Psychotropic drugs without prescriptions List for children, adults

Psychotropic drugs are a separate group of drugs, the action of which is aimed at curing nervous disorders and helping the psyche cope with various stresses. Such medications contain potent components that can cause addiction when used for a long time.

That is why only a psychotherapist or neurologist should select a medicine, so as not to harm a person whose psyche is already unstable. Most drugs are sold only with a doctor's permission, but there are also those that can be bought without a prescription.

Treatment of psychosis without antipsychotics in Israel: what is important to know?

The secret to effective treatment of psychosis in Israel is unique advanced techniques and a personal approach.
Qualified assistance can be obtained in public medical institutions, as well as in private clinics. For example, the Renaissance rehabilitation center deals not only with the treatment of drug addiction in Israel, alcoholism, and various types of addictions, but also with the treatment of psychiatric pathologies that are treated comprehensively. In addition to basic treatment, patients receive recommendations from the attending doctor to attend classes in art therapy, hydrotherapy, and yoga.

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Taking into account the course of the disease and the patient’s personality traits, therapy programs are developed individually for each person and allow one to achieve good results in a short time.

The importance of psychotherapeutic methods for treating psychosis in the Renaissance drug treatment clinic can hardly be overestimated, because they are an integral element of complex therapy and, when used correctly, successfully replace drug intervention.

Drugs in this group are most often used for long-term planned treatment of aggressiveness. The mechanism of action of these drugs is associated with restoring the balance between the processes of inhibition and excitation in the brain.

Prescribed for aggressiveness resulting from overwork, the consequences of organic damage to the nervous system (trauma, surgery, infection and intoxication), alcohol and drug abuse, epilepsy, affective disorders (depression, manic states, bipolar affective disorder) and other endogenous mental disorders.

The main drugs from the group of mood stabilizers:

• carbamazepine;
• lithium strength;
• valproic acid;
• lamotrigine.

Neuroleptic drugs are used both for a single (one-time) dose to relieve an attack of aggressiveness, and for continuous long-term use.

Neuroleptics exert their effect by restoring the impaired exchange of neurotransmitters in the nervous system, enhancing inhibition processes in the cortex and subcortical structures of the brain.

Neuroleptics are used to treat almost all types of psychoses and neuroses accompanied by aggressive behavior. They are the most powerful anti-aggressive agents. There are many antipsychotic drugs; by now they are divided into several generations.

The main drugs are antipsychotics used for aggressiveness:

• periciazine (neuleptil);
• thioridazine (Sonapax);
• chlorprothixene;
• zuclopenthixol;
• chlorpromazine;
• levomepromazine;
• clozapine.

Tranquilizers are weaker and milder drugs compared to antipsychotics. They are used mainly once or in short (several days) courses, since long-term use can cause addiction (dependence).

Used for aggressiveness caused by overwork, neurotic and depressive disorders, as a rule, with unexpressed aggressiveness.

Basic tranquilizers:

• brodihydrochlorophenylbenzodiazepine;
• diazepam;
• alprozalam;
• Hydroxyzine.

This is a wide group of drugs that have a “general strengthening” effect, improve the metabolism of nerve cells, and have a positive effect on cognitive functions (memory, attention, learning).

Used in courses, has fewer contraindications (compared to previous groups of funds). Effective for aggressiveness caused by overwork, the consequences of organic damage to the central nervous system, neuroses and personality disorders.

The main representatives of this group:

• glycine;
• nootropil;
• aminophenylbutyric acid;
• Vinpocetine.

All medications have indications and contraindications. Be sure to consult your doctor. Remember, medications must be prescribed by a doctor!

List of over-the-counter psychostimulants 2019

• Antidepressants.
• Psychostimulants.
• Tranquilizers.
• Neuroleptics.
• Sedatives.

Each type, its characteristics and manifestations are worth studying in more detail.

Antidepressants

As the name suggests, these are modern drugs aimed at significantly alleviating depression and preventing it. Such drugs, when used correctly and strictly following the doctor’s recommendations, effectively regulate the amount and concentration of the main biogenic amines. Brain function and activity are restored very quickly.

Tranquilizers

These are special drugs whose main effect is:

1. Decreased excitability in brain structures.
2. Reducing overall tension.
3. Eliminate anxiety.

These medications are called fear relievers. Their use causes quick and effective relaxation and a certain drowsiness and lethargy.

Neuroleptics

Some doctors and patients call these drugs special major tranquilizers. This is a special category of medications that is prescribed for the purpose of:

• Slow down the activity of the nervous system.
• Eliminate nonsense.
• Get rid of hallucinations.
• Reduce increased aggressiveness.
• Eliminate anxiety and fear.

Proper use of drugs quickly relieves a person from a state of psychosis. At the same time, general consciousness is not disturbed. These drugs do not have a pronounced hypnotic effect. At the same time, they can enhance the general effect of sleeping pills and standard relaxing drugs.

Psychostimulants

Medicines significantly increase the overall speed of impulse redirection at synapses. This significantly increases excitability. As a result, drowsiness is automatically reduced, mood quickly improves and normal performance increases.

Such medications are called psycholeptics. These are special natural and synthetic agents that have the following effects on the body:

1. Reducing emotional stress at any time of the day.
2. Complete sedation without a parallel soporific effect.
3. Making it easier to fall asleep.

Sedatives give less results than tranquilizers. They have a much gentler effect on the body, and their side effects are minimal.

An example of a mild sedative is the common pharmaceutical valerian root. There are also many different synthetic sedatives that have a more pronounced sedative effect.

Decree of the Government of the Russian Federation dated December 22, 2011 No. 1085 “On licensing activities for the circulation of narcotic drugs, psychotropic substances and their precursors, cultivation of narcotic plants” approved the Regulations for licensing activities for the circulation of the mentioned objects and an appendix to the Regulations containing a List of works and services that constitute the activity by turnover (hereinafter referred to as RF PP dated December 22, 2011 No. 1085).

42. Development of new PV (Article 16)43. Production of PV (Articles 17, 27)44. Making PV (Articles 17, 27)45. Recycling of PV (Article 19; RF RF No. 147 dated 02/24/2009)46. Storage of PV (Article 20; RF Regulation No. 1148 of December 31, 2009)47. Transportation of PV Transportation of NS and PV (Article 21; RF RF No. 449 dated 06/12/2008)48. PV leave for individuals (Articles 25, 26)49.

Vacation (except for vacation to individuals) PV (Article 23; RF RF No. 558 of July 26, 2010)50. Implementation of PV (Article 23; RF PP No. 558 of July 26, 2010)51. Distribution of PV (Article 23; RF RF No. 558 of July 26, 2010)52. Purchase of PV53. Use of PV for medical purposes (Article 31)54. Use of PV in veterinary medicine (Article 33;

For the above types of activities related to the circulation of psychotropic substances of Schedule II c. brackets indicate links to articles of the Federal Law “On Narcotic Drugs and Psychotropic Substances” and Decree of the Government of the Russian Federation dated December 22, 2011 No. 1085, regulating certain works and services.

In accordance with Art. 5 of the Federal Law “On Narcotic Drugs and Psychotropic Substances” in Russia there is a state monopoly on the following types of activities related to the circulation of psychotropic substances of List III: – development (state unitary enterprises (SUE) and state institutions (GI)); – destruction of confiscated or withdrawn from illegal circulation of psychotropic substances included in List III (State Unitary Enterprise and State Administration); – ​processing (except for the processing of psychotropic substances included in List III, carried out by legal entities, regardless of their form of ownership, in order to obtain substances on their basis that are not psychotropic substances) (GUP).

The most important changes regarding the state monopoly on activities related to the circulation of psychotropic substances of List III were determined by Federal Law No. 305-FZ of December 30, 2012: the state monopoly on distribution, import (export) was abolished, the state monopoly on processing and destruction was limited.

We list the general requirements for licensing activities related to the circulation of psychotropic substances of List III, indicating the relevant article of the Federal Law of 01/08/1998 No. 3 “On Narcotic Drugs and Psychotropic Substances”:

• availability of premises and equipment belonging to the licensee by right of ownership or on another legal basis and meeting the established requirements necessary for carrying out the activity;
• compliance with the requirements of Art. 5 and 10;
• compliance with the Procedure for the admission of persons established by the RF Government of 06.08.1998 No. 892;
• the presence in the licensee's staff of employees who have secondary vocational, higher vocational, additional vocational education and (or) special training in the field of circulation of NS, DP and their precursors, corresponding to the requirements and nature of the work performed;
• advanced training of specialists with pharmaceutical and medical education who carry out activities at least once every 5 years;
• compliance with the requirements of Art. 37 and the procedure for submitting reports on activities related to their turnover, established by the RF PP dated 04.11.2006 No. 644;
• compliance with the requirements of Art. 39 and the Procedure for maintaining and storing special logs of transactions related to their turnover, established by the RF Government of 04.11.2006 No. 644;
• compliance with the rules of development, production, manufacturing, storage, transportation, shipment, release, sale, distribution, acquisition, use, import into the customs territory of the Russian Federation, export from the customs territory of the Russian Federation, destruction of tools and equipment that are under special control and used for production and manufacture of narcotic drugs, psychotropic substances established by the Russian Federation Regulations dated March 22, 2001 No. 221.

