MWS, 25 years, was admitted with
the history of taking Codeine based cough syrup, 2-3 bottles (200-300
ml) a day, 20-30 tablets of Carisoma (carisoprodol), Sulpha(cannabis),
smoked and non-smoked tobacco. There was a past history of alcohol and
Bhuki (a crude opioid) use. Patient is now the only son, his elder
brother died of electrocution and father is also addicted to liquor and
Bhuki.
He sought admission to Akal Drug De-addiction Centre on his own.
There was no pressure on the part of the family to force him for
admission. Patient was detoxified and medication, yoga, recreational
activities had been continued along with counselling and family therapy.
A divinity preacher engaged the patients in a time structured schedule
of meditation and Simran. In the Centre he was cooperative, took active
part in the Centre activities and was responsive to treatment.
The patient was discharged after four weeks of stay in Centre and was
advised regular follow up visits. He is on maintenance treatment of
Buprenorphine with Nalaxone, one tablet of 2.5 mg sublingually daily. He
looks after his agricultural farm, remains constructively occupied, is
totally abstinent, and performs his family and social obligations.
Patient said “My father is an addict and I ensure regular supply of
liquor and bhuki to him without getting myself affected at all”. He is
complying with the treatment and the family accompanying the patient
during follow up visit substantiated that the patient had been
maintaining improvement.
The 25 years matriculate hailing from the joint agrarian family of
Malwa region was admitted for poly substance use disorder of 5 years
duration. His addiction was precipitated and perpetuated by the death of
his brother. He responded extremely well to a single admission of four
weeks of stay treatment at our centre. He is totally abstinent for over
six years now and is on harm reduction therapy. He is confident to keep
himself off drugs, is shouldering family and social responsibilities,
and remains cheerfully and constructively occupied.