree of the Government of the Russian Federation of September 9, 2013 N 788)
N-(1-carbamoyl-2-methylpropyl)-1-pentyl-1H-indole-3-carboxamide and its derivatives (introduced by Decree of the Government of the Russian Federation of September 9, 2013 N 788)
N-(1-carbamoyl-2-methylpropyl)-1-(phenylmethyl)-1H-indazole-3-carboxamid and its derivatives (introduced by Decree of the Government of the Russian Federation of September 9, 2013 N 788)
N-(1-carbamoyl-2-methylpropyl)-1-(phenylmethyl)-1H-indole-3-carboxamide and its derivatives (introduced by Decree of the Government of the Russian Federation of September 9, 2013 N 788)
Ketobemidon
Clonitazene
Kodoxim
Homemade preparations from ephedrine (pseudoephedrine) or from preparations containing ephedrine (pseudoephedrine)
Homemade preparations from phenylpropanolamine or from preparations containing phenylpropanolamine (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Levomethorphan
Levomoramide
Levorphanol (Lemoran)
Levophenacylmorphan
d-Lysergide (LSD, LSD-25)
Coca leaf
GUARANTEE:
By decision of the Supreme Court of the Russian Federation dated January 16, 2014 N AKPI13-1137, this List was recognized as not contradicting current legislation in terms of including poppy straw as a narcotic drug.
Poppy straw
Cannabis oil (hashish oil)
MBDB
MDA (tenamphetamine)
MDMA (d, L-3,4-methylenedioxy-N-alpha-dimethyl-phenyl-ethylamine)
Mesembrine (introduced by Decree of the Government of the Russian Federation of September 9, 2013 N 788)
3-Monoacetylmorphine
6-Monoacetylmorphine
Mescaline and its derivatives
Methadone (phenadone, dolophine)
Methadone intermediate (4-cyano-2-dimethylamino-4,4-diphenylbutane)
Metazocin
Methamphetamine (Pervitin)
Methyldesorphin
Methyldihydromorphine
Methylenedioxypyrovalerone (introduced by Decree of the Government of the Russian Federation of February 25, 2011 N 112)
6-methyl-2-[(4-methylphenyl)amino]-4H-3,1-benzoxazin-4-one (introduced by Decree of the Government of the Russian Federation of November 23, 2012 N 1215)
methyl ester of 3-methyl-2-(1-benzyl-1H-indazole-3-carboxamido)butanoic acid and its derivatives (introduced by Decree of the Government of the Russian Federation of December 9, 2014 N 1340)
methyl ester of 3-methyl-2-(1-benzyl-1H-indole-3-carboxamido)butanoic acid and its derivatives (introduced by Decree of the Government of the Russian Federation of December 9, 2014 N 1340)
Methylone (3,4-methylenedioxy-N-methylcathinone) (introduced by Decree of the Government of the Russian Federation of July 29, 2010 N 578)
2-Methyl-1-pentyl-1H-indol-3-yl-(1-naphthyl)methane (JWH-196) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation of December 31 2009 N 1186)
2-Methyl-1-pentyl-1H-indol-3-yl-(4-methyl-1-naphthyl)methane (JWH-194) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by government decree RF dated December 31, 2009 N 1186)
2-Methyl-1-pentyl-1H-indol-3-yl-(4-methoxy-1-naphthyl)methane (JWH-197) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by government decree RF dated December 31, 2009 N 1186)
(2-Methyl-1-pentyl-1H-indol-3-yl)(naphthalene-1-yl)methanone (JWH-007) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation dated December 31, 2009 N 1186)
(4-Methylnaphthalene-1-yl)(2-methyl-1-pentyl-1H-indo-3-yl)methanone (JWH-149) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by resolution Government of the Russian Federation dated December 31, 2009 N 1186)
Methyl ester of 3-methyl-2-(1-pentyl-1H-indole-3-carboxamido)butanoic acid and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
Methyl ester of 3-methyl-2-(1-pentyl-1H-indazole-3-carboxamido)butanoic acid and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
(2-Methyl-1-pentyl-1H-indol-3-yl)(4-methoxynaphthalen-1-yl)methanone (JWH-098) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by resolution Government of the Russian Federation dated December 31, 2009 N 1186)
3-methylthiofentanyl
3-methylfentanyl
N-methylephedrone and its derivatives, with the exception of derivatives included as independent items in the list
Methoxetamine and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
7-methoxy-1-(2-morpholin-4-ylethyl)-N-(1,3,3-trimethylbicycloheptan-2-yl)-1H-indole-3-carboxamide (introduced by decree of the Government of the Russian Federation of May 8, 2015 . N 448)
1-(1-(2-Methoxyphenyl)-2-phenylethyl)piperidine and its derivatives (introduced by Decree of the Government of the Russian Federation of February 27, 2015 N 174)
1-(2-(methoxy(phenyl)methyl)phenyl)piperidine and its derivatives (introduced by Decree of the Government of the Russian Federation of October 25, 2014 N 1102)
N--2,2,3,3-tetram ethylcyclopropane-1-carboxamide (introduced by Decree of the Government of the Russian Federation of November 23, 2012 N 1215)
Metopon
Mephedrone (4-methylmethcathinone) (introduced by Decree of the Government of the Russian Federation of July 29, 2010 N 578)
Mirofin
Mitragynine (9-methoxy-corynantheidine) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
milky juice different types poppy seeds that are not hypnotic poppy (plant species Papaver somniferum L), but containing poppy alkaloids included in the lists of narcotic drugs and psychotropic substances
MMDA (2-methoxy-alpha-4-methyl 4, 5-(methylenedioxy)-phenethylamine)
Moramide, intermediate (2-methyl-3-morpholine-1, 1-diphenyl-propane-carboxylic acid)
Morpheridine
Morphine methyl bromide
Morphine-N-oxide
(1--1-N-indol-3-yl)(naphthalene-1-yl)methane (JWH-195) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation of December 31 2009 N 1186)
(4-Methylnaphthalene-1-yl)(1--1H-indol-3-yl)methane (JWH-192) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation of December 31 2009 N 1186)
(4-Methoxy-1-naphthyl)(1--1H-indol-3-yl)methane (JWH-199) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation of December 31 2009 N 1186)
(1--1H-indol-3-yl)(naphthalene-1-yl)methanone (JWH-200) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation of December 31, 2009 . N 1186)
(4-Methylnaphthalene-1-yl)(1--1H-indol-3-yl)methanone (JWH-193) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation of December 31 2009 N 1186)
(4-Methoxy-1-naphthyl)(1--1H-indol-3-yl)methanone (JWH-198) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation of December 31 2009 N 1186)
MPPP (MPPP (1-methyl-4-phenyl-4-piperidinol propionate (ester))
Naphthalene-1-yl-1-benzyl-1H-indazole-3-carboxylate and its derivatives (introduced by Decree of the Government of the Russian Federation of July 2, 2015 N 665)
Naphthalene-1-yl-1-benzyl-1H-indole-3-carboxylate and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
N-(naphthalene-1-yl)-1H-indole-3-carboxamide and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of July 10, 2013 N 580)
(E)-1-pentane (JWH-176) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of December 31, 2009 N 1186)
Naphthalene-1-yl(1-(pent-4-enyl)-1H-pyrrolopyridin-3-yl) methanone and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
Naphthalene-1-yl(1-pentyl-1H-benzimidazol-2-yl)methanone and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
Naphthalene-1-yl-1-pentyl-1H-indazole-3-carboxylate and its derivatives (introduced by Decree of the Government of the Russian Federation of July 2, 2015 N 665)