In accordance with Art. 28 import (export) of psychotropic substances of List III is carried out by legal entities, regardless of their form of ownership, in the prescribed manner, provided they have a license for the right to import (export), issued by the federal executive body that carries out state regulation of foreign trade activities.

The general procedure for prescribing and prescribing drugs for medical use was approved by order of the Ministry of Health of Russia dated December 20, 2012 No. 1175n “On approval of the procedure for prescribing and prescribing drugs, as well as forms of prescription forms for drugs, the procedure for processing these forms, their recording and storage” (hereinafter - Order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n).

Individual entrepreneurs engaged in medical activities are prohibited from writing prescriptions for List III psychotropic drugs.

Psychotropic drugs of List III are prescribed on prescription forms No. 148–1/у-88, which is valid for 10 days.

The maximum permissible quantities (MAC) of individual items for prescribing per prescription during dispensing, approved in Appendix 1 to Order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n, are established for three drugs of List III:

• Sodium hydroxybutyrate solution for oral administration 66.7%, syrup for oral administration 5% - 2 bottles;
• Nalbuphine solution for injection 10 mg/ml - 50 ampoules, 20 mg/ml - 25 ampoules;
• Butorphanol solution for injection 2 mg/ml 1 ml - 20 ampoules (previously 10).

The recommended quantity of individual medications for prescribing per prescription, approved in Appendix 2 to Order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n, is established for Phenobarbital tablets 50 mg, 100 mg - 30 tablets.

In cases of providing palliative care to patients, the maximum permissible amount and recommended amount of a drug for prescribing per prescription can be increased by no more than 2 times.

In accordance with clause 23 of the Order approved by the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n, prescriptions for barbituric acid derivatives, pseudoephedrine in a mixture with other drugs (for example, combination drugs with dexomethorphan) for the treatment of patients with chronic diseases can be prescribed for a course of treatment up to 2 months. In these cases, the prescriptions are inscribed: “For special purposes”, separately signed by the medical worker and the seal of the medical organization “For prescriptions”.

It is important to pay attention to the norm according to which psychotropic drugs of List III c. In some cases, by decision of the head of a medical organization, upon discharge from a medical organization of a patient who has appropriate medical indications and is sent to continue treatment on an outpatient basis, they may be prescribed or issued simultaneously with an extract from the medical history for the period of admission by the patient to 5 days.

The prescription and prescription of List III psychotropic drugs is carried out to patients with severe pain syndrome of any origin independently by a medical worker or by a medical worker by decision of a medical commission if the head of a medical organization decides on the need to coordinate the prescription with the medical commission.

Treatment of psychosis without antipsychotics in Israel: what is important to know?

In modern psychiatry, psychosis is considered as a pathology that is accompanied by a mental disorder and mental disorder. The patient experiences deformation of the real environment, thinking is distorted, and mental activity is disrupted. If we compare diseases such as psychosis and neurosis, they are radically different from each other.

With psychosis, profound changes occur in a person’s mental activity and personality; this is a severe form of damage to the nervous system when compared with neurosis, which is considered a milder degree of the disease. Both a psychologist and a psychotherapist can help in the treatment of neuroses, but psychosis is usually treated by psychiatrists.

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The reasons contributing to the emergence and development of psychosis can be both external and internal. External factors:

• stressful conditions;
• moral injuries;
• diseases of infectious nature;
• alcohol and drug abuse;
• uncontrolled use of medications;
• intoxication with industrial and other harmful substances.

Psychosis is a very complex condition; it can be triggered by an external factor, and then internal problems contribute to its aggravation. When the origin of a mental disorder is associated with an internal state, endogenous psychosis occurs. Usually its formation is associated with disorders in the nervous and endocrine systems.

Depending on the origin, the following classification of psychoses is accepted:

• situational - occurs as a result of a traumatic factor;
• organic - develops as a complication after tumors in the brain, infections, heart attack and other diseases. Traumatic psychosis is diagnosed when the head is injured, and epilepsy can sometimes be observed.
• reactive psychosis is the result of severe psychological trauma, is temporary and responds well to treatment;
• withdrawal symptoms (alcohol psychosis) are typical for alcoholics or patients after stopping their usual medications. Acute psychosis in alcoholism can be the result of prolonged binge drinking and be accompanied by hallucinations and various mental disorders;
• intoxication as a result of poisoning with chemical, narcotic or medicinal substances;
• Somatogenic psychosis manifests itself in pathologies in the functioning of internal organs and systems; it is a unique human reaction to illness in the form of fear and anxiety.

According to the clinical picture, psychotic disorders are divided into:

• hysterical psychosis, the symptoms of which are expressed in increased excitability of the patient;
• hypochondriacal psychosis - in such cases the patient has a fear of a non-existent fatal disease;
• paranoid psychosis, in which the sick person’s environment suffers, he develops delusional thoughts, feelings of hatred and aggression towards loved ones;
• depressive psychosis, when the patient experiences a feeling of depression and indifference;
• manic psychosis, in which the sick person has some kind of goal and is obsessed with it;
• manic-depressive psychosis, or circular, which is characterized by alternating manic and depressive phases;
• combined psychosis is a combination of several psychotic disorders at the same time.

Another type of psychosis - postpartum - is quite rare. Unlike postpartum depression, a woman develops severe mental disorders aimed at causing bodily and other harm to herself and the child.

Manifestations of psychosis are very diverse. Risk factors for the disease include:

• age;
• floor;
• living in large cities;
• social conditions;
• psychophysiological constitution.

Psychosis can occur at different periods of life. At a young age, manic-depressive psychosis is possible when life-changing changes occur; at a more mature age - senile psychosis. Alcoholic and traumatic psychosis are more common in men. People living in urban areas are more susceptible to stress and various types of psychoses and neuroses.

Each case of psychosis is very individual, so an experienced psychiatrist must diagnose the pathology, considering the clinical picture and dynamics of the disease. Diagnosis at the initial stages of the disease greatly facilitates treatment and improves the prognosis.

A person suffering from psychosis experiences significant changes in behavior, consciousness, and emotions. The patient loses his sense of reality, does not normally perceive what is happening and is not aware of the changes in his psyche. The initial signs of the disease can be detected long before the active phase of psychosis.

These early symptoms include:

• changes in character without objective reasons (irritability, lack of initiative);
• changes in feelings (fears, depression);
• decreased performance (decrease in activity);
• problems in relationships with others (isolation, mistrust);
• manifestation of deep interest in some things that were not previously of interest (magic, religion);
• unusual perceptions and experiences (noise, color, smells).

With the further development of the disease, the symptoms appear even more strongly, and those around them can no longer help but notice them.

These are the following signs:

• hallucinogenic manifestations;
• delusional ideas;
• motor dysfunction;
• mood swings.

Hallucinations that bother the patient can be very different: tactile and auditory, olfactory and gustatory, as well as visual. Most often, the patient experiences auditory hallucinations; it seems to him that someone is talking to him or giving orders. The manifestation of such disorders is very dangerous for others.

In a delusional state, a person puts forward absurd ideas, conclusions divorced from reality, and it is very difficult to dissuade him.

With movement disorders, the patient is inactive, or, conversely, is in constant motion. He displays aggression and dangerous behavior.

Severe mood swings lead to depression and mania. With depression, depression and loss of strength are observed, and with mania, agitation and speed of movements increase.

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Treatment of mental disorders, namely psychoses, requires early and accurate diagnosis, competent and step-by-step therapy to eliminate the disease. When diagnosing psychosis, a psychiatrist identifies the degree of the disease, its causes and symptoms, the patient’s personal characteristics and state of physical health.

Treatment can take place on an outpatient or inpatient basis, anonymously, using personally selected techniques and medications.

Psychosis is treated in a hospital if:

• the patient poses a danger to others;
• experiences powerlessness when performing simple life functions;
• the patient without medical assistance is capable of causing harm to himself.

High-quality treatment of psychosis quickly normalizes the patient’s condition.

Treatment with medications, mainly antipsychotics, is considered one of the most effective ways to eliminate psychosis. In recent years, many medications have been developed that selectively act on the corresponding types of psychoses - they are successfully used in Moscow clinics. If psychosis is a consequence of intoxication, then, just as in the treatment of alcoholism, medications are used to cleanse the body.

Usually, in case of severe agitation, the doctor prescribes the neuroleptics triftazine and chlorpromazine. If the patient is in a delirious state, then stelazine and haloperidol help him. When drug treatment, the age, condition of the patient and the stage of the disease must be taken into account.

Positive results from taking medications are reinforced by a psychotherapeutic course of treatment. In addition, great importance is given to the social adaptation of patients with psychosis, as well as the rehabilitation of drug addicts after undergoing therapy sessions.

It is imperative to take into account that treating psychosis at home or with the help of alternative medicine is unacceptable and very dangerous. The patient should receive qualified medical care only in specialized medical institutions that effectively treat this disease and prevent its transition to a chronic condition.

There are a number of medical centers in St. Petersburg that treat drug addiction, alcoholism, various addictions and mental disorders. Many clinics effectively treat pathologies such as psychosis.

Among them:

• medical;
• AndroMeda clinic.

