Alcohol Implant Lodz – What is Esperal and How it Supports Sobriety
Esperal alcohol implant is a recognized method of supporting alcohol addiction treatment, based on the active substance – disulfiram. The implantation procedure involves subcutaneous insertion of medication tablets, which gradually release the active substance into the body over 8-12 months. At Nasz Gabinet Lodz at Stefana Rogozińskiego 23 Street, we perform Esperal implantation procedures in safe, sterile conditions.
Disulfiram has been used in medicine since 1951 and has documented effectiveness in aversion therapy for alcoholism. The medication shows no psychoactive or toxic effects in people maintaining abstinence – it only works when the body comes into contact with ethyl alcohol.
Key features of Esperal implant:
- Registered prescription medication (Rp) in Poland
- Works for 8-12 months without the need for daily tablet intake
- Implantation under the gluteal muscle fascia – discreet location
- Procedure takes about 30-45 minutes under local anesthesia
- No hospitalization required – return home the same day
The alcohol implant is an element of comprehensive addiction therapy – it doesn't cure alcoholism by itself, but creates a pharmacological barrier that gives time to work through the causes of drinking in psychotherapy.
Alcohol Implant in Lodz
In our office at Rogozińskiego 23 Street in Lodz, we have been performing Esperal implantations since 2015. We serve patients from the entire Lodz voivodeship and surrounding areas. The convenient location ensures easy access by public transport and car.
How Esperal Works – Mechanism of Disulfiram Reaction
Understanding the mechanism of disulfiram action helps patients make an informed decision about the alcohol implant. Esperal affects the metabolism of ethyl alcohol in the liver by blocking the aldehyde dehydrogenase enzyme (ALDH).
Normal alcohol metabolism in the body:
- Ethyl alcohol is converted by the ADH enzyme into acetaldehyde
- Acetaldehyde – a highly toxic substance – is broken down by the ALDH enzyme into harmless acetic acid
- Acetic acid is then metabolized into water and carbon dioxide
What happens after consuming alcohol with Esperal implant:
Disulfiram blocks the ALDH enzyme, causing toxic acetaldehyde to accumulate in the body instead of being neutralized. This causes the disulfiram reaction (antabuse syndrome) including:
- Severe nausea and vomiting – appear within 5-10 minutes of drinking alcohol
- Pulsating headache and dizziness
- Facial and neck flushing – dilation of blood vessels
- Accelerated pulse (tachycardia) and heart palpitations
- Blood pressure drops (hypotension)
- Shortness of breath and chest tightness
- Severe anxiety and panic
The severity of symptoms is proportional to the amount of alcohol consumed. The more alcohol, the stronger and longer the reaction. In extreme cases (large amounts of alcohol), the reaction can lead to cardiovascular collapse and pose a direct threat to life.
This mechanism creates a strong aversion to alcohol – the brain begins to associate drinking with very unpleasant and potentially dangerous experiences. Therefore, alcohol consumption after Esperal implantation is absolutely contraindicated.
For Whom is the Alcohol Implant – Indications for the Procedure
The decision to implant Esperal is a brave step towards sober living. At Nasz Gabinet Lodz, the procedure is performed in comfortable conditions by experienced doctors who ensure not only professional medical care, but also discretion and understanding.
The alcohol implant is particularly effective for people who:
- Have problems with self-control and need external pharmacological support
- Have repeatedly tried to maintain abstinence without success
- Want to protect themselves from impulsively reaching for alcohol in difficult moments
- Have completed detoxification and maintain a minimum of 24-48 hours of abstinence
- Are ready for comprehensive treatment combining pharmacotherapy with psychotherapy
- Need "protection time" to build new habits and work through the causes of drinking
Profiles of patients using the implant in Lodz
- High-functioning alcoholic – a person maintaining the appearance of normal professional and family life despite addiction. The implant provides external motivation that is lacking while maintaining control over other spheres of life.
- Weekend alcoholic – drinks intensively from Friday to Sunday, maintains abstinence during the week. Esperal protects against "weekend slip-ups" and helps break the cyclical pattern.
- Patients after alcohol binges – after ending a binge and detox, the implant provides protection against relapse in the first, most difficult months of sobriety.
Regardless of the type of addiction, the implant is a tool – full treatment requires parallel psychotherapy.
Contraindications to Esperal Implant – Who Cannot Have the Procedure
The alcohol implant, despite its high effectiveness, is not suitable for all patients. Before the procedure at Nasz Gabinet Lodz, each patient undergoes detailed medical qualification during which we exclude contraindications.