Naphthalene-1-yl(9-pentyl-9H-carbazol-3-yl)methanone and its derivatives
Naphthalene-1-yl-1-pentyl-1H-indole-3-carboxylate and its derivatives (introduced by Decree of the Government of the Russian Federation of October 25, 2014 N 1102)
N-(Naphthalene-1-yl)-1-pentyl-1H-pyrrolopyridine-3-carboxamide and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
3-(Naphthalene-1-yloxomethyl)-1-pentyl-1H-7-azaindole and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of March 22, 2014 N 224)
3-(Naphthalene-1-yloxomethyl)-1-pentyl-1H-indazole and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of March 22, 2014 N 224)
(Naphthalene-1-yl)(1H-pyrrol-3-yl)methanone and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
(Naphthalene-1-yl)(4-pentyloxynaphthalene-1-yl)methanone and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of May 18, 2012 N 491)
N-Naphthyl-1-pentyl-1H-indazole-3-carboxamide and its derivatives (introduced by Decree of the Government of the Russian Federation of September 9, 2013 N 788)
3-Naphthoylindole [(1H-indol-3-yl)(naphthalene-1-yl)methanone] and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822 )
Nikodikodin
Nicocodin
Nicomorphine
Noracimethadol
Norcodeine
Norlevorphanol
Normethadone
Normorphine
Norpipanon
Oxymorphone
Opium is the coagulated juice of the sleeping pill poppy (plant of the species Papaver somniferum L)
Oripavin
Para-fluorofentanyl (para-fluorofentanyl)
Parahexyl (4-Methylnaphthalene-1-yl)(1-pentyl-1H-indol-3-yl)methanone (JWH-122) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation dated December 31, 2009 N 1186)
(4-Methoxynaphthalene-1-yl)(1-pentyl-1H-indol-3-yl)methanone (JWH-081) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation dated 31 December 2009 N 1186)
(Naphthalene-1-yl)(1-pentyl-1H-indol-3-yl)methanone (JWH-018) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation of December 31, 2009 N 1186)
2-(1-Pentyl-1H-indazole-3-carboxamido)acetic acid and its derivatives (introduced by Decree of the Government of the Russian Federation of February 27, 2015 N 174)
(1-Pentyl-1H-indazol-3-yl)(piperazin-1-yl)methanone and its derivatives (introduced by Decree of the Government of the Russian Federation of September 9, 2013 N 788)
(1-Pentyl-1H-indazol-3-yl) (2,2,3,3-tetramethylcyclopropyl) methanone and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
2-(1-Pentyl-1H-indole-3-carboxamido)acetic acid and its derivatives (introduced by Decree of the Government of the Russian Federation of February 27, 2015 N 174)
1-Pentyl-1H-indol-3-yl-(1-naphthyl)methane (JWH-175) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of December 31, 2009 N 1186)
(1-Pentyl-1H-indol-3-yl)(pyridin-3-yl)methanone and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
1-Pentyl-1H-indol-3-yl-(4-methyl-1-naphthyl)methane (JWH-184) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation of December 31 2009 N 1186)
1-Pentyl-1H-indol-3-yl-(4-methoxy-1-naphthyl)methane (JWH-185) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by decree of the Government of the Russian Federation of December 31 2009 N 1186)
(1-Pentyl-1H-indol-3-yl)(piperazin-1-yl)methanone and its derivatives (introduced by Decree of the Government of the Russian Federation of September 9, 2013 N 788)
1-Pentyl-N-(quinolin-8-yl)-1H-indole-3-carboxamide and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
PEPAP (L-phenethyl-4-phenyl-4-piperidinol acetate (ester)
Pethidine
Pethidine, intermediate A (4-cyano-1-methyl-4-phenylpiperidine)
Pethidine, intermediate product B (4-phenylpiperidine-4-carboxylic acid ethyl ester) (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Pethidine, intermediate product C (1-methyl-4-phenylpiperidine-4-carboxylic acid) (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Piminodine
(Piperidin-2-yl)diphenylmethane and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
2-(4-piperidin-1-yl-phenyl)-ethylamide of 5-chloro-3-ethyl-1H-indole-2-carboxylic acid (Org 27569) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation dated July 10, 2013 N 580)
1-(Pyridin-2-yl)prop-2-ylamine and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of March 22, 2014 N 224)
(Pyrrolidin-2-yl)diphenylmethane and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
2-(Pyrrolidin-1-yl)-1-(thiophen-2-yl)butan-1-one and its derivatives (introduced by Decree of the Government of the Russian Federation of July 2, 2015 N 665)
2-(pyrrolidin-1-yl)-1-(thiophen-2-yl)pentan-1-one and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of November 7, 2013 No. N 998)
PMA (4-methoxy-alpha-methylphenyl-ethylamine)
Proheptazine
Psilocybin
Psilocin
Racemethorphan
Racemoramide
Racemorphan
Rolicyclidine
Salvinorin A (introduced by Decree of the Government of the Russian Federation of December 31, 2009 N 1186)
2C-B (4-bromo-2,5-dimethoxyphenethylamine)
STP (DOM)
Tebacon (acetyldihydrocodeinone)
Tenocyclidine (TCP)
Tetrahydrocannabinol (all isomers)
2-Thiophen-2-ethylamine and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
Thiofentanil
TMA (d, L-3,4,5-trimethoxy-alpha-methylphenyl-amine)
TFMPP (1-(3-trifluoromethylphenyl) piperazine) (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Phenadoxone
Phenazocine
Fenampromide
Phenatine
1-Phenylpiperazine and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
1-Phenylcyclohexylamine and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of October 6, 2011 N 822)
Phenylacetylindole and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of July 7, 2011 N 540)
Phencyclidine
Phenomorphan
Phenoperidine
Fenfluramine (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Folkodin
Furetidine
Heliamine (6,7-dimethoxy-1,2,3,4-tetrahydroisoquinoline) (introduced by Decree of the Government of the Russian Federation of September 9, 2013 N 788)
Quinolin-8-yl-1-benzyl-1H-indazole-3-carboxylate and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
Quinolin-8-yl-1-pentyl-1H-indazole-3-carboxylate and its derivatives (introduced by Decree of the Government of the Russian Federation of June 23, 2014 N 578)
Quinolin-8-yl-1-pentyl-1H-indole-3-carboxylate and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Government Decree No. 580 of July 10, 2013)
Quinolin-8-ylamide 1-pentyl-1H-indazole-3-carboxylic acid and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of March 22, 2014 N 224)
Quinolin-8-yl ester of 1-benzyl-1H-indole-3-carboxylic acid and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of March 22, 2014 N 224)
Chlorophenylpiperazine (introduced by Decree of the Government of the Russian Federation of June 30, 2010 N 486)
1-cyclohexyl-4-(1,2-diphenylethyl)piperazine and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of November 7, 2013 N 998)
Ecgonin, his esters and derivatives that can be converted to ecgonine and cocaine
Poppy straw extract (poppy straw concentrate)
N-ETHYL-MDA (d, L-N-ethyl-alpha-methyl-3,4-(methylenedioxy) - phenethylamyl
Ethylmethylthiambutene
1-Ethyl-1-pentyl-3-(1-naphthoyl)indole (JWH-116) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of December 31, 2009 N 1186)
Ethycyclidine
Ethoxyridine
Etonitazene
Etorphine
Etryptamine
Ephedrone (methcathinone) and its derivatives, with the exception of derivatives included as independent items in the list