But, unfortunately, based on the specifics of a psychotic disorder, even despite confidentiality, it is not always easy for many patients to contact a psychiatrist, so many of them prefer treatment abroad and very often choose Israel.

Comprehensive treatment of psychosis, including drug therapy, psychotherapeutic sessions and rehabilitation sessions, contributes to the patient’s full recovery.

For comparison, here are the prices in clinics in Moscow, St. Petersburg and Israel:

• The cost of a therapy session in Moscow starts from 5,000 rubles/session
• Psychosis treatment session in St. Petersburg - 3500 RUR/session
• Prices for consultations in Israel – from 20,000 rubles.

“My father was treated for psychosis in one of the clinics in St. Petersburg. He had symptoms such as hallucinations and persecutory delusions. After a two-month course of treatment, he was discharged. His condition, of course, improved, but he was under constant medical supervision, and he became somewhat indifferent to everything. We were very worried about him, we were afraid of a relapse, because no one gave us guarantees.

Grigory Kurchenko, Kronstadt

“We treated our grandmother for senile psychosis at the Renaissance Center in Moscow. We went there because we know that excellent specialists work there. My grandmother was in the acute phase of her illness; she did not recognize any of us: neither our children nor our grandchildren; she became very suspicious and demanded constant attention from everyone. The clinic diagnosed her with senile psychosis. Thanks to the fact that we sought psychiatric help in time, we were able to help her.”

Medicines for nerves and stress

Pills for stress and nerves should be prescribed by a doctor; you should not take medications on your own. You are allowed to take the medication once before entrance exams or an upcoming wedding. If depression accompanies you for a long time, then you should definitely consult a doctor for help. Do not select medications on your own.

Types of stress:

• Physical type stress . It manifests itself in extreme external conditions and overwork.
• Metabolic type stress . Caused by uremia, high blood lipids, obesity and diabetes.
• Immune type stress . Occurs during a relapse of a prolonged infection. Reason: weakened immune system or taking depressants.
• Endocrine type stress . It is detected when the thyroid gland and adrenal cortex are overactive.

For any type of stress, you should consult a doctor. Selecting a medicine requires an individual approach. With chronic manifestations of stress, organs: lungs, heart and brain work in emergency mode. Therefore, the work of the genitourinary system, liver and intestines is limited. The body constantly lacks nutrients and oxygen. Negative changes occur in the organs, which cause diseases.

Types of drugs

There are a lot of pills for stress and nervousness. They have a positive effect on the activity of the nervous system, restoring the balance between excitation and inhibition. According to pharmacological action they are divided into groups:

1. Tranquilizers . They relieve emotional discomfort, anxiety and fear without impairing cognitive functions, that is, a person speaks, thinks and perceives information. These drugs do not cause delusions or hallucinations, but they can be addictive. They are used strictly under medical supervision and only in short courses. These drugs are Atarax, Bromazepam, Diazepam, Lorazepam, Phenazepam and Chlordiazepaxide. Side effects may appear in the form of muscle weakness, finger tremors, and slow mental reaction.
2. Sedatives . Taken more often for hypertension and rapid heartbeat. They are based on bromine or medicinal plants. They are gentle on the human body and have no side effects. These include “Barboval”, “Valerian”, “Validol”, “Valocordin”.
3. Neuroleptics . Very powerful tablets and are used in psychiatric practice. Prescribed by a doctor only in severe cases. These are Azaleptin, Sonapax, Tiapride.
4. Normotimic drugs . They belong to psychotropic drugs, they stabilize the patient’s mood, inhibit attacks and alleviate the patient’s disorders - “Sodium Valproate”, “Quetiapine”, “Lamotrigine”, “Oxcarbazepine”, “Olanzapine”, “Risperidone”.

Contraindications

Not all people can take pills for nervousness, so consulting a doctor is essential. Contraindications are:

1. Pregnancy . During this period, many women face stress and anxiety. But you can't resort to pills. Consult your doctor and he will tell you what medications you can take. Usually these are preparations based on motherwort or valerian.
2. Individual intolerance . If a person is prone to allergies, then medications are selected with extreme caution. Read the instructions and consult your doctor.
3. Childhood . Under no circumstances should children be given sedatives on their own. The medicine is prescribed by a doctor if the child has a psychological illness. If the child’s nervous system and emotional state are in order, then he should not take sedatives. When a child is capricious or throwing tantrums, this is not a reason to take medication.
4. Traumatic brain injuries . In cases of mechanical head injury, it is not recommended to take sedatives. They can provoke adverse reactions.

It should also not be used by persons who have a brain tumor, epilepsy, drug or alcohol addiction.

In order to choose the right high-quality, safe and effective product, you need to read the instructions before use.

Cure for nerves and stress

• Valerian tincture . It contains chemical components and essential oils. They calm the nervous system and slow down the rapid heartbeat. It has a mild sedative effect, that is, it helps to get rid of insomnia.
• Motherwort tincture . It should not be taken by people suffering from hypotension, as its use reduces blood pressure. This extract can treat nervousness and irritability.
• Negrustin tablets . It contains the herb St. John's wort and is used in depression. Improves emotional state, increases performance.
• Medicine "Afobazol" . The active substance is an anxiolytic, and in anxiety states it reduces mental discomfort. Relieves irritability, anxiety, fears, and anxious premonitions. It helps well after overexertion, helps eliminate tearfulness, timidity, relieves unreasonable fears and insomnia. After taking this drug, the patient relaxes. The drug is able to correct disorders of the respiratory, muscular, cardiovascular and digestive systems. Copes with autonomic disorders such as dry mouth, sweating and dizziness. It has a beneficial effect on memory and concentrates attention. After starting therapy, a positive effect is observed after seven days. Therapy lasts from two weeks to three months.
• Persen tablets . It contains peppermint, lemon balm and valerian. Effective tablets to take for nerves. It is made from herbal ingredients and has few contraindications, which is why it is popular. It has a mild sedative effect, helps get rid of irritability, and improves mood. Having taken it, the patient calms down and gets rid of insomnia, although he does not feel sleepy during the day.
• Tenoten tablets are a homeopathic remedy. Helps overcome anxiety, anxiety and eliminates irritability. Improves memory and concentration, the body resists stress.
• Tablets "Novo-Passit" . It contains extracts of medicinal herbs, including: black elderberry, valerian, St. John's wort, lemon balm, mint, motherwort, passionflower and hops. Widely used for stress and depression
• Phenibut tablets . They contain an active substance - a tranquilizer. Relieves fear, anxiety and feelings of overstrain, improves sleep. Recommended for neurasthenia, headaches and insomnia that occur during menopause. Along with these symptoms, irritability and anxiety, nervous disorders are treated. The patient gets rid of emotional lability, headaches and irritability. Taking it, you will increase the speed of sensorimotor reactions, performance, improve memory and attention. Therapy continues for up to 1.5 months.
• Phenazepam tablets are a tranquilizer and have a very strong effect. Relieves emotional instability, increased irritability, anxiety and fear. Effectively fights neurosis-like, neurotic and psychopathic conditions. By taking it, the patient gets rid of insomnia and panic reactions. It has a strong sedative effect and is not recommended for use without a doctor's prescription.

There are a lot of sedatives nowadays. And in order not to get confused in them and not to harm yourself, you need the help of a qualified doctor. He approaches each patient individually and helps decide which medications are best to take in this case.

Find out if psychosis can be treated abroad

Doctors from leading clinics abroad successfully treat many diseases related to the human psyche. In addition to drug therapy and psychotherapeutic treatment of psychosis abroad, physiotherapeutic methods are also widely used: electrosleep, acupuncture, sports activities, etc.

If drug resistance is observed, then in foreign specialized centers they practice transcranial magnetic stimulation (TMS) and treatment with low-frequency currents.

Antidepressants

Antidepressant drugs are used in courses (usually several months).

They do not have a quick sedative effect, unlike antipsychotics and tranquilizers. However, with long-term use, they can effectively remove attacks of aggressiveness that arise as part of depressive states (endogenous, organic, neurotic).

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There are a lot of antidepressants; doctors divide them into several generations and into groups depending on their structure and mechanism of action.

Main antidepressants:

• amitriptyline;
• clomipramine;
• escitalopram;
• paroxetine;
• fluvoxamine;
• agomelatine.

Legal provisions on psychotropic substances

There are several basic rules directly related to the use, production and distribution of psychoactive substances. Here are a few of the most basic ones:

1. Narcotic substances and psychotropic components belong to this category, regardless of which manufacturer produced them, as well as what name they have. The main category and composition are important here.
2. Psychotropic drugs listed in special list 3 are subject to careful accounting and control. All drugs listed in it are taken into account, regardless of the additional components present in the composition - water, sugar, talc, and so on.
3. In relation to various combination drugs, where other active pharmacological elements are present, control is established exclusively on an individual basis.
4. A medicine that simultaneously contains several precursors listed in List 3 is controlled as the same precursor.

Control over the circulation and use of psychotropic substances is an important area of ​​modern law enforcement agencies. A person who uses drugs, regardless of age, poses a fairly serious threat to the organization where he works or studies, and to the people around him.

Constant and uncontrolled use of psychotropic drugs immediately affects overall productivity. Moreover, under the influence of such drugs, a person can make a mistake, which, in turn, will entail quite serious consequences.