Absolute contraindications (excluding the procedure)
- Hypersensitivity to disulfiram or preparation components
- Severe heart diseases – heart failure, coronary disease, previous myocardial infarction
- Severe liver or kidney failure
- Pregnancy and breastfeeding
- Mental disorders – schizophrenia, psychosis, severe depression
- Peripheral neuropathy
- Concurrent use of metronidazole (risk of psychotic reactions)
- Lack of abstinence (minimum 24 hours without alcohol)
Relative contraindications (requiring detailed consultation)
- Diabetes – requires stabilization and monitoring
- Hypothyroidism – disulfiram may affect metabolism
- Epilepsy – risk of interaction with antiepileptic drugs
- Arterial hypertension – requires control before the procedure
- Use of anticoagulant medications
Drug interactions requiring attention
During the implant's action, avoid or exercise caution with: metronidazole, warfarin, phenytoin, theophylline, benzodiazepines. Absolutely avoid alcohol-based syrups and drops – check medication composition or consult a pharmacist. Paracetamol and ibuprofen are safe.
How to Prepare for the Alcohol Implant Procedure in Lodz
Proper preparation for the Esperal implantation procedure increases the safety and comfort of the procedure. At Nasz Gabinet Lodz at Rogozińskiego 23 Street, we try to make the entire process as simple as possible for the patient.
Requirements before the procedure:
- Minimum 24 hours abstinence (optimally 48 hours) – absolute condition. The presence of alcohol in the body makes it impossible to safely perform the procedure.
- Identity document – required for registration
- List of currently taken medications – to assess interactions
- Information about chronic diseases and allergies
What you DON'T need:
- Be fasting – you can eat normally before the procedure
- Have a doctor's referral – we accept without referral
- Organize transport – you'll return home independently
- Take time off – most patients return to work the next day
If you have difficulty maintaining abstinence:
For patients after an alcohol binge, we offer packages combining alcohol detox with the implant. A 6-hour detox under medical supervision allows you to safely stop drinking and have the Esperal implantation on the same day. Call 880 808 880 to discuss available options.
Course of Esperal Implantation Procedure at Nasz Gabinet Lodz
The Esperal implantation procedure at our facility in Lodz is performed by experienced doctors in sterile conditions with the highest safety standards.
Procedure stages step by step:
- Medical consultation – medical history, abstinence verification, discussion of the procedure and signing informed consent
- Preparation of the surgical field – disinfection of the buttock area (implantation site)
- Local anesthesia – the only perceptible needle prick during the entire procedure
- Skin incision – small incision about 1 cm
- Tablet implantation – placing Disulfiram under the muscle fascia
- Wound suturing – 2-3 stitches (in VIP and Exclusive packages, absorbable sutures)
- Dressing and observation – 15-30 minutes of monitoring after the procedure
Procedure characteristics:
- Total time at the office: about 45-60 minutes
- The surgical procedure itself: 15-20 minutes
- Anesthesia: local only
- Pain during the procedure: none (except needle prick during anesthesia)
- Hospitalization: not required
- Return home: independently, directly after the procedure
After the procedure, you receive an information card with post-procedure recommendations and the office contact number in case of questions or concerns.
Post-Procedure Recommendations – How to Care for the Wound and What to Avoid
Proper wound care after Esperal implantation speeds up healing and minimizes the risk of complications. The following recommendations apply for the first 2 weeks after the procedure.
Wound care after alcohol implant
- Keep the wound dry for the first 3-5 days
- Avoid bathing in a bathtub, pool, and natural water bodies
- Shower allowed after 48 hours – gently avoid the wound area
- Don't remove the dressing for the first 24 hours
- Change dressing: every 2-3 days or when it gets wet
- Gently wash the wound area with mild soap
Physical activity after Esperal implantation
- For the first 24 hours: avoid intense exercise
- For the first 2 weeks: avoid heavy physical work, lifting, strength training
- Walks and light activity: allowed from the second day
- Return to normal activity: after 2-3 weeks
When to contact the doctor after the implant?
- Increasing redness or swelling of the wound
- Purulent discharge or unpleasant odor
- Fever above 38°C
- Severe pain not relieved by paracetamol
- Wound edges separating
If you have any doubts, call 880 808 880 – our team is available 7 days a week.
How Long Does the Esperal Implant Work – Protection Period
The duration of the alcohol implant is one of the most frequently asked questions by patients. The release time of disulfiram depends on several individual factors.
The Esperal implant maintains full effectiveness for 8 to 12 months. The exact duration is individual.