Psychotropic substances
2-Amino-1-(4-bromo-2,5-dimethoxyphenyl)ethanone and its derivatives (introduced by Decree of the Government of the Russian Federation of May 8, 2015 N 448)
Amphetamine and its derivatives, with the exception of derivatives included as independent items in the list
Cathene (d-norpseudoephedrine)
Cathinone (L-alpha-aminopropiophenone) and its derivatives, with the exception of derivatives included as independent items in the list
Meclocqualone
Methaqualone
4-methylaminorex and its derivatives, with the exception of derivatives included as independent items in the list
Methylphenidate (Ritalin) and its derivatives
Fenetylline (introduced by Decree of the Government of the Russian Federation of June 30, 2010 N 486)
1-Phenyl-2-propanone (introduced by Decree of the Government of the Russian Federation of April 21, 2010 N 255)

Alpha-acetylphenylacetonitrile in a concentration of 10 percent or more (introduced by Decree of the Government of the Russian Federation of July 10, 2013 N 580)
N-acetylanthranilic acid at a concentration of 15 percent or more
1-benzyl-3-methyl-4-piperidinone at a concentration of 15 percent or more
2-bromo-1-(4-methylphenyl)propan-1-one at a concentration of 10 percent or more
1-bromo-2-phenylethane at a concentration of 15 percent or more
1-Hydroxy-1-methyl-2-phenylethoxysulfate at a concentration of 15 percent or more
1-dimethylamino-2-propanol at a concentration of 15 percent or more
1-dimethylamino-2-chloropropane at a concentration of 15 percent or more
Isosafrole at a concentration of 15 percent or more
Lysergic acid and its derivatives, with the exception of derivatives included as independent items in the list
3,4-methylenedioxyphenyl-2-bromopentan-1-one at a concentration of 10 percent or more
3,4-methylenedioxyphenyl-2-bromopropan-1-one at a concentration of 10 percent or more
3,4-methylenedioxyphenyl-2-nitropropene at a concentration of 10 percent or more
3,4-methylenedioxyphenyl-2-propanone at a concentration of 15 percent or more
3-methyl-1-phenethyl-4-piperidinone at a concentration of 15 percent or more
N-(3-methyl-4-piperidinyl)aniline at a concentration of 15 percent or more
N-(3-methyl-4-piperidinyl)propionanilide at a concentration of 15 percent or more
Safrole, including as sassafras oil, at a concentration of 15 percent or more
1-phenyl-2-nitropropene at a concentration of 15 percent or more
Phenethylamine at a concentration of 15 percent or more
1-(2-phenylethyl)-4-anilinopiperidine at a concentration of 15 percent or more
2-(1-phenylethyl)-3-methoxycarbonyl-4-piperidone at a concentration of 15 percent or more
1-chloro-2-phenylethane at a concentration of 15 percent or more
1-(1-cyclohexen-1-yl)piperidine at a concentration of 15 percent or more
Isomers, including stereoisomers (unless specifically excluded), of narcotic drugs and psychotropic substances listed in this list, in cases where the existence of such isomers, including stereoisomers, is possible within the framework of this chemical designation
Esters and ethers of narcotic drugs and psychotropic substances listed in this list
Salts of all narcotic drugs, psychotropic substances and their precursors listed in this list, if the existence of such salts is possible
All mixtures containing narcotic drugs and psychotropic substances on this list, regardless of their quantity