Aminazine

Despite the emergence of a large number of new modern drugs against mental disorders and psychoses, chlorpromazine is considered one of the most popular drugs among neurologists. Tablets that have been tested over the years act on the nervous system gently but effectively. Calmness is achieved with a gradual increase in dosage.

Properties

As a result of the use of tablets, motor-defensive reflexes are suppressed, the muscular system is relaxed, the state of delirium and hallucinations ceases, anxiety, causeless anxieties and worries are relieved. At the same time, consciousness remains clear and clear.

Aminazine tablets cope well with high blood pressure and other unpleasant ailments caused by the production of adrenaline in the blood. Prevents the occurrence of nausea and vomiting, and also helps stop hiccups.

The tablets reduce elevated body temperature, have an anti-inflammatory effect, improve the condition of blood vessels and even help destroy parasites in the human body.

Indications

• Schizophrenia.
• Chronic paranoid diseases.
• Hallucinatory states.
• Affective insanity.
• Mental disorders in epilepsy.
• Psychoses.
• Neuroses that provoke insomnia, unreasonable fears, excitement, tension.
• Acute alcoholic mental disorders.
• Muscle tone.
• Toxicosis during pregnancy. Extremely carefully and in very rare cases.
• Inner ear disease.
• Itchy skin infections.

Interaction with various drugs.

Aminazine can be used either alone or together with various psychotropic medications, antidepressants, tablets for disorders and psychoses.

When taking anticonvulsants simultaneously with aminazine, the effect of the drugs is enhanced. But, only in isolated cases can these tablets independently cause convulsions in the patient. The drug also enhances the effect of sleeping pills and painkillers.

Side effects.

In rare cases, the pills may cause an increase in seizures in epilepsy.

Aminazine may cause tissue irritation.

With intravenous or intramuscular injections, lumps may occur at the injection sites.

A sharp decrease in blood pressure.

In case of individual intolerance to the components of the drug, allergic reactions may occur, progressing to swelling of the limbs or face, skin redness and irritation.

When using the drug in tablet form, digestive disorders may occur.

Restlessness, desire to constantly move.

Depression.

In rare cases, jaundice and pigmentation of the skin are detected.

Directions for use and dosage.

It is worth remembering that the drug is prescribed only by the attending physician. He prescribes the necessary effective but safe dose and type of drug. Doses are determined based on the method of administration, disease, age of the patient, indications and condition.

There are three methods of application. It is available in tablet form and as a solution intramuscularly or intravenously. When the drug is administered bypassing the gastrointestinal tract, the treatment effect occurs much faster and stronger.

It is recommended to take the tablets after meals to reduce the risk of irritation of the organ mucosa.

Intramuscular injections are carried out up to three times a day and the needle is inserted quite deeply. But the medicine is administered intravenously gradually and slowly. Within five minutes.

The duration of one course should not exceed one to one and a half months. Otherwise, if the drug is little or completely ineffective, another medicine for mental disorders and psychoses is prescribed.

• Contraindications.
• Liver damage in all its manifestations.
• Kidney diseases.
• Systemic diseases of the brain and spinal cord.
• Heart defects and other ailments of the cardiovascular system.
• Gallstone and urolithiasis.
• Rheumatism.
• Pregnant women.

Top 10 drugs from the pharmacy

Psychotropic drugs without a prescription will help modern man better adapt to survival conditions. Overwork, constant rudeness and rudeness of others, a busy work schedule are factors that negatively affect the function of the nervous system.

People with an unstable psyche simply cannot do without additional help, and special medications play its role. There is a wide choice, but it is better if the selection is carried out by a specialist, since many of them have a number of contraindications and undesirable manifestations.

Diazepam

This drug belongs to the group of benzodiazepine tranquilizers. The medicine has a pronounced hypnotic, sedative and muscle relaxant effect. Tablets, in this form of the drug, reduce anxiety and restlessness.

The main component of the drug is the substance of the same name.

Medicine is prescribed for:

• psychomotor agitation;
• alcoholic psychosis;
• depressive psychosis;
• neurotic ailments with increased muscle tone;
• sleep disturbance;
• spastic conditions.

The dosage in each individual case is selected individually. The standard dose for adults is no more than 60 mg per day. The course is set for each patient individually depending on the complexity of the disease.

You should not take pills if the patient has the following problems:

• malfunctions of the liver and kidneys;
• chronic hypercapnia;
• the most severe form of myasthenia;
• pregnancy and breastfeeding;
• special sensitivity to components.

The drug is prescribed to children in difficult cases when there is a serious risk to the baby’s health.

If you violate the doctor’s instructions and exceed the prescribed dose, undesirable manifestations may develop:

• decreased blood pressure;
• decreased libido;
• bearing a fetus;
• lactation.

Psychotropic drugs without a prescription can be purchased at any pharmacy for 200 rubles.

Imipramine

This is one of the drugs belonging to the group of tricyclic antidepressants. This medicine was created in the middle of the last century and is still used to treat depressive conditions.

The main component is a substance of the same name. It is thanks to him that the tablets in this form that the drug is produced have thymoleptic, antidysuric, antidepressant and psychostimulating effects.

Medicine is prescribed in the following cases:

• depression of various origins;
• psychopathy and neuroses;
• panic disorders;
• children with urinary incontinence;
• as a comprehensive treatment for people suffering from chronic pain.

Only a specialist should prescribe medication, and he also selects the dosage. The standard dose is 25-50 mg 4 times a day; for children from 6 to 12 children, the dose should not exceed 60 mg per day. The tablets are taken orally for a duration determined individually.

Melipramine (Imipramine) is a psychotropic drug without a prescription

The drug is not recommended for use:

• if there are disorders of the organs of the hematopoietic system;
• with kidney and liver failure;
• after a heart attack;
• glaucoma;
• prostatic hyperplasia;
• while carrying a baby;
• breastfeeding;
• with atony of the bladder;
• allergies to other types of antidepressants.

If recommendations are not followed, undesirable symptoms may occur:

• tremor;
• insomnia;
• fears;
• tachycardia;
• arrhythmia;
• dry mucous membranes;
• constipation;
• problems with urination;
• skin rashes;
• noise in ears.

The psychotropic drug can be purchased at any pharmacy without a prescription from your doctor for 350 rubles.

Bethol

It is a selective reverse-acting MAO inhibitor. Its mechanism is based on inhibition of a specific enzyme monoamine oxidase, increases the level of neurotransmitter monoamines in the central nervous system and enhances the effects of phenamine.

The main component of the medicine is the substance of the same name. The medicine is prescribed mainly for the treatment of depressive conditions, which are accompanied by various kinds of phobias, panic, fear and hypochondria.

The medication is prescribed in the following cases:

• depression;
• alcohol addiction;
• asthenosubdepressive syndrome;
• neurasthenia;
• insomnia;
• asthenosubdepressive syndrome.

Take the medicine, available in tablet form, up to 2 times a day, 50 mg. Gradually the dosage is increased to 400 mg per day. In order not to provoke the development of insomnia, the second dose is taken no later than 6 hours before going to bed. The average duration of treatment is 25 days.

The medicine is not prescribed if a person has an intolerance to the components of the composition, with acute forms of kidney and liver diseases, alcohol withdrawal syndrome, poisoning with sleeping pills or narcotic drugs.

If the dosage prescribed by a specialist is not followed, the following undesirable symptoms may develop: allergies, decreased blood pressure, heaviness in the head, anxiety, headache.

You can buy the medicine freely at a pharmacy for 300 rubles.

Piracetam

This is a nootropic drug, which includes a substance of the same name. The additional components are macrogol, croscarmellose sodium, colloidal silicon dioxide, magnesium stearate. Such a properly selected composition has a positive effect on metabolic processes in the body and blood flow.

The medicine increases glucose utilization, improves metabolic processes, and normalizes blood circulation in ischemic areas.

Helps improve brain function, protects it from various types of damage, such as intoxication, hypoxia and others.

The tablet form of the drug is recommended to take up to 160 mg per kg of body weight, divided into 4 doses. The average course is 2 months.

The drug is recommended in the following cases:

• memory impairment;
• brain injury;
• depressive states;
• nervous system disorder;
• children's learning disabilities.

You should not take the drug if:

• the patient has suffered a stroke;
• there is severe kidney failure;
• special sensitivity to the main component.

If the recommendations are not followed, undesirable symptoms may appear: discomfort in the peritoneum, agitation, irritation, weakness, tremor, sleep disturbance. You can freely purchase the medicine at any pharmacy for 50 rubles.

Sonapax

This is an antipsychotic drug from the group of neuroleptics. The main component in it is thioridazine, which has a direct effect on the central and peripheral nervous system. The drug has tranquilizing, antidepressant, antiemetic and antipruritic properties.

The medicine is recommended for use for:

• schizophrenia;
• mental disorders;
• psychomotor agitation;
• neuroses;
• childhood mental disorders.

The duration of therapy and dosage are selected depending on the diagnosis. The average dosage is 50 mg three times a day. The recommended dose for children is 500 mcg per 1 kg of body weight.

Despite the good effectiveness of the drug in the treatment of mental and nervous system disorders, it should not be prescribed if the patient has:

• severe depression;
• coma;
• arrhythmia;
• age less than 4 years;
• liver failure;
• lactase deficiency;
• blood diseases.

