May
12
23:01
Psychiatry

Substance-induced psychosis

substance-induced psychosis

Substance-induced psychosis substance-induced psychosis - a group of mental disorders that develop in chronic or acute poisoning, household chemicals, food or industrial poisons, drugs and medicines.Substance-induced psychosis to distinguish protracted and sharp

protracted substance-induced psychosis

In most cases occur endoformnymi and psychoorganic (more) disorders.Psycho-organic disorders are often limited asthenoneurotic phenomena, but in more severe cases, there may be a psychopathic and intellectually - mnestic personality change.Also, these disorders can eventually cause dementia with serious memory disorders (Korsakov's syndrome).Also, psycho-organic disorders may be accompanied by physical and neurological disorders characteristic of poisoning a certain toxic substance;and epileptic seizures

Acute substance-induced psychosis

These mental disorders arise or substantially immediately after contact with poison in the human body (gasoline, carbon monoxide and so forth.), or a

fter a latent period lasting from a few hours to severaldays (antifreeze, tetraethyl lead and so on.).At the end of acute psychosis may remain different psycho-organic disorders differ in their structure and degree of severity.In the case of chronic poisoning, mental disorders are increasing gradually, and mainly manifested psycho-organic syndrome.After the cessation of contact with a poisonous substance, perhaps as a further increase in mental disorders and their regredientnoe for

Symptoms

Acute intoxication psychosis caused by acute poisoning, in most cases, are manifested by loss of consciousness, the structure and the depth of which depends onthe individual and the substance, which was poisoning.Sometimes this kind of psychosis may be accompanied by stunning or even coma;may have hallucinations or delirious dizziness.

protracted psychosis in most cases appear asthenoneurotic phenomena.Much rarer partial change in personality (sometimes comes to dementia).

Diagnostics substance-induced psychosis is the examination of the patient by specialists such as a psychiatrist and a psychiatrist

Treatment

Initially, the patient is a drug test, to confirm or exclude the contrary cause - effect relationship which developed psychosis with this or that narcotic substance.

In the first hours after the poisoning, treatment is to conduct enhanced detoxification (compensation of disturbed functions, the massive plasmapheresis).In cases where the patient is in a state of excitement, in small doses used psychotropic drugs (intramuscular solution Tisercinum or chlorpromazine).

in depressive states shows the use of antidepressants (imipramine, amitriptyline, pirazidol).When manic psychosis and hallucinatory - delusional states shows the use of neuroleptics (Tisercinum, haloperidol, chlorpromazine, leponeks, triftazin).The drugs can be combined if necessary.

very important role in the treatment of chronic and acute toxic brain lesions withdrawn vitamins (especially B group) and nootropics - drugs metabolic action (Aminalon, piriditol, piracetam, Pantogamum).

To correct Neurosis / psychopathic disorders are recommended for use tranquilizers (seduksen, elenium, nozepam, fenozepam etc.) And antipsychotics (eglonil, sonapaks, neuleptil, chlorprothixene).

In protracted psychoorganic syndrome shows periodic courses vitamin therapy, and treatment of dehydration therapy nootropics.

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