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demonsn~ate the importance of hospital administered treatments with a toll medical staff of <br /> psychiatrists. neurologists. internists. therapists. nurses, peer counselors and patient advocu[is <br /> oapable of evaluating and responding ro an} aspects u[ the patient's condition ut all timea. <br /> DELAYED WI I~HDRAW.AI <br /> Lhe complain[ of experiencing narcotic withdrawal ahar leaping the treatment eneironntent has been <br /> reported in three cases. Wa have prodded additional treatments six months to a sent after the initial <br /> treatmem to patients who were re-addicted and stated they had experienced some Ibrm o[ withdrawal <br /> within a wee6 of [heir first lbogaine treatment. Our wor6in_ group decided to 4.eap patients maAing <br /> such complaints under observation for periods equal to the number u[' post trea[mem Say s during <br /> w htch the patients stated they preciously experienced withdrawal symptoms. <br /> Uur findings ha~a been [hat. under [ha uboca conditions tit monitoring, the rcpuned withdrawal sr_m <br /> ore usuullc 5v mptoms o[ anxiety ur an~ien related conditions that the patients characterized as <br /> withdrawal, i_r.. nausea. diarrhea ur increases in blood pressure m onehypenensi~c patient <br /> there hoer hero two incidents which did nut appear anxie[c related. m which diarrhea ucerured tine <br /> to aeten days after treatment in patients using one gram of hiroin a day. fhe~ae epiardza were easih <br /> controlled with ? single administration of an appropriate medication and did not occur ueain_ <br /> ~r~rEkH f rt.c f <br /> I~~ fERRI'PCION Ut CR,4b1NG <br /> I~he acute inmtruption of crag ing to sze6 and use drugs of abuse is unique to the Lutsof Proceduresm <br /> us a trenunen[ modality for chenucul dependence disorders. this effect is generalh no[ noticed b} the <br /> patient until the principal actions of Ibogaine lvisualization. eo~itice evaluation, behavioral <br /> immobility and significant residual stimulation) are no loner evident and the patient has had the <br /> opportunity w sleep. The initial recognition of lac6 of crac ire is usualy notice) tom-eight to <br /> ~z~en[y -[wu hours after [bugaine administration. to a minority u[ treatments, recucen and the <br /> absence of craving may be evident to the person being treated in as little as twantc-four hours. Lhe <br /> medical staff: tin the other hand_ usually notes the absence of crae ing in the patirnt m turn-tire <br /> minutia to one and a half hours after Ibugaine administration. <br /> Our expznence gained in recent t tars through the treatment of twenty parsons outside the l need <br /> Jtutes has shown [hut the mujunty of patients may need ~ series of treatmrnU before [he conditioned <br /> responses ~ crag ing) to a long histun of chemical depertdrnce can be extinguished. How ever_ fur three <br /> of theca patients a sirtgla trea[nrent interrupted chemical dependznce fur a ntinimwn of two ~ ear. <br /> Lhe udt antafle u[ lbogainz is that i[ begins to allow patients time periods lice of seeing during <br /> which the psy chiatrist_ _.ucial wurl.er. therapist. paraclimsan and the patient often bond into u <br /> eoheai~e ~wr6ina croup to accomplish a state of lung-tens nun-dependence M_ ihi patient nr [ha <br /> drugtst of abuse lur which the pariznt is under treamtzni_ <br /> PSYI'H05UCIAI_ Sl PPUR I <br /> <br /> All aspects of treatment for chemical dependence disorder eonunun ar other treamrent modalities ore <br /> <br />