Failure to follow the doctor's recommendations can provoke the following symptoms: fainting, confusion, anorexia, nausea, vomiting, increased appetite, allergies, dermatitis, leukopenia and others.

Psychotropic drugs without a prescription can be purchased for 300 rubles.

Atarax

This is a medicine from the group of tranquilizers, which includes hydroxyzine hydrochloride. It is this substance that gives the drug sedative properties and easily combats anxiety and phobias.

The medicine is recommended for use against mental disorders in adults and children. The drug also has a positive effect in relieving anxiety, psychomotor agitation, increased irritability, neurological and psychosomatic diseases.

Children over 6 years of age and adults are allowed to take the medicine, 1 mg per 1 kg of body weight, divided into three doses. The duration of therapy is determined by a specialist individually.

It is not recommended to take the medicine in the following cases:

• carrying a baby;
• lactation;
• porphyria;
• intolerance to components.

Failure to follow the recommendations may cause unwanted symptoms:

• urinary retention;
• drowsiness;
• constipation;
• tremor;
• convulsions;
• tachycardia;
• allergy;
• bronchospasms.

The medicine can be purchased for 270 rubles.

Fluoxetine

This is one of the most popular antidepressants with a mild effect. Its popularity is due to this. That it is freely available in pharmacies and has a minimum of undesirable effects.

The main active ingredient in it is fluoxetine, and additional components are: talc, starch, lactose, sugar, titanium and calcium compounds. The drug belongs to the category of selective blockers of neuronal uptake of serotonin.

That is why it is often used in the treatment of depression, as well as in the following pathological conditions:

• any degree of depression;
• recurrent disorder;
• bipolar disorder;
• bulimia nervosa;
• schizophrenia with symptoms of depression;
• alcohol addiction;
• organic affective disorder.

Take the drug for the treatment of depression at 20 mg per day. It is recommended to take in the morning as it has a stimulating effect.

You cannot take the medicine in tablet form, which is exactly how it is produced, for the following conditions:

• BPH;
• bladder atony;
• high intraocular pressure;
• kidney failure;
• intolerance to the components of the composition;
• diabetes;
• epilepsy.

Failure to comply with the dosage and increasing the course may cause a decrease in libido. The medicine will cost an average of 30 rubles. per package.

Valocordin

This drug is available in several forms; the tablet form is more often recommended for the treatment of neurological ailments of various etiologies.

The tablet contains the following components:

• doxylamine succinate;
• sodium bicarbonate;
• lemon acid;
• sodium hydrogen phosphate;
• sodium sulfate;
• sodium benzoate;
• macrogoal

The active component has a blocking effect on ethanolamine receptors, producing a sedative and hypnotic effect.

Medicines are prescribed for the following ailments:

• neuroses of various etiologies;
• mental state disorders;
• asthenic syndrome;
• stressful situations;
• itching on the skin.

A single dose per day is 15-25 mg. The duration of therapy is determined individually for each patient depending on the complexity of the disease.

The drug is contraindicated in the following conditions:

• sensitivity to components of the composition;
• glaucoma;
• degeneration of prostate tissue;
• problems with urination;
• teenagers and children under 15 years of age;
• lactation.

If the dose is exceeded, an allergic reaction, decreased blood pressure, tachycardia, bronchospasm, dry mouth, constipation, and diarrhea may occur. The average cost of the drug varies within 50 rubles.

Stimuloton

This is a drug from the group of antidepressants, which is a selective serotonin reuptake inhibitor. The main component of the drug is sertraline, and additional components: hyprolose, magnesium stearate, sodium carboxymethyl starch, microcrystalline cellulose.

It is thanks to the correct and balanced composition that the medicine is recommended for use when:

• depressive state of various etiologies;
• panic disorders;
• stressful situations;
• obsessive-compulsive disorders.

Take the drug once a day, 50 mg, preferably in the morning. The average duration of therapy is a week. You should not take the drug together with MAO inhibitors, while pregnant or breastfeeding, under 18 years of age, hypersensitivity to the components of the composition.

Failure to follow the recommendations may trigger the development of the following symptoms:

• decreased appetite;
• aggressiveness;
• drowsiness;
• fast fatiguability;
• headache;
• tremor;
• anorexia;
• decreased blood pressure;
• visual impairment;
• skin hyperemia.

The cost of the medicine in tablet form is 350 rubles.

Pantogam

This medicine has a nootropic and anticonvulsant effect, increases the brain's resistance to hypoxia and the aggressive effects of toxins, activates anabolic processes in neurons, combines sedative and stimulating effects, and reduces motor excitability.

Its main component is the substance of the same name and calcium hopantenate. Additional components: methylcellulose, calcium stearate, magnesium hydroxycarbonate.

The following conditions can be considered indications for use:

• cognitive failures in disorders of the nervous system;
• extrapyramidal diseases;
• cerebrovascular insufficiency;
• prevention and therapy of extrapyramidal syndrome;
• epilepsy;
• mental stress;
• neurogenic changes;
• children over 3 years of age with encephalopathy;
• organic cerebral insufficiency.

The daily dosage for an adult is 1500-3000 mg, and for a child from 3 years old 750-3000 mg. The dose is taken half an hour after a meal. Duration of treatment is 1-6 months.

The medicine should not be prescribed to children under 3 years of age, or to women who are breastfeeding or pregnant. Failure to follow the recommendations and independently increase the dosage can provoke undesirable manifestations: allergies, noise in the head, insomnia. Pantogam tablets can be purchased at any pharmacy for 550 rubles.

Psychotropic drugs are the most effective medications that help the nervous system withstand severe stress caused by stress and overwork.

But a specialist must prescribe the medicine, since most drugs are sold by prescription and have a lot of contraindications and undesirable effects. And there are medicines that are sold without a doctor’s permission, and they give a good effect for problems with nervous disorders.

Haloperidol

The drug has a general inhibitory effect on the body without causing drowsiness or sluggishness.

Indications

• Schizophrenia.
• Fast thinking, unstable high mood, agitation.
• Delusional states, hallucinations.
• Psychoses.
• Angina pectoris.
• Continuous nausea and vomiting.

Methods of application.

Orally in the form of tablets, intramuscularly and intravenously.

Side effects.

Insomnia.

Loss of coordination and tremors.

Contraindications.

Diseases of the central nervous system.

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Kidney diseases.

Disruption of the cardiovascular system.

Droperidol

A fast-acting drug for mental disorders and psychoses. Does not cause drowsiness. The main disadvantages include the short duration of the effect of calming and inhibition of the central nervous system.

Prescribed by the attending physician for nervous excitement, anxiety, and restlessness.

It is administered subcutaneously, intravenously or intramuscularly.

Side effects include the manifestation of a depressive state, the occurrence of unreasonable fear and a sharp decrease in blood pressure.

Clozapine

A strong medicine that causes an inhibitory and calming effect on the nervous system. In doses permitted by the attending physician, it does not cause drowsiness.

Indications

Various degrees of schizophrenia.

Hallucinations and states of delirium.

Inappropriate excited state, sudden changes in mood.

Side effects.

Dry mouth.

Drowsiness.

General weakness of the patient's body.

A sharp drop in blood pressure.

Increased body temperature.

Contraindications.

Epilepsy.

https://www.youtube.com/watch?v=upload

Alcoholic psychoses.

Diseases of the cardiovascular system.

Increased eye pressure. In other words, glaucoma.

First trimester of pregnancy.

Benign prostate tumors.

People whose work is related to transport management.

Lithium carbonate

A sedative for severe mental disorders and psychoses. Copes perfectly with the excitability of the central nervous system.

Prescribed by the attending physician for inappropriately elevated mood, nervous excitability, and also for the prevention of psychosis.

As a result of improper use or individual intolerance, disorders of the digestive tract, general discomfort, weakness, loss of large amounts of fluid, trembling of the limbs, and drowsiness may occur.

People suffering from severe cardiovascular diseases, kidney and thyroid diseases should not take lithium carbonate.

What are the causes of psychosis

Doctors don't know exactly what causes psychosis, but there are many theories.

Symptoms of confusion due to mental illness are slightly more common among people who have relatives with mental illness - this is due to a genetic vulnerability. If a person has had at least one episode of psychosis, then this means that he is ill, and he can be diagnosed depending on the specific symptoms.

Stress can trigger the onset of psychosis. Our ability to cope with different types of stress depends on our personality type and previous experiences: not everyone easily copes with stress, problems in relationships or at work. Psychotic symptoms during times of stress can occur in personality disorders or post-traumatic stress disorder.

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Trauma in childhood often contributes to psychotic conditions in adolescents and adults: about 65% of people with psychotic symptoms have experienced childhood trauma (eg, physical or sexual abuse, physical or emotional neglect). Increased individual vulnerability to psychosis may interact with traumatic experiences to promote future psychotic symptoms, especially during sensitive periods of development.

Another reason is changes in brain structure and certain chemicals: brain scans of patients with a history of psychotic episodes have revealed a decrease in the amount of gray matter.

Due to lack of sleep or severe hunger, even a healthy person can experience hallucinations. If you are very hungry, blood sugar levels drop, which affects the nutrition of the brain - for vulnerable patients, this increases the risk of psychosis.