Factors affecting the duration:
- Metabolism – people with faster metabolism may have a shorter duration
- Body mass – higher body mass may slightly shorten the period
- Physical activity – intense exercise accelerates drug metabolism
- Dose – VIP and Exclusive packages contain higher drug concentration
What happens after the implant's action ends?
Disulfiram is gradually eliminated from the body. For several weeks after the theoretical end of action, the reaction to alcohol may still be present, though weaker. We don't recommend "testing" the implant – the reaction may occur even after the expected end of action.
Repeat procedure:
Many patients decide on re-implantation as part of a long-term sobriety maintenance strategy. The next procedure can be performed after the previous implant's action expires. There is no limit to the number of procedures – some patients repeat the implantation for many years.
Anti-Alcohol Injection in Lodz
Patients looking for an alternative to the implant often come across offers of "anti-alcohol injection". We must say clearly: such a preparation does not exist in Poland.
The only registered medication for implantation is Disulfiram WZF – tablets intended for subcutaneous insertion. No injection with aversive action against alcohol has been approved for circulation by the Office for Registration of Medicinal Products.
Offers of "injections for alcoholism" appearing on the internet are most often attempts to sell unregistered substances of unknown origin or simple fraud. Administering such a preparation can be dangerous to health and provides no guarantee of effectiveness.
At Nasz Gabinet Lodz, we use only certified preparations with full documentation. If someone offers you an anti-alcohol injection – be cautious and choose a proven treatment method.
Alcohol Implant Lodz Pricing – Packages and Prices 2026
At Nasz Gabinet Lodz, we offer several alcohol implant packages tailored to different needs and financial possibilities of patients. All packages include the full medical procedure with materials and a follow-up visit.
Esperal Implant Lodz – Basic Package 799 PLN
- Disulfiram implantation in minimum concentration
- Non-absorbable sutures (to be removed after 2 weeks)
- One free follow-up visit
- Information card with recommendations
Alcohol Implant – Standard Package 799 PLN
- Disulfiram implantation in medium concentration
- Non-absorbable sutures
- Intramuscular antibiotic (infection prevention)
- Free follow-up visit
Esperal Implant – VIP Package 1099 PLN (most frequently chosen)
- Disulfiram implantation in high concentration
- Absorbable sutures (no removal required)
- Intramuscular antibiotic
- Prescription for medication reducing alcohol craving
- Prescription enhancing implant action
- Free follow-up visit
Alcohol Implant Lodz – Exclusive Package 1900 PLN
- Disulfiram implantation in maximum concentration
- Absorbable sutures
- Intramuscular antibiotic
- 2 free medical consultations
- Priority service
6h Detox + Alcohol Implant – 1899 PLN
- 6-hour detox under medical supervision
- Esperal implantation after detox completion
- Ideal solution for patients after an alcohol binge
12h Detox + VIP Implant Lodz – 2499 PLN
- 12-hour detox with full medical supervision
- VIP implantation (high concentration, absorbable sutures)
- Prescription for medication reducing alcohol craving
- For patients after intense alcohol binges
Alcohol Implant Lodz - We Serve the Lodz Voivodeship
Our office in Lodz serves patients from the entire Lodz voivodeship and surrounding areas. Thanks to the central location in Poland and good transport connections, it's easy to reach us from any city in the region.
Served cities in Lodz voivodeship
- Piotrków Trybunalski
- Pabianice
- Zgierz
- Tomaszów Mazowiecki
- Bełchatów
- Radomsko
- Kutno
- Sieradz
- Skierniewice
- Łęczyca
- Zduńska Wola
- Łask
- Aleksandrów Łódzki
- Ozorków
- Konstantynów Łódzki
- Rawa Mazowiecka
- Opoczno
- Wieluń
- Łowicz
- Brzeziny
Easy access by public transport (PKP, PKS) and car. Parking available at the office for patients.
Alcohol Implant with Home Visit in Lodz
We receive questions from patients from Piotrków Trybunalski, Bełchatów or Sieradz about the possibility of performing the implant at home. We understand this need – traveling to Lodz requires time and organization. Nevertheless, we consistently refuse mobile procedures.
Esperal implantation is a surgical procedure with tissue opening. Home conditions – even with apparent cleanliness – do not ensure the sterility required for this type of procedure. Bacteria present in residential air, on furniture or clothing can enter the wound and cause infection.
The consequences of infection are more serious than the inconvenience of travel: prolonged healing, need for antibiotic therapy, and in the worst scenario – surgical removal of the infected implant.
The office at Rogozińskiego 23 Street is available daily, also on weekends. Patients from the Lodz voivodeship reach us within 1-2 hours – it's a reasonable time investment in procedure safety.