List
narcotic drugs and psychotropic substances, the circulation of which in the Russian Federation is limited and in respect of which control measures are established in accordance with the legislation of the Russian Federation and international treaties of the Russian Federation
(list II)

p-Aminopropiophenone (PAPP) and its optical isomers (antidote against cyanide)
Alfentanil
BZP (N-benzylpiperazine) and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Buprenorphine
Hydromorphone (introduced by Decree of the Government of the Russian Federation of March 11, 2011 N 158)
Glutetimide (Noxiron)
Dextromoramide
Dextropropoxyphene (ibuproxiron, proxivon, spasmoproxivon)
Dihydrocodeine
Dihydroetorphine (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Diphenoxylate
Carfentanil (introduced by Decree of the Government of the Russian Federation of June 13, 2013 N 496)
Codeine
Cocaine
Codeine N-oxide
4-MTA (alpha-methyl-4-methylthiophenethylamine) (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Morphine
Morphilong
Oxycodone (tecodin) (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Omnopon
Pentazocine
Properidine
Propiram
Prosidol
Piritramide (dipidolor)
Remifentanil (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Sombrevin
Sufentanil
Thebaine
Tilidin
Trimeperidine (Promedol)
Tropacocaine and its derivatives, with the exception of derivatives included as independent items in the list (introduced by Decree of the Government of the Russian Federation of July 10, 2013 N 580)
Fentanyl
Ethylmorphine
Escodol

Psychotropic substances

Amobarbital (barbamyl)
Amfepramone (fepranon, diethylpropion) and its derivatives, with the exception of derivatives included as independent items in the list
Ketamine
Modafinil [((diphenylmethyl)sulfinyl)acetamide] (introduced by Decree of the Government of the Russian Federation of May 18, 2012 N 491)
Phenmetrazine
Phentermine
Sodium etaminal (pentobarbital)
Halcion (triazolam)
Isomers (if they are not specifically excluded) of narcotic drugs and psychotropic substances listed in this list, in cases where the existence of such isomers is possible within the framework of this chemical designation (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Stereoisomers (if they are not specifically excluded) of narcotic drugs and psychotropic substances listed in this list, in cases where the existence of such stereoisomers is possible within the framework of this chemical designation (introduced by Decree of the Government of the Russian Federation of July 8, 2006 N 421)
Salts of all narcotic drugs and psychotropic substances listed in this list, if the existence of such salts is possible