Confusion may occur after tragic events, such as the death of a family member. If you have recently lost a loved one, you may hear them talking to you and feel that the deceased is nearby. Such reactions to mental trauma that do not meet the criteria for schizophrenia are called reactive psychoses.

General classification of modern psychotropic drugs

The significant expansion of Schedule III of psychotropic substances by including in 2013 21 items previously controlled as potent substances led to fundamental changes in the activities of healthcare entities and the pharmaceutical market related to licensing.
List III of psychotropic substances (PS), the circulation of which in the Russian Federation is limited and in respect of which certain control measures are allowed to be excluded in accordance with national legislation and international treaties (hereinafter List III), was approved by Decree of the Government of the Russian Federation dated June 30, 1998 No. 681 “On approval list of narcotic drugs, psychotropic substances and their precursors subject to control in the Russian Federation.”

List III (as amended on 04/09/2015) includes 74 items of psychotropic substances.

Decree of the Government of the Russian Federation dated 04.02.2013 No. 78 significantly expanded List III by including 21 items of psychotropic substances that were previously controlled as potent in the list approved by Decree of the Government of the Russian Federation dated 29.12.2007 No. 964: Alprazolam, Barbital, Bromazepam, Brotizolam, Diazepam, Zolpidem, Clonazepam, Lorazepam, Medazepam, Mesocarb, Meprobamate, Midazolam, Nitrazepam, Oxazepam, Temazepam, Tetrazepam, Phenobarbital, Flunitrazepam, Flurazepam, Chlordiazepoxide, Estazolam.

In accordance with Art. 15 of the Federal Law of 01/08/1998 No. 3 “On Narcotic Drugs and Psychotropic Substances”, Decree of the Government of the Russian Federation of 06/22/2009 No. 508 established state quotas within which the production, storage and import (export) of 35 items of psychotropic substances from List III are carried out annually .

The list of medicines for medical use subject to quantitative accounting, approved by Order of the Ministry of Health of Russia dated April 22, 2014 No. 183n, includes 58 PI items of List III, including the combined item “Diazepam cyclobarbital” (Table 1).

In conclusion, we will consider the main aspects of the circulation of combined drugs with a low content of psychotropic substances of Schedule III.

Combined drugs with low content of psychotropic substances of Schedule III are registered for three names and belong to the following pharmacotherapeutic groups:

• dextromethorphan - antitussives and drugs for the treatment of colds, opium alkaloids and derivatives;
• phenobarbital - other analgesics and antipyretics, other antiepileptic drugs, combined bronchodilators, other hypnotics and sedatives, sedatives;
• chlordiazepoxide (in combination with amitriptyline) - antidepressants in combination with psycholeptics.

In accordance with paragraph 5 of Art. 2 of the Federal Law of 01/08/1998 No. 3 “On Narcotic Drugs and Psychotropic Substances” and the Decree of the Government of the Russian Federation of 07/20/2011 No. 599 established the following control measures for combination drugs with low content:

• prohibition of sending in postal items, including international ones, as well as sending under the guise of humanitarian aid, with the exception of cases when, in emergency situations, these drugs are sent to specific constituent entities of Russia in accordance with decisions of the Government of the Russian Federation;
• dispensing to individuals of the specified drugs intended for medical use in the manner established by the Ministry of Health of Russia in agreement with the Federal Service for Drug Control.

Order of the Ministry of Health and Social Development of Russia dated March 16, 2010 No. 157n approved that the maximum permissible (small) quantities for psychotropic substances contained in combination drugs are:

• for dextromethorphan hydrobromide: 30 mg per dose of solid dosage form; 200 mg per 100 ml liquid dosage form for internal use;
• for phenobarbital (introduced by order of the Ministry of Health of Russia dated June 10, 2013 No. 369n): 50 mg per dose of solid dosage form; 2 g per 100 ml liquid dosage form for internal use;
• for chlordiazepoxide (introduced by order of the Russian Ministry of Health dated June 10, 2013 No. 369n): 20 mg per dose of the solid dosage form.

Order of the Ministry of Health and Social Development of Russia dated May 17, 2012 No. 562n “On approval of the procedure for dispensing to individuals medicinal products for medical use containing, in addition to small quantities of narcotic drugs, psychotropic substances and their precursors, other pharmacological active substances” establishes that:

• combination drugs containing, in particular:

- pseudoephedrine hydrochloride in an amount not exceeding 30 mg, in combination with dextromethorphan hydrobromide in an amount exceeding 10 mg, and up to 30 mg inclusive (per 1 dose of solid dosage form); - dextromethorphan hydrobromide in an amount exceeding 10 mg, and up to 30 mg inclusive (per 1 dose of solid dosage form);

- phenobarbital in an amount exceeding 20 mg and up to 50 mg inclusive (per 1 dose of a solid dosage form); - phenobarbital in an amount up to 20 mg inclusive in combination with ergotamine hydrotartrate, regardless of the amount (per 1 dose of a solid dosage form); - chlordiazepoxide in quantities up to 10 mg inclusive (per 1 dose of solid dosage form);

• combination drugs containing, in particular:

- pseudoephedrine hydrochloride in an amount exceeding 30 mg to 60 mg inclusive in combination with dextromethorphan hydrobromide in an amount exceeding 10 mg and up to 30 mg inclusive (per 1 dose of solid dosage form); - dextromethorphan hydrobromide in an amount up to 200 mg inclusive (per 100 ml or 100 g of liquid dosage form for internal use);

- phenobarbital in an amount up to 15 mg inclusive in combination with codeine (or its salts) regardless of the amount (per 1 dose of solid dosage form); - phenobarbital in an amount up to 20 mg inclusive in combination with ephedrine hydrochloride regardless of the amount (per 1 dose of solid dosage form); dosage form); - chlordiazepoxide in an amount exceeding 10 mg, and up to 20 mg inclusive (per 1 dose of solid dosage form).

Other combination drugs are sold from pharmacies, pharmacy points, pharmacy kiosks and individual entrepreneurs with a license for pharmaceutical activities without a prescription (for example: Andipal tablets containing Phenobarbital 0.02 g; Gripend tablets, Grippex tablets - containing Pseudoephedrine 30 mg per combination with Dexromethorphan 10 mg; Alex Plus chewable lozenges containing Dexromethorphan 2 mg).

Prescriptions for medications written out on prescription forms, form No. 107-1/u, are valid for 2 months from the date of prescription.

When a medical worker writes prescriptions for ready-made drugs and individually manufactured drugs for patients with chronic diseases on prescription forms No. 107-1/u, it is allowed to set the validity period of the prescription within up to one year and exceed the recommended amount of the drug for prescribing per prescription, established by the application No. 2 to Order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n.

When writing such prescriptions, the medical worker makes a note “For a patient with a chronic disease”, indicates the validity period of the prescription and the frequency of dispensing of drugs from a pharmacy organization or an individual entrepreneur with a license for pharmaceutical activities (weekly, monthly and other periods), certifies this indication with his signature and a personal seal, as well as the seal of the medical organization “For prescriptions”.

In accordance with the order of the Ministry of Health of Russia dated April 22, 2014 No. 183n, combination drugs with a small amount of PI, dispensed according to prescriptions written out on prescription forms of form No. 148-1/u-88, are subject to subject-quantitative registration. Registration of operations related to the circulation of combined drugs with a small amount of PI is carried out in special transaction logs according to forms approved by Order of the Ministry of Health of Russia dated June 17, 2013 No. 378n.

1) for manufacturers of medicines and wholesale trade organizations of medicines;

2) pharmacy organizations and individual entrepreneurs holding a license for pharmaceutical activities;

3) medical organizations and individual entrepreneurs with a license for medical activities.

It should also be borne in mind that Appendix 2 to the Order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n established the recommended amount for prescribing per prescription for combined drugs containing pseudoephedrine hydrochloride and subject to PCU - 1 package.

Storage of combined medicinal products with small amounts of psychotropic substances subject to subject-quantitative recording is carried out in accordance with the physical and physico-chemical characteristics and clause 70 of the order of the Ministry of Health and Social Development of Russia dated 08/23/2010 No. 706n “On approval of the Rules for the storage of medicines” in metal or wooden cabinets, sealed or sealed at the end of the working day.

Storage of combined medications with small amounts of psychotropic substances that are not subject to subject-quantitative accounting is carried out in accordance with the physical and physico-chemical characteristics in accordance with the rules approved by the Ministry of Health and Social Development of Russia dated August 23, 2010 No. 706n.

It is important for specialists to note that Decree of the Government of the Russian Federation dated October 8, 2014 No. 1023 amended the Decree of the Government of the Russian Federation dated July 20, 2011 No. 599, defining control measures for drugs with low contents of narcotic drugs, psychotropic substances and their precursors contained in medical devices for diagnostics in laboratory conditions.

It has been established that in relation to such drugs, a ban applies to sending them by post, including international ones, as well as sending them under the guise of humanitarian aid, with the exception of cases when, in emergency situations, these drugs are sent to specific constituent entities of Russia in accordance with decisions of the Government of the Russian Federation.