Nasz Gabinet Lodz – Location and Contact
The Nasz Gabinet facility in Lodz is located in a convenient location with good transport access both by public transport and car.
Address details:
- Address: Stefana Rogozińskiego 23 Street, 93-554 Lodz
- Phone: +48 880 808 880
- Email: kontakt@nasz-gabinet.pl
- Opening hours: Monday-Sunday 8:00-20:00
Access by public transport:
Tram and bus stops are located near the office. The facility is easily accessible from the center of Lodz and surrounding districts.
Access by car:
Parking is available for patients at the office. The location provides easy access from the main communication arteries of Lodz.
Procedure registration:
- By phone: 880 808 880 (daily 8:00-20:00)
- Online: through the e-registration system on the website
- Procedure often possible the same day after consultation
We ensure full discretion – the facility has no external markings indicating the nature of services provided.
Implant as an Element of Comprehensive Alcoholism Therapy
At Nasz Gabinet Lodz, we emphasize that the alcohol implant is not a standalone addiction treatment. It's an effective support tool that gives time to work through the causes of drinking – but requires supplementation with psychotherapy.
Why the alcohol implant alone is not enough?
Esperal blocks the ability to drink for 8-12 months, but doesn't change the way of thinking, doesn't solve emotional problems, and doesn't teach how to cope with stress without alcohol. A patient who ends the implant action period without therapy remains a "dry drunk" with a high risk of relapse.
Elements of comprehensive alcohol addiction therapy
- Alcohol detox – safe interruption of a binge and physical condition stabilization
- Esperal implant – pharmacological barrier for 8-12 months
- Individual psychotherapy – working through the causes of addiction, defense mechanisms, trauma
- Group therapy – sharing experiences, peer support
- Family work – systemic therapy, relationship repair
Dry drunk – what is it and why is it a problem?
The term describes a person who doesn't drink but hasn't undergone therapy. Characterized by maintaining abstinence without working on emotions, irritability, attempts to control the environment, and high risk of relapse. An implant without therapy creates exactly this situation.
Patients combining the implant with psychotherapy have significantly lower risk of returning to drinking after the implant's action ends.
Removal of Alcohol Implant – Procedure and Limitations
Removal of the alcohol implant is possible, though it requires surgical intervention. The Esperal implant grows into tissue and is placed deep under the gluteal muscle fascia – therefore the procedure must be performed by an experienced surgeon.
Conditions for implant removal at Nasz Gabinet Lodz
We only remove implants performed at our facility. Thanks to complete medical documentation, we know exactly how and where the implant was placed. If necessary, we perform an ultrasound examination to precisely locate the implant before the procedure.
Benefits of Esperal Implant Treatment in Lodz
The decision to implant Esperal brings tangible benefits for physical and mental health and social functioning. Here are the most important ones:
Direct benefits (first weeks):
- Absolute protection against impulsively reaching for alcohol
- Elimination of daily struggle with the temptation to drink
- Peace of mind resulting from an "external barrier"
- Ability to focus on therapy instead of restraining yourself
Medium-term benefits (1-6 months):
- Improvement in sleep quality and body regeneration
- Stabilization of blood pressure and liver parameters
- Rebuilding family and professional relationships
- Increase in energy and motivation to act
- Improvement in concentration and cognitive functions
Long-term benefits (6-12 months):
- Formation of new habits and behavior patterns
- Deeper understanding of addiction mechanisms through therapy
- Building the identity of a sober person
- Repair of financial and professional situation
- Rebuilding trust of loved ones
The key to lasting benefits is using the implant's protection period for intensive therapeutic work.
Why Nasz Gabinet Lodz – Our Advantages
The choice of Esperal implantation location matters for safety, comfort and treatment effectiveness. Here's what distinguishes Nasz Gabinet in Lodz:
Experience and professionalism:
- Experienced doctors specializing in addiction treatment
- Thousands of implantation procedures performed
- Sterile conditions and modern equipment
- Constant medical supervision during the procedure
Comprehensive care:
- Full diagnostics and qualification before the procedure
- Possibility of combining detox with implant
- Follow-up visit included in the package price
- Phone availability 7 days a week
Patient comfort:
- Discreet location without markings
- Short waiting time for the procedure (often same day)
- Office open daily 8:00-20:00, also on weekends
- Flexible appointment times
Transparent rules:
- Clear pricing without hidden costs
- Detailed explanation of the procedure before intervention
- Written patient consent
- Information card with recommendations
Book an appointment: call 880 808 880 or use online e-registration. Our team will answer all questions and help choose the appropriate package.



