List
psychotropic substances, the circulation of which in the Russian Federation is limited and in respect of which certain control measures may be excluded in accordance with the legislation of the Russian Federation and international treaties of the Russian Federation
(list III)

Allobarbital
Alprazolam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Amineptine
Aminorex
Aprofen
Barbital (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Benzphetamine
Bromazepam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Brotizolam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Butalbital
Butobarbital
Butorphanol (introduced by Decree of the Government of the Russian Federation of June 30, 2010 N 486)
Vinylbital
Galazepam
Haloxazolam
Gammabutyrolactone (introduced by Decree of the Government of the Russian Federation of February 22, 2012 N 144)
Sodium 4-hydroxybutyrate and other salts of -hydroxybutyric acid (introduced by Decree of the Government of the Russian Federation of December 8, 2010 N 990)
Dextromethorphan
Delorazepam
Diazepam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Zolpidem (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Kamazepam
Ketazolam
Clobazam
Cloxazolam
Clonazepam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Clorazepate
Clotiazepam
Levamphetamine
Lefetamine
Loprazolam
Lorazepam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Lormetazepam
Mazindol
Medazepam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Mesocarb (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Meprobamate (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Methylphenobarbital
Methylprilone
Mefenorex
Midazolam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Nalbuphine [(5-alpha, 6-alpha)-17-(cyclobutylmethyl)-4,5-epoxymorphinan -3,6,14-triol] (introduced by Decree of the Government of the Russian Federation of April 23, 2012 N 359)
Nimetazepam
Nitrazepam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Nordazepam
Oxazepam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Oxazolam
-hydroxybutyric acid (introduced by Decree of the Government of the Russian Federation of December 8, 2010 N 990)
Pemolin
Pinazepam
Pipradrol
Pyrovalerone
Prazepam
Secbutabarbital
Secobarbital
Temazepam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Tetrazepam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Tianeptine (introduced by Decree of the Government of the Russian Federation of June 30, 2010 N 486)
Taren
Phendimetrazine
Fencamfamin
Phenobarbital (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Fenproporex
Fludiazepam
Flunitrazepam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Flurazepam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Chlordiazepoxide (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Cyclobarbital
Zipeprol
Estazolam (introduced by Decree of the Government of the Russian Federation of February 4, 2013 N 78)
Ethyl loflazepate
Ethylamphetamine
Etinamat
Ethchlorovinol
Salts of substances listed in this list, if the existence of such salts is possible.

Besides the names themselves medicines extreme caution should be exercised and the instructions carefully read before use the following groups medications:

  • Sleeping pills
  • Cold medicines
  • Tranquilizers
  • Antihistamines (for allergies)
  • Many painkillers
  • Medicines for diarrhea
  • Neuroleptics (inhibit central nervous system functions)
  • Antidepressants

What medications indicate alcohol and what medications should not be taken while driving? Video

After the accident there was a medical examination. Phenibut and phenotropil were found in the urine (I took one tablet of phenotropil during the session, the origin of phenibut in the urine is unknown to me). They diagnosed me as intoxicated based on the presence of phenibut (they sent an explanation to my request). How legal is this and how can I challenge it? Thank you.

Shumikhin Artem, Moscow

ANSWERED: 07/03/2014

Quite legal. This drug is not prescribed for driving. You should not take it on your own, only as prescribed by a doctor.

Clarification question

ANSWERED: 07/04/2014 Kravtsov Alexander Vasilievich Khabarovsk 0.0 psychiatrist-narcologist

Dear Artem! Phenotropil - Nootropic drug, activates memory, brain activity, improves concentration and mental activity, facilitates learning processes, accelerates the transfer of information between the hemispheres of the brain, increases the resistance of brain tissue to hypoxia and toxic effects, has anti-anxiety activity, regulates the processes of activation and inhibition of the central nervous system, improves mood. The instructions say: "Contraindications for use - increased sensitivity to the components of the drug. The drug should be prescribed with caution to patients with severe organic lesions liver and kidneys, severe course arterial hypertension, at severe atherosclerosis; patients who have previously had panic attacks, acute psychotic states accompanied by psychomotor agitation(because there may be an exacerbation of anxiety, panic, hallucinations and delusions); patients prone to allergic reactions for nootropic drugs of the pyrrolidone group. Special instructions: It should be taken into account that in case of excessive psycho-emotional exhaustion against the background chronic stress and fatigue, chronic insomnia, a single dose of Phenotropil on the first day can cause a sharp need for sleep. For such patients outpatient setting It is recommended to start taking the drug on non-working days." However, there is no indication that the drug in any way affects the ability to drive. Phenotropil is a legal drug that affects brain function (purely theoretically), for example, it can cause sudden dizziness, impairment coordination of movements, or somehow influence the speed of reactions, which in itself already represents potential danger when performing work that requires increased concentration. Scientific research has probably not been carried out in this area. There are no exact data. Therefore, logically speaking, it is reasonable to believe that you should use it while driving with extreme caution, and it is better not to use it at all, out of harm’s way. Based on these considerations, your doctor should have warned you to avoid driving during treatment. PHENYBUT - Nootropic drug with anxiolytic activity. Special instructions: During the treatment period, you must refrain from potentially dangerous species activities requiring increased attention And high speed psychomotor reactions. In court, you should fight for your rights so as not to lose your driver’s license. certificate, it is necessary to emphasize that 1) The drug was taken exclusively on the recommendation of a doctor. 2) There is no indication that the drug affects the ability to drive. 3) Phenotropil is a legal drug (reg. No.: P N002784/01 dated 04/08/09), which is not in the List of Narcotic and potent substances, prohibited in the Russian Federation, and 4) it does not cause the so-called. " drug intoxication". WITH best wishes