Psychosis due to other illnesses

If psychosis is caused by some disease, it is called secondary. There are a lot of such diseases. For example, focal neurological diseases such as stroke, brain tumors, some forms of epilepsy, Alzheimer's disease, vitamin B deficiency, poisoning with hazardous chemicals or therapeutic drugs, parasitic and endocrine (hormonal) diseases. The use of psychoactive substances can cause the onset, exacerbation or acceleration of psychosis - even something as “harmless” as marijuana.

Meditation can cause psychological side effects, ranging from mood disturbances to psychotic symptoms such as hallucinations. Some people may hear voices or see visions. Spiritual experiences may result in a feeling of being possessed by an evil spirit, demons, or a belief in one's religious importance.

In Europe of the late Middle Ages, mass religious psychoses arose among Christian ascetics, accompanied by visions of the Lord. Such psychoses still occur to this day in some church parishioners suffering from mental disorders, including schizophrenia. Psychoses also arise due to superstition, mysticism and belief in psychics.

Maria, 30 years old: “The first manic episode caught me while working on a rotational basis in the Altai Mountains. It began to seem to me that I had discovered psychic abilities, that places of power helped me with this. I practically didn’t sleep or eat, I talked a lot with strangers, I began to see signs and symbols in everything, and supposedly predicted the future.

Returning home, I told my parents that now I am a psychic, so that they don’t worry, I will solve all financial problems, etc. I shot a bunch of frankly crazy videos, wrote a bunch of posts, in general, all my friends realized that I was completely inadequate. My parents didn’t know what to do with me, they didn’t want to resort to the help of a psychiatrist, but I was getting worse and worse, I left the house at night and just wandered around the city, I was delirious that I was from another planet and they sent me to Earth so that I can tell everyone about true love.”

Pills for psychosis and aggression: list, contraindications – Negative

Frequent attacks of irritability, unmotivated aggression and nervousness greatly destabilize a person’s mental state and over time can provoke complex disorders. There are many ways to prevent this: psychotherapy, rest, physical activity, drug treatment (in case of severe cases).

When selecting a sedative, the following are taken into account:

• Severity of the disease;
• Presence of allergic reactions and contraindications;
• Patient's age: some groups of drugs are suitable for adult men and women, others are suitable for children, adolescents and the elderly.

Cure for psychosis and aggression list

1. Phenazepam - instructions for use, analogues and reviews of medications for the treatment of neuroses, psychoses, epilepsy and other mental and psychosomatic disorders and diseases.
2. Reason: updating drug dosages and use in children
3. Amitriptyline - instructions for use, analogues and reviews of the drug for the treatment of depression, psychosis and schizophrenia.
4. Finlepsin - instructions for use, reviews and analogues of medications for the treatment of epilepsy and neuralgia.
5. Haloperidol - instructions for use, reviews and analogues of the drug for the treatment of schizophrenia, autism and other psychoses.
6. Sonapax - instructions for use, analogues and reviews of a medicinal product for the treatment of schizophrenia and neuroses.
7. Eglonil - instructions for use, analogues and reviews of the drug for the treatment of migraine and depression.
8. Aminazine - instructions for use, analogues and reviews of the drug for the treatment of psychosis and schizophrenia.
9. Azaleptin - instructions for use, analogues and reviews of medications for the treatment of schizophrenia, psychosis and sleep disorders.
10. Chlorprothixene - instructions for use, analogues and reviews of the drug for the treatment of schizophrenia, neurosis and depression.
11. Reason: clarification of instructions for the drug
12. Seroquel - instructions for use, analogues and reviews of the drug for the treatment of psychosis, depression and schizophrenia.
13. Sources used: instrukciya-otzyvy.ru

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Drugs for the treatment of psychosis

The main group of drugs for the treatment of psychosis are antipsychotics. In modern psychiatry, so-called atypical antipsychotics are used, which have the fewest side effects.

Additionally, antidepressants, mood stabilizers, and benzodiazepine drugs may be prescribed.

Treatment lasts up to 2 months, the main goal is to understand the cause of psychosis, stop it and prevent a relapse of the acute condition.

IsraClinic consultants will be happy to answer any questions on this topic.

Why does aggressive behavior occur?

The occurrence of attacks of aggression in a person can be caused by one or several reasons at the same time.

Mental disorders can be caused by:

• pathopsychological character traits;
• mental stress, especially in people with weak character traits;
• pathological dependence on psychoactive substances (alcohol, drugs, medications, aerosols, plant substances), which have destructive qualities in relation to the nervous system and human psyche;
• unsettled life and personal problems (loss of family, job, health). By aggressive behavior and outbursts of anger, a sick person with specific character traits seems to be trying to “throw out” the internal pain from disorder;
• mental manifestations of borderline states (neuroses), improper upbringing, conflicts in the family;
• chronic overwork with lack of sleep, work accompanied by excessive strain;
• passion for computer games with aggressive content, frequent viewing of films of similar content;
• mental illnesses (epilepsy, schizophrenia, psychopathy, etc.);
• age-related dementia is the cause of senile aggression.

Forms of manifestation of the disease

Attacks of aggression can manifest themselves in:

• physical fitness (assault),
• verbal form (shouting and swearing),
• hidden version (nurturing ideas of jealousy, hatred, etc.).

Source: https://trepuzec.ru/metody-lecheniya/tabletki-ot-psihoza-i-agressii-spisok-protivopokazaniya.html

Signs and symptoms of psychosis

The stage preceding the manifestation of psychosis is called anxious (in professional slang, “prodromal”). After this, a period of gradual loss of connection with reality begins, its duration varies from person to person.

Other prepsychotic signs:

• noticeable social isolation or withdrawal;
• a noticeable deterioration in functioning within a familiar social role (for example, a sharp decline in school performance);
• obvious oddities in behavior (for example, the patient collects garbage, stores unnecessary food supplies, or talks to himself in public);
• inability to maintain personal hygiene skills at the proper level;
• unusual manifestations of emotions or emotional flattening (a sharp decrease in the intensity of the expression of emotions);
• unclear or complicated speech or an obvious reduction in speech activity;
• strange beliefs or magical thinking that influences behavior and does not correspond to traditional cultural norms (for example, superstition, belief in clairvoyance, telepathy, a “sixth” sense, the belief that “other people feel what I feel,” and delusions relationships (when a person interprets neutral phenomena as directly related to him);
• unusual sensory perceptions, such as recurring illusions or the sensation of the presence of an influence or person who is not actually there;
• an obvious decrease in initiative, interest, or energy;
• sudden loss of interest in things that a person used to find enjoyable;
• incorrect understanding and interpretation of situations and actions of other people;
• outbursts of anger, aggression.

Symptoms of psychosis can vary greatly and feel different with each episode.

The need for drug addiction diagnosis

Due to the fact that drugs and serious psychotropic drugs are strictly prohibited on the territory of the Russian Federation, people who perform certain manipulations with them are forced to come into close contact with criminals. This negatively affects not only their health, but also their educational level and position in the company.

The further a person plunges into drug addiction, the more difficult his life becomes. Such people stop at nothing in search of the right substance, from theft to serious crimes against the person.

To identify such dependence in a teenager, it is worth paying attention to such character manifestations as:

• Mental imbalance.
• Unreasonable outbursts of anger.
• Unpredictable behavior.
• Conflict.
• Different types of depression.

In addition, drugs significantly reduce immunity, which is why people and adolescents very often suffer from various infectious pathologies.

If psychotropic drugs were prescribed by a doctor, you must carefully follow his instructions and recommendations. Violation of the dosage and timing of treatment can lead to addiction and all the ensuing consequences.

Where is the best place to get treatment?

Along with public hospitals, there are private clinics, which also have an inpatient facility. There is an opinion that “free” means low quality, but this is not the case. In state medical institutions there are professionals in their field, doctors who are sincerely ready to help.

Yes, in private clinics the conditions are more free. For example, a patient is allowed to stay with a relative, and can freely use a tablet or phone in the hospital. A person feels cared for; the staff, as a rule, is friendly and attentive to each patient. There are good doctors in paid clinics, but the financial side of the issue is a priority - not everyone can afford it, but this does not mean that there are no other options. Both private and public clinics can provide assistance.

During the hospitalization process, it is important to stay with the patient. If he cannot adequately answer the doctor's questions, you need to present the facts about his condition clearly and clearly.

Maria, 30 years old: “Of course, hospitalization helped. And yes, it was scary, because the methods used to calm mania can be cruel. Professionally burnt out people work there (IMPORTANT: not all!), and their attitude hits their pride very hard. All three times that I was lying there, I, of course, regretted that I had made the decision to come there and sign documents that I allowed them to treat me as the doctor saw fit.

They don’t say what they are treating with, they don’t say when they will be discharged, in general, no one really cares about anyone there, with exceptions that confirm the rule.

I was lying in bindings - it was really humiliating and painful. Perhaps, yes, I behaved violently, but when it finally dawned on me where I was, I simply began to look for open doors, for which I received a blow to the head and was tied up. It was more than scary. Therefore, with all my heart I wish those who suffer from mental disorders to get treatment and never end up there.”

Hospitalization can be quite traumatic for the patient if it occurs suddenly.

In such a situation, it is important to calm the person down and explain to him all your actions consistently. Of course, this does not always work out, so it is important to remain in contact with the patient, speak in a calm voice and, without criticism, explain to him the need to be examined by a doctor. As a last resort, you can pass off a doctor’s visit as a routine medical examination.