Clarification question

ANSWERED: 07/04/2014 Kravtsov Alexander Vasilievich Khabarovsk 0.0 psychiatrist-narcologist

P.S. Artem! 1) PHENIBUT is aminophenylbutyric acid (γ-amino-β-phenylbutyric acid hydrochloride). Quote from the instructions: “During the treatment period, it is necessary to refrain from potentially dangerous activities that require increased attention and high speed of psychomotor reactions.” those. You can't drive a car! IMPORTANT: Driving is equivalent to being under the influence of alcohol or drugs - this is traffic violation, entails administrative liability, deprivation of rights to drive transport. 2) Phenotropil (N-carbamoylmethyl-4-phenyl-2-pyrrolidone) - Special instructions: “It should be taken into account that in case of excessive psycho-emotional exhaustion against the background of chronic stress and fatigue, chronic insomnia, a single dose of Phenotropil on the first day may cause a sharp need for sleep. In outpatient settings, such patients are recommended to start taking the drug on non-working days." However, there are no direct instructions in the instructions. that Phenotropil somehow affects the ability to drive. It is important to understand that these are completely different chemicals. If the tests reveal PHENIBUT, and not Phenotropil, it will be difficult for you to prove your case in court... To challenge the result of a medical examination, you must write an application to the Commission for the consideration of controversial cases during a medical examination for alcohol and drug intoxication. In your application, describe in detail all the circumstances and request that your case be reviewed and control study urine samples (they must be stored in the laboratory for up to 3 months), and issue a qualified opinion. Such commissions exist at regional, regional, city psychiatric (narcological) hospitals and/or dispensaries. (Find out the location and address at the Ministry of Health information desk). The commission includes experienced specialists, managers medical institutions, scientific workers, and their decision is necessarily accepted for consideration in court. Use the services of a lawyer experienced in such cases. Best wishes

Clarification question

Related questions:

Date Question Status
08.06.2014

In the report of the Ministry of Defense after the accident, the state of intoxication was established based on the detection of phenotropil and phenibut in the urine. These substances are part of the drug phenotropil, available in free sale and taken by me during the session according to indications of improving mental activity. There are no warnings for drivers on the packaging or in the leaflet for the medicine. How to resist a decision to deprive your rights in court?

03.10.2011

Hello, Tell me, is it possible to take Phenotropil? healthy person to improve performance and concentration?

26.08.2013

Good afternoon The guy and I were intoxicated. He inserted his penis into me without a condom. I haven't finished before. I came to my senses, but after about 10 seconds, he was without a condom. Frictions were made, but inactive. After 2 minutes I went and washed myself, without soap. Don't judge strictly, but this happened twice. And both times I ran and washed myself. The guy never finished. Is it possible to get pregnant? THANKS A LOT.

01.06.2012

Hello! How to cure nervous tic under the eye. She was treated by a neurologist for a month, and now she is on vacation. I took phenibut finlepsin, vitamins Berroca and magnesium B6 for a month. for the night pers. The eye also twitches. What to do?

12.01.2015

Hello! I am 27 years old. This is the situation: the cycle after a frozen pregnancy was established at 24 days (it was 28), but, as before, it became stable from month to month, day to day. We were going to do a survey and start planning in January. We used barrier protection for the first months after curettage (I have a hormone-dependent migraine and OK is not suitable for me), and then we switched to interrupted PA, since before that pregnancy had not occurred with this method for 5 years (only the planned one occurred last year and...

  • Mild intoxication

Mild intoxication is accompanied by euphoria with a feeling of complacency and comfort. Facial expressions are more lively, ease of communication appears, movements are wide, but less precise.

  • Moderate intoxication

The average degree manifests itself through slurred speech, unsure gait. Nausea and vomiting may occur. Euphoria can give way to aggression. It is difficult to attract attention, but orientation in the environment is present.

  • Severe degree of intoxication

A severe degree of intoxication is accompanied by depression of consciousness; the person is unable to stand on his feet. Severe vomiting and urinary and fecal incontinence may occur. Speech turns into unintelligible muttering, interrupted by shouts. The body temperature drops and a coma may even occur. Drinking alcohol destroys the brain and the body as a whole.

Usually the reasons for drinking alcohol are the desire to gain positive emotions and great fun. Some people, in this way, relieve stress, try to overcome uncertainty, otherwise, they hide from their problems.

How to get rid of intoxication quickly: 15 ways

  • How to prevent drunkenness?

All people are susceptible to intoxication. Drinking alcohol on an empty stomach speeds up the absorption process. Before the feast, consume foods and dishes that will prevent you from getting very drunk later.

1. Oil

Drink the mixture shortly before the feast - a spoon vegetable oil with one egg or eat a piece butter— 50g.

2. Cream of cheese and butter

Prepare a meal that will protect your stomach before drinking alcohol. Grate 200-250 g of fatty cheese and mix it well with oil from canned sardines. Spread this cream on bread.

3. A piece of lard

A piece of lard will reliably protect you from intoxication if you eat it before a feast.

4. Raise the degrees

In order not to get drunk quickly, it is better to raise the degrees of drinks, i.e. start from the minimum. The gap between the first and second glass should be at least half an hour. Do not drink alcohol through straws or keep them in your mouth - intoxication can occur very quickly. Better have a snack sauerkraut and boiled potatoes, because These products neutralize alcohol more than others.


1. Nasal massage and ammonia

Make an intoxicated person mean and index finger grab and pull back the tip of your nose. Massage movements you need to stretch your nose until it tingles. Next bring the bottle ammonia to the nose and force the drunken person to do deep breath. The inhalation should last 1-2 seconds. To enhance the sobering effect, a drunk’s whiskey is rubbed with fingers dipped in ammonia.

2. Cold water with mint

Drink a glass very cold water with 20 drops of mint tincture or five drops of ammonia (which is less preferable). After this, take 10 minutes contrast shower, and then drink a glass of strong tea with honey (if you feel nauseous, not sweet).

3. Curdled milk and juices

Two glasses of yogurt or juice with increased acidity– apple, tomato, orange.

4. Pouring cold water

You can simply pour cool water over the back of your head so that it flows down your spine.

5. Ear massage

Place your palms on both ears. Rub them hard and quickly. Blood flow to the ears will sober up quickly.

6. Activated carbon

To avoid alcohol intoxication, you need to drink up to 10 tablets of activated carbon.

7. Aspirin

2 tablets of aspirin will also help you sober up faster.

8. Raspberries and honey

An intoxicated person is given 200 g of fresh raspberries or 100-200 g of honey in 2 doses.

9. Medicines

From medical supplies take: Medichronal, Zorex, Alka-Seltzer, etc.

10. Alkalinized water

To alleviate the condition in the morning, in the evening before going to bed you need to drink several glasses of alkalized water (1 tablespoon per 1 liter of cold boiled water). Can be replaced with Borjomi type water.

11. Milk and vitamins

If you can, drink 0.5 liters before bed. milk. Take a double dose of vitamins C and B6 and go to bed with the window open so you can access fresh air and the opportunity to saturate the brain with oxygen.

12. Herbal tea

People successfully use tea from binge drinking herbal infusions. Herbs are mostly slightly aromatic and diuretic. This tea is drunk warm, without sugar, 10-15 glasses a day, to increase sweating, urine production and affect the catarrhal state of the stomach. The tea may include wormwood, St. John's wort, mint and yarrow (in equal parts), angelica roots, calamus, juniper berries (1/2 part each). Combine everything, mix and brew with a large pinch of boiling water.

13. Thyme

To reduce cravings for alcohol, take 15 g of dry thyme, grind it, pour a glass of boiling water and leave for 10-15 minutes. Take a tablespoon three times a day.

14. Decoction of oats and calendula flowers

Fill a three-liter pan with unpeeled oats halfway through. Add water and simmer over low heat for 30 minutes. Then drain the broth and add 100 g of calendula flowers. Wrap up warmly and keep for a day. Strain. Drink three times daily, before meals.

15. Bearberry decoction

Pour 15 g of chopped bearberry (bear ears) into a glass of boiled water. Keep on fire for 15 minutes. Take a tablespoon of decoction 6 times a day.

– a short-term psychotic episode due to alcohol intake. It can occur even when taking a small dose of alcohol, which is not sufficient for alcohol intoxication. It is a peculiar reaction of the body to the intake of ethyl alcohol. Rarely observed. Accompanied by a gloomy clouding of consciousness and pronounced changes in behavior. Characteristic sudden attacks aggression, delusional perception of reality and acute affects: rage, anger, anxiety and fear. Disorientation usually occurs. After the psychosis ends, sleep sets in, followed by amnesia or vague fragmentary memories of what happened.

General information

Pathological intoxication is a rare disorder, the cause of which is not the amount of alcohol consumed, but a peculiar reaction of the body, reminiscent of a paradoxical reaction to taking benzodiazepines or barbiturates. Experts in the field of addiction and psychiatry believe that this pathological reaction may be based on previous traumatic brain injuries and certain brain diseases. Signs of mental disorders outside the state of pathological intoxication are not detected in patients. Typically, one patient experiences one psychotic episode, and recurrence of psychosis is considered unlikely.

The danger of this condition lies in its suddenness and surprise for others, as well as in the patient’s pronounced aggressiveness, which can lead to harm (including serious harm, even murder) to other people. A patient who has committed a criminal act in a state of pathological intoxication is declared insane. Since the diagnosis is always made retrospectively, the examination is carried out taking into account eyewitness accounts, criminal case materials, etc. When a crime is committed, the diagnosis is made by specialists in the field of forensic psychiatry; in the absence of illegal actions, the patient is examined by narcologists.

Reasons for the development of pathological intoxication

Pathological intoxication is not a stage or type of ordinary alcoholic intoxication. It represents independent state, arising under the influence of permanent and temporary factors. Permanent factors include transferred organic diseases brain and traumatic brain injuries. At the same time, in in good condition residual effects of brain lesions are usually very weak or absent.