Olga, 23 years old: “I was amazed by the attitude of the doctors when I came with acute psychosis. First, my then doctor stated that my condition had gotten “a little worse.” Wow, a little! All areas of my activity were disrupted, I was kicked out of work, but for him this is “not much.” At the day hospital they tell me: “We only book a month in advance!” I explain to them that I have an exacerbation, I feel terrible. The doctor comes and says: “I don’t care that you have an exacerbation!” It’s said that a month in advance, that means a month in advance!” Another doctor told me: “It’s just autumn, well, you wait there,” - this is when I told him that I’ve been terribly ill since April.”

Narcotic psychotropic drugs and substances: complete list

Narcotic psychotropic medicines and substances, the full list of which has been approved by the Decree of the Government of the Russian Federation, are drugs of synthetic and natural origin that are under special control and registration when sold.

The list coexists in parallel with the list of drugs approved by the UN. The classification of psychotropic drugs includes antipsychotics, nootropics, tranquilizers, antidepressants, mood stabilizers, psychostimulants and hallucinogens.

Who adds substances to the prohibited list and how?

Psychotropic drugs are substances that affect the functioning of the central nervous system and lead to changes in mental state; if abused, they cause a very persistent dependence.

This is not just a side effect. Dependence on psychotropic drugs can develop in different ways, and the process is influenced by the individual's metabolism.

Psychotropic drugs are available only by prescription

There are three types of psychoactive and narcotic substances by origin:

• vegetable;
• those produced on the basis of plant raw materials - semi-synthetic;
• synthetic (artificial origin).

Among the criteria for dividing psychotropic drugs into types, their effect on the body is also important. The chemical structure of substances is also taken into account.

Narcotic and psychotropic drugs are included in special lists (there are four in total). They are an official document and approved by the government of our country.

The resolution on the list of prohibited psychotropic drugs has had several editions, and the lists of substances are gradually expanding.

Their circulation in Russia is prohibited or under control. By law, each pharmacy takes into account which medications are classified as psychotropic drugs, and dispensing them without a prescription is a violation.

List of psychotropic and narcotic drugs and substances

What drugs are psychotropic? Their classification includes both legal and illegal substances.

It is worth remembering that many antidepressants are psychotropic drugs, and although they are approved for medical therapeutic and medicinal purposes, you cannot buy them without a prescription in the pharmacy chain.

List of psychotropic and narcotic drugs

The approved list also includes precursors - substances that take part in the reaction to form the target psychogenic substance.

List 1

The first list of narcotic and psychoactive drugs includes substances prohibited both under the law of the Russian Federation and under international treaties.

Narcotic drugs

The most well-known narcotic substances of list 1:

• N-(adamantan-1-yl) with derivatives;
• Allylprodine;
• Alfaprodine and Alfameprodine;
• Acetylcodeine;
• Bezitramide;
• Benzylmorphine;
• Betaprodine;
• Hashish;
• Heroin;
• Diampromide;
• Dipipanone;
• Isomethadone;
• Cannabis (marijuana);
• Ketobemidon
• Kodoxim;
• Cocaine;
• Levomoramide;
• Lemoran;
• Mescaline;
• Methadone;
• Mephedrone;
• Morphine;
• Nikodikodin;
• Nicomorphine;
• Oxymorphone;
• Opium;
• Parahexyl;
• Pethidine;
• Psilocin;
• Salvinorin;
• Tebacon;
• Tenocyclidine;
• Phenatine;
• Fenadon;
• Ephedrone;
• Ecgonine;
• Etorphine.

In addition, some plants and their parts are included in the list: mushrooms containing psilocin, Hawaiian rose (seeds), blue lotus (leaves and inflorescences), opium poppy, its straw and extract.

Psychotropic substances

The most well-known psychoactive drugs of the first list include:

List 2

Narcotic and psychotropic drugs of list II include drugs for which restrictive measures have been established in the sphere of trade.

List 3

The extensive third list of psychotropic narcotic substances includes those whose circulation in the Russian Federation is subject to restrictions, but in respect of which exceptions to control measures are permissible.

List 4

The drugs on the fourth list include precursors used for the production of psychotropics, and a certain amount of poisons that are subject to restrictions on circulation and special control measures.

Among them:

Surfactant overdose

Since it is quite difficult to find out whether a person is taking psychotropic drugs or abusing them, this also presents certain difficulties in diagnosing the causes of psychophysical disorders. It is still possible to identify a drug addict externally, but not always.

The main signs of taking psychotropic drugs when they are abused:

• an inexplicable change in mood from euphoric to depressed;
• change in appetite (absence or, conversely, excessive manifestation);
• frequent thirst;
• hand tremors;
• redness of the whites of the eyes, dilation of the pupil;
• pale skin, etc.

Often, the side effects of psychotropic drugs manifest themselves in disturbances in sleep and wakefulness, allergic reactions, anorexia, etc. Not all psychoactive drugs are classified as narcotic drugs!

Negative symptoms of taking psychotropic drugs also appear in patients to whom they are prescribed as therapeutic drugs for a variety of psychological problems and central nervous system disorders.

Treatment must be carried out under the strict supervision of a doctor; the dosage cannot be increased without indications - this can lead to disastrous consequences.

It is not recommended to abruptly stop taking it - the consequences of psychotropic drugs in this case can manifest themselves as the so-called withdrawal syndrome.

This condition develops not only in drug addicts. Withdrawal symptoms after psychotropic drugs taken for preventive and therapeutic purposes are similar to those experienced by cocaine addicts.

Overdose of psychotropic drugs

That is why cessation of use should be smooth, with a gradual reduction in dosage. Withdrawal syndrome is characteristic to a pronounced degree in relation to barbiturates, methanphytomine, nicotine, etc.

You should know that alcohol and psychotropic drugs are incompatible: they enhance each other’s effects and negatively affect the state of the central nervous system and the body as a whole.

It is not only the substances themselves that cause addiction, but also their metabolites. Dependence begins with psychological and gradually turns into physiological. The user needs an increasingly larger dose, just as with drugs.

An overdose of psychotropic drugs not only worsens the condition, but can cause death.

If the recommended dosage is exceeded, medical attention is required. In cases where there is poisoning with psychotropic drugs, respiratory arrest, cessation of heartbeat, and development of coma are possible.

Conclusion

Psychoactive substances should be kept out of the reach of children. Most of them are prohibited even for indications up to at least 8-12 years.

Signs of accidental use of psychotropic drugs by a child appear much more clearly than in adults, and often lead to poisoning.

A teenager's regular use of drugs is obvious, both in his behavior and in his appearance, and it is difficult for parents or people living with him not to notice these changes.

Since it is incredibly difficult to completely cleanse the body of psychotropic drugs during long-term use and the development of addiction at home, inpatient treatment in specialized institutions is required.

: Be careful with psychotropic drugs! For or against?

Source: https://stopz.ru/informaciya/yenciklopediya-narkotikov/narkoticheskie-psikhotropnye-preparaty/

Where is the best place to get treatment?

Treatment of psychosis on a hospital basis is carried out by a multidisciplinary team: psychiatrist, psychotherapist, psychologist, social worker. Specialists are working on the treatment and adaptation of the patient after suffering psychosis. A psychiatrist and psychologist conduct psychoeducational sessions where patients are informed about the symptoms, causes and secondary prevention of psychosis. Specialists of helping professions conduct classes in art therapy, occupational therapy, and bibliotherapy in order to adapt the patient as much as possible.

During treatment, your psychiatrist may prescribe antipsychotic medications (in the form of tablets, liquids, or shots) to reduce symptoms and recommend inpatient treatment.

When the condition stabilizes, cognitive behavioral therapy is used. It allows you to understand the experience of psychosis and consider strategies for overcoming the painful condition. Increasing your psychological awareness will help you recognize whether what you see and hear is real or imaginary. This type of therapy also emphasizes the importance of antipsychotic medications and adherence to treatment.

Art therapy can help express feelings that may be overwhelming the patient. It uses paint, clay, dance, music and other means to express emotions. This type of therapy may be helpful if a person has difficulty talking about their experiences.

Psychotropic substances and components - criminal liability

In order to most effectively counteract the illicit trafficking and use of drugs and various modern psychotropic substances, their use, production and sale are prohibited in Russia.

Among the main common disorders associated with the use of psychotropic medications are:

1. Using drugs without a doctor's prescription.
2. Manufacturing of prohibited substances.
3. Taking drugs in prohibited places.
4. Involving minors in drug use.
5. Import of drugs into Russian territory.

For such crimes, punishment ranges from 5-10 thousand rubles and ends with life imprisonment. It all depends on the accompanying and aggravating circumstances.

Minors over 16 years of age may be charged for the above items. If a teenager under 16 years of age takes part in the case, his parents or guardians will bear administrative responsibility. Inducing minors to use psychotropic substances prohibited by law is punishable not by simple fines, but by imprisonment for up to 20 years.

To stop crime related to the use and distribution of psychoactive substances, many specialized organizations are actively working together on the territory of the Russian Federation. Parents are required to raise their children properly. It is necessary to form in them the correct consciousness and negative attitude towards drugs. It is very important to know what psychotropic medications are and how to recognize the fact of their use and addiction to them.