It has been established that psychotic episodes develop more often in people suffering from alcoholism and patients with psychopathy, however, this is not the case mandatory conditions. Sometimes there are no constant factors. Temporary factors are excitement, anxiety, fear, lack of sleep, severe fatigue, physical or mental stress. The blood alcohol content does not exceed 40 mg per 100 ml, which is approximately 50-150 grams of alcohol. A psychotic episode usually develops within a few minutes, less often within an hour, after drinking alcohol.

Types and symptoms of pathological alcohol intoxication

I.N. Vvedensky points out two forms of pathological intoxication: epileptoid and paranoid. In addition, forensic psychiatrists distinguish a third variant of this pathology - alcoholic catatonia. Rarely, pathological intoxication with other symptoms resembling those of schizophrenia is observed. According to Russian psychiatrists, in the latter case, schizophrenic aggravation becomes the basis for the development of a psychotic episode.

The epileptoid form is accompanied by sudden disorientation. The patient loses contact with reality. Significant fear, anger and suspicion arise. Motor excitement is noted. Movements are abrupt, rough, senseless, like motor automatisms. Characterized by sudden cruelty. Usually the patient attacks “opponents” silently, less often muttering or shouting something. There is no awareness or criticism of one’s own actions; severe injuries are possible.

The hallucinatory-paranoid or paranoid form is manifested by a sudden disturbance of consciousness and delusions. Contact with reality is lost. The patient is excited. The movements are impulsive, accompanied by pronounced affective reactions in the form of anger or fear. The behavior corresponds to the content of the delusion. The patient may shout, command or threaten, but productive contact is impossible. Both forms are characterized by a sudden onset and an equally sudden end with a transition to very deep terminal sleep.

With alcoholic catatonia, patients become “stuck” in some action or experience. Patients may repeat certain words or movements, not paying attention to others and not responding to attempts to make contact. Both active and passive negativism are possible - patients either do not comply with requests and demands, or actively resist (carry out an action opposite to the requirement).

Diagnosis and differential diagnosis

There are many forms of alcohol intoxication that resemble pathological intoxication, but, unlike it, are not special condition, but represent simple alcoholic intoxication with unusual manifestations. When committing illegal acts, the differential diagnosis of these conditions is very important task, since the sanity or insanity of the patient depends on the verdict of forensic psychiatrists.

Distinctive criteria for making a diagnosis are the use of small amounts of alcohol, sudden changes in the patient’s condition and behavior in the absence of previous signs light alcoholic intoxication, severe disturbances of consciousness and pronounced motor agitation while maintaining normal coordination of movements. In addition, this condition is accompanied by hallucinations, delusions, as well as sudden and violent mood disorders in the form of horror, fear or anger. The diagnosis takes into account a sudden exit from psychosis with the onset of sleep and partial or complete amnesia.

Differential diagnosis carried out with twilight, delirious, manic, hysterical, depressive, explosive, dysphoric, impulsive and somnolent forms of alcohol intoxication. A very fine distinction between symptoms and full recovery pictures of what happened. Individual shouts of swear words or inappropriate statements can be mistaken for delusional ideas, however, if a certain dynamics is revealed in the patient’s behavior, and the patient himself reacts to external signals, this indicates simple alcohol intoxication.

Motor excitation during normal intoxication does not reach such high severity, cruelty, intensity and automatism. There is a correlation between arousal and external events. The movements are less monotonous and do not fit into the category of stereotypies and motor automatisms.

The speech of patients in a state of simple intoxication may resemble delirium, however, the statements of patients are not so divorced from reality, less sudden and meaningless. Aggressive actions do not arise suddenly; they are preceded by some (even minimal) incident. An increase in affect is noted, aggression is preceded by motor excitement; upon careful examination, a certain (albeit weak) connection with real events can be established.

Especially often, pathological and ordinary complicated intoxication have to be differentiated in chronic alcoholism, which can change clinical picture towards increased aggressiveness, hallucinations and episodes of amnesia. Making a diagnosis of pathological intoxication is always difficult, since narcologists and forensic psychiatrists do not have the opportunity to directly assess the patient’s behavior and draw conclusions based on the testimony of other people.

Treatment and prognosis for pathological intoxication

If it is possible to establish that intoxication was pathological character, the patient is declared insane, and therefore is not responsible for his actions. Treatment tactics depend on the patient’s condition at the time of examination. When hospitalized in acute period to eliminate agitation, intravenous or intramuscular injection tranquilizers and antipsychotic drugs. Chlorpromazine, diazepam, promethazine, diphenhydramine and combinations of these drugs are used. Intravenous injections carried out under blood pressure control.

When identifying mental disorders that contributed to the development of this condition, the patient is referred to outpatient treatment to a psychiatrist or placed in a psychiatric ward. If there is alcohol dependence, treatment of alcoholism in a narcological hospital is indicated. The prognosis is favorable. This condition It occurs rarely and requires a combination of circumstances to occur. Residual effects not observed. Narcologists and forensic psychiatrists assess the likelihood of developing repeated pathological intoxication as very low.



CATEGORIES

POPULAR ARTICLES

2024 “kingad.ru” - ultrasound examination of human